Organization Active NPI

Maciej G. Ossowski, M.D., Inc.

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1740575182
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A38380 Issued in CA
Legal business name
MACIEJ G. OSSOWSKI, M.D., INC.
Practice address
3349 G St Ste D
Merced, CA 95340-0978
Phone
(209) 722-8040
Fax
(209) 722-0287
NPI assigned
Jun 14, 2011
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maciej Gerard Ossowski, M.D.NPI 1346207883
Title
President
Phone
(209) 722-8040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A38380 CA Primary

Addresses

Primary practice location

3349 G St Ste D
Merced, CA 95340-0978

Mailing address

3349 G St Ste D
Merced, CA 95340-0978
Phone (209) 722-8040

Other identifiers 1

IdentifierTypeStateIssuer
1346207883OtherCANPI

National Provider Directory

National Provider Directory

Locations

3349 G St
Ste D
Merced, CA 95340
Phone (209) 722-1222

378 W Olive Ave
Ste D
Merced, CA 95348
Phone (209) 722-8040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1740575182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 G ST STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-722-8040",
            "fax_number": "209-722-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 G ST STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-722-8040",
            "fax_number": "209-722-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACIEJ G. OSSOWSKI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "OSSOWSKI",
        "authorized_official_first_name": "MACIEJ",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-722-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346207883",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.