Mitchel Osman M.D. P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301056574 Issued in MI

Legal business name

MITCHEL OSMAN M.D. P.A.

Practice address

617 E Broadway St
Mt Pleasant, MI 48858-2727

Phone

(989) 773-6300

Fax

(989) 772-9001

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mitchel Osman, M.D.

Title

President

Phone

(989) 773-6300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1780942201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582727",
            "telephone_number": "989-773-6300",
            "fax_number": "989-772-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582727",
            "telephone_number": "989-773-6300",
            "fax_number": "989-772-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHEL OSMAN M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-773-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301056574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2659805",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2603700772",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Misenheimer
• Anne Evelyn Missavage, M.D.
• Mission Pharmacy, LLC
• Mission Physical Therapy, Inc
• Mitch PC
• Lisa Lynne Mitchell Carpenter, L.P.C.
• Adrienne Prince Mitchell, MA CCC-SLP/L
• Brittany Lynn Mitton, TLLP
• Cayla Mitzkovitz
• Mlwigren Consulting LLC

• Psychiatry Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.