Steven H Edmondson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010302 Issued in MI

Practice address

107 N Bridge St
Saranac, MI 48881-5121

Phone

(616) 642-9408

Fax

(616) 642-6940

NPI assigned

Apr 20, 2006

Last updated

Mar 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sedmondson7540@sparrowdirecthie.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sparrow Ionia Hospital

  dba SMG Saranac

  • Rural Health Clinic/Center
  • Saranac, MI
  • NPI 1811380066

  Family Medicine

  Medicare reassignment NPD
• Steven H Edmondson DO, Therese Rouse DO & Frank L Schmid DO PC

  • Family Medicine Physician
  • Saranac, MI
  • NPI 1669593901
  Authorized official Same address or phone
• Sparrow Ionia Hospital

  dba Sparrow Medical Group Ionia

  • Family Medicine Physician
  • Ionia, MI
  • NPI 1033271143
  NPD

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1992760805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N BRIDGE ST",
            "address_2": "PO BOX 7",
            "city": "SARANAC",
            "state": "MI",
            "postal_code": "488815121",
            "telephone_number": "616-642-9408",
            "fax_number": "616-642-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N BRIDGE ST",
            "city": "SARANAC",
            "state": "MI",
            "postal_code": "488815121",
            "telephone_number": "616-642-9408",
            "fax_number": "616-642-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "STEVEN",
        "middle_name": "H",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conceivex, Inc.
• Kristi Lynn Demock, D.O.
• Developing Potential Counseling, LLC
• Annelyse Dlouhy, TLLP
• Maureen Ann Dorough, MA, LPC
• Kathleen Marie Ellsworth, DDS
• Susan Fedele
• Cynthia Louise Geiger
• Pamela J Gregorski, LMSW
• Health Care for Today, PC

• Family Medicine Physician in Saranac, MI
• Providers in Saranac, 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 Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.