Organization Active NPI

Valley Medical Center

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1831543099
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301068046 Issued in MI
Legal business name
VALLEY MEDICAL CENTER
Practice address
5142 Miller Rd
Flint, MI 48507-1042
Phone
(810) 733-2691
Fax
(810) 720-4777
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Michael Owczarzak, MD
Title
Physician
Phone
(810) 733-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301068046 MI Primary

Addresses

Primary practice location

5142 Miller Rd
Flint, MI 48507-1042

Mailing address

5142 Miller Rd
Flint, MI 48507-1042
Phone (810) 733-3660

National Provider Directory

National Provider Directory

Locations

5142 Miller Rd
Flint, MI 48507
Phone (810) 733-3660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1831543099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071042",
            "telephone_number": "810-733-3660",
            "fax_number": "810-720-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5142 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071042",
            "telephone_number": "810-733-2691",
            "fax_number": "810-720-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "OWCZARZAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-733-2691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.