Arnold Medical Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ARNOLD MEDICAL CLINIC PC

Practice address

812 Bradley St
Owosso, MI 48867-2552

Phone

(989) 725-8171

Fax

(989) 723-1257

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Park, MD

Title

Owner

Phone

(989) 725-8171

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1972701233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 BRADLEY ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672552",
            "telephone_number": "989-725-8171",
            "fax_number": "989-723-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 BRADLEY ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672552",
            "telephone_number": "989-725-8171",
            "fax_number": "989-723-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-725-8171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0G80014",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Arend, RPH, CGP, FASCP
• Carolyn Rene Arking, M.A., L.L.P.
• Noah Lee Armstrong
• Kamryn Arnett
• Michael Arnett
• Sarah Marie Arnold, TLLP
• Heather Arthur
• Annaka Askanazi, LLMSW
• Timothy Harold Atkinson, OD
• Victoria Audritsh

• Family Medicine Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.