Active NPI
Physician Anesthesia Service PC
- Anesthesiology Physician
- Owosso, MI
National Provider Identifier
1891780417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PHYSICIAN ANESTHESIA SERVICE PC
- Practice address
- 826 W King St
Owosso, MI 48867-2120 - Phone
- (989) 723-5211
- NPI assigned
- Sep 20, 2005
- 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
- Mr. Mark Cook, MD
- Title
- Authorized Official
- Phone
- (800) 891-2351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
826 W King St
Owosso, MI 48867-2120
Mailing address
Dept 78178 PO Box 78000
Detroit, MI 48278-0178
Phone (800) 891-2351
National Provider Directory
National Provider DirectoryLocations
6250 S Campus Blvd
Lansing, MI 48917
Phone (517) 322-4000
805 S Oakland St
#260
Saint Johns, MI 48879
Phone (989) 227-3326
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1619081684
-
- Internal Medicine Physician
- Traverse City, MI
- NPI 1306891403
-
- Surgery Physician
- East Lansing, MI
- NPI 1558352294
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1104807452
-
- Family Medicine Physician
- Lansing, MI
- NPI 1881603389
-
- Family Medicine Physician
- Lansing, MI
- NPI 1932118361
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1780665836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597795200000",
"number": "1891780417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 78178 PO BOX 78000",
"city": "DETROIT",
"state": "MI",
"postal_code": "482780178",
"telephone_number": "800-891-2351",
"fax_number": "800-891-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 W KING ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672120",
"telephone_number": "989-723-5211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN ANESTHESIA SERVICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "800-891-2351",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.