DR. JOSEPH M BUSTAMANTE III (NPI# 1417001512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417001512 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH M BUSTAMANTE III |
| Credential | DO |
| Practice Address |
826 W King St Owosso MI 48867-2120 |
| Mailing Address |
1031 E Saginaw St Lansing MI 48906-5519 |
| Practice Telephone | 5174875585 |
| Practice Fax Number | 5174871129 |
| Mailing Telephone | 5174875585 |
| Mailing Fax Number | 5174871129 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5101010368 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4626483 | 05 |
| Street Address |
826 W KING ST |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063414233 | Memorial Hospital | General Acute Care Hospital | 826 W King St, Owosso, MI 48867 | 2005-06-01 |
| 1801422845 | Miranda Louise-kreiser Weaver | Nurse Practitioner | 826 W King St, Owosso, MI 48867-2120 | 2020-03-22 |
| 1538795356 | Memorial Hospital | Physician Assistant | 826 W King St, Owosso, MI 48867-2120 | 2020-03-13 |
| 1568939510 | Rose C Birmingham | Nurse Practitioner | 826 W King St, Owosso, MI 48867-2120 | 2018-10-29 |
| 1831675735 | Chelsea Nicole Schoenfield | Occupational Therapist | 826 W King St, Owosso, MI 48867-2120 | 2018-07-13 |
| 1053802587 | Catherine Anne Morrow | Physical Therapist | 826 W King St, Owosso, MI 48867-2120 | 2018-05-21 |
| 1053813717 | Caitlin Marie Walker | Occupational Therapist | 826 W King St, Owosso, MI 48867-2120 | 2018-03-08 |
| 1295237261 | Tamara Sue Fuller | Occupational Therapist | 826 W King St, Owosso, MI 48867-2120 | 2018-03-06 |
| 1578065678 | Renee Jean Krupp | Speech-Language Pathologist | 826 W King St, Owosso, MI 48867-2120 | 2018-03-05 |
| 1356842157 | Edi Marie Colburn | Occupational Therapist | 826 W King St, Owosso, MI 48867-2120 | 2018-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093908 | Sabrina Hughes | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867 | 2019-03-20 |
| 1124521869 | Karry Lynn Wilson | Occupational Therapist | 275 Caledonia Drive, Owosso, MI 48867 | 2018-03-08 |
| 1740782051 | Holly Krystine Taylor | Occupational Therapy Assistant | 275 Caledonia Dr, Owosso, MI 48867 | 2018-03-02 |
| 1255833703 | Misty Sue Yerrick | Occupational Therapy Assistant | 275 Caladonia Dr, Owosso, MI 48867 | 2018-03-01 |
| 1699276212 | Chantel Marie Ferrio | Physical Medicine & Rehabilitation | 275 Caldonia Drive, Owosso, MI 48867 | 2018-02-28 |
| 1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
| 1609317486 | Moses Prempeh | Pharmacist | 1002 E Main St, Owosso, MI 48867 | 2017-03-14 |
| 1083065312 | Lauren Quinlan | Behavioral Analyst | 912 S Washington St, Owosso, MI 48867 | 2016-06-28 |
| 1952790990 | Ashley Nemeth | Occupational Therapy Assistant | 3130 W Brewer Rd, Owosso, MI 48867 | 2015-01-14 |
| 1538432174 | Marc W. Perry | Counselor | 120 W. Exchange Street, Suite 300, Catholic Charities, Owosso, MI 48867 | 2012-02-13 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790955045 | Hesham E Gayar, Md, PC | Specialist | 721 N. Shiawassee Street, Suite A, Owosso, MI 48867 | 2008-03-03 |
| 1679636641 | Solllc | Specialist | 218 N Park St, Owosso, MI 48867-3040 | 2006-12-19 |
| 1740342252 | Mid-michigan General Surgery Pllc | Specialist | 1480 N M-52, Suite 104, Owosso, MI 48867-0215 | 2006-12-14 |
| 1447420625 | Red Cedar Ear Nose Throat & Audiology P.l.l.c. | Specialist | 818 W King St, Suite 301, Owosso, MI 48867-2116 | 2008-03-04 |
| 1962603464 | Troy Gabriel Graham | Specialist | 200 Health Park Dr, Owosso, MI 48867-1291 | 2007-05-30 |
| 1528193612 | Solllc | Specialist | 218 N Park St, Owosso, MI 48867-3040 | 2007-02-22 |
| 1629122734 | Ronald Mack Bishop | Specialist | 826 W King St, Owosso, MI 48867-2120 | 2007-01-23 |
| 1326192311 | Jon D Paget | Specialist | 826 W King St, Owosso, MI 48867-2120 | 2007-01-23 |
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|---|---|---|---|---|
| 1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.