Organization Active NPI

Rem Nation PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • West Branch, MI
National Provider Identifier
1972962470
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
4301073336 Issued in MI
Legal business name
REM NATION PLLC
Practice address
611 Court St
Suite 101a
West Branch, MI 48661-8820
Phone
(855) 276-2111
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Theodore Bash, DO
Title
President
Phone
(855) 276-2111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X 4301073336 MI Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

611 Court St
Suite 101a
West Branch, MI 48661-8820

Mailing address

611 Court St Ste 101a
West Branch, MI 48661-8820
Phone (855) 276-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160523000948 MI Part B Supplier - Clinic/Group Practice 6002105525 Receives reassigned benefits from 6 practitioners
Practice locations: West Branch, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1972962470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURT ST STE 101A",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618820",
            "telephone_number": "855-276-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "address_2": "SUITE 101A",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618820",
            "telephone_number": "855-276-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM NATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "BASH",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-276-2111",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "4301073336",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.