Individual provider Active NPI

James A Arceo, PA C

  • Surgical Physician Assistant
  • Owosso, MI
National Provider Identifier
1821032566
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5601-00-4569 Issued in MI
Practice address
818 W King St Ste 300
Owosso, MI 48867-2117
Phone
(989) 729-4190
Fax
(989) 729-4971
NPI assigned
Jun 15, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601004569 MI
Surgical Physician Assistant 363AS0400X 5601-00-4569 MI Primary

Addresses

Primary practice location

818 W King St Ste 300
Owosso, MI 48867-2117

Mailing address

818 W King St Ste 300
Owosso, MI 48867-2117
Phone (989) 729-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000361 MI Practitioner - Physician Assistant 2365460060 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

818 W King St
Owosso, MI 48867-2117

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Physician Assistant CurrentSince Mar 1, 2019 Accepting new patients
Memorial Hospital CurrentSince Mar 1, 2019 Accepting new patients
Jawad a Shah, MD PC CurrentSince Aug 23, 2018 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC Physician Assistant Past Accepting new patients
Medical X-Ray Consultants, LTD Physician Assistant Past Accepting new patients
Memorial Hospital Past Accepting new patients
BPS Rehabilitation Specialist PC Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1820
Flint, MI 48507

818 W King St
Ste 300
Owosso, MI 48867
Phone (989) 729-4190

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

Interoperability endpoints

  • Direct secure messaging: j.arceo@memorialhealthcare.midirect.net

Organizations & group practices 9

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 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1821032566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 300",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672117",
            "telephone_number": "989-729-4190",
            "fax_number": "989-729-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 300",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672117",
            "telephone_number": "989-729-4190",
            "fax_number": "989-729-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCEO",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004569",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601-00-4569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.