NPIMap

Organization Active NPI

Steven C Reschak DO PC

  • Otolaryngology Physician
  • Grand Blanc, MI
National Provider Identifier
1962689786
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5101014325 Issued in MI
Legal business name
STEVEN C RESCHAK DO PC
Practice address
3455 Regency Park Dr
Grand Blanc, MI 48439-2559
Phone
(810) 694-0600
Fax
(810) 694-0601
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Steven C Reschak, DO
Title
Owner
Phone
(810) 694-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 5101014325 MI Primary

Addresses

Primary practice location

3455 Regency Park Dr
Grand Blanc, MI 48439-2559

Mailing address

3455 Regency Park Dr
Grand Blanc, MI 48439-2559
Phone (810) 694-0600

National Provider Directory

National Provider Directory

Locations

2336 Momentum Pl
Chicago, IL 60689

Practitioners & affiliated clinicians

Practitioners 4

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1962689786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 REGENCY PARK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392559",
            "telephone_number": "810-694-0600",
            "fax_number": "810-694-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 REGENCY PARK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392559",
            "telephone_number": "810-694-0600",
            "fax_number": "810-694-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C RESCHAK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "RESCHAK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-694-0600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101014325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.