Active NPI
Mario Chaves PC
- Obstetrics & Gynecology Physician
- Owosso, MI
National Provider Identifier
1871699371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301086974
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301086974 | MI | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1607810341 | Other | MI | BLUE CROSS BLUE SHIELD |
| 104813851 | Medicaid | MI |
Other names 1
- Health Partners for Women
National Provider Directory
National Provider DirectoryLocations
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.