NPIMap

Individual provider Active NPI

Theodore Oswald, MD

  • Family Medicine Physician
  • Bark River, MI
National Provider Identifier
1801805528
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301076738 Issued in MI
Practice address
2845 US Highway 2/41
Bark River, MI 49807-9661
Phone
(906) 466-2000
Fax
(906) 466-2067
NPI assigned
Aug 5, 2006
Last updated
Dec 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301076738 MI Primary

Addresses

Primary practice location

2845 US Highway 2/41
Bark River, MI 49807-9661

Mailing address

2845 US 2 & 41
Bark River, MI 49807-1929
Phone (906) 466-2000

Other identifiers 1

IdentifierTypeStateIssuer
4963385MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070416000115 MI Practitioner - Family Practice 8820193113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Hill Medical PCGroup PAC ID 5395840672, 6 clinicians

Practice addresses (Care Compare)

2845 US Hwy 2 41
Suite 201
Bark River, MI 49807-9661
Phone (906) 466-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions35
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301076738MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Hill Medical PC Family Medicine CurrentSince Feb 22, 2007 Accepting new patients

Locations

2845 US Highway 2 41
Bark River, MI 49807
Phone (906) 466-2000

2845 US Highway 2 41
Ste 201
Bark River, MI 49807
Phone (906) 466-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1801805528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 US 2 & 41",
            "city": "BARK RIVER",
            "state": "MI",
            "postal_code": "498071929",
            "telephone_number": "906-466-2000",
            "fax_number": "906-466-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 US HIGHWAY 2/41",
            "city": "BARK RIVER",
            "state": "MI",
            "postal_code": "498079661",
            "telephone_number": "906-466-2000",
            "fax_number": "906-466-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4963385",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bark River, MI

Sources for this page

Verify at the official NPI Registry.