Organization Active NPI

Mario Chaves PC

  • Obstetrics & Gynecology Physician
  • Owosso, MI
National Provider Identifier
1871699371
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301086974 Issued in MI
Legal business name
MARIO CHAVES PC
Practice address
818 W King St
Suite 103
Owosso, MI 48867-2116
Phone
(989) 729-4300
Fax
(989) 729-4303
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Cesar Mario Chaves, MD
Title
Physician Proprietor
Phone
(989) 729-4300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 4301086974 MI Primary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LX0001X 4704234443 MI

Addresses

Primary practice location

818 W King St
Suite 103
Owosso, MI 48867-2116

Mailing address

818 W King St
Suite 103
Owosso, MI 48867-2116
Phone (989) 729-4300

Other identifiers 2

IdentifierTypeStateIssuer
1607810341OtherMIBLUE CROSS BLUE SHIELD
104813851MedicaidMI

Other names 1

  • Health Partners for Women Other name

National Provider Directory

National Provider Directory

Locations

818 W King St
Ste 101
Owosso, MI 48867
Phone (989) 723-1390

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1871699371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST",
            "address_2": "SUITE 103",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-729-4300",
            "fax_number": "989-729-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST",
            "address_2": "SUITE 103",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-729-4300",
            "fax_number": "989-729-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO CHAVES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "CHAVES",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PHYSICIAN PROPRIETOR",
        "authorized_official_telephone_number": "989-729-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301086974",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704234443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1607810341",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104813851",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Partners for Women",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.