OWOSSO MEDICAL GROUP, PC (NPI# 1518119031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518119031 |
| Entity Type | Organization |
| Organization Name | OWOSSO MEDICAL GROUP, PC |
| Practice Address |
200 Health Park Dr Owosso MI 48867-1291 |
| Practice Telephone | 9897238666 |
| Mailing Telephone | 9897238666 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | MRS. TERESA L WIEGEL (ACCOUNTING/GENERAL MANAGER) |
| Authorized Official Telephone | 9897238666 |
| Is Organization Subpart | Y |
| Parent Organization Name | OWOSSO MEDICAL GROUP, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173F00000X | Sleep Specialist, PhD | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023105418 | Owosso Medical Group, PC | Clinic/Center | 200 Health Park Drive, Owosso, MI 48867 | 2006-10-06 |
| Street Address |
200 HEALTH PARK DR |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447483987 | Leighanne K Vansickler | Physician Assistant | 200 Health Park Dr, Owosso, MI 48867-1291 | 2009-09-01 |
| 1962603464 | Troy Gabriel Graham | Specialist | 200 Health Park Dr, Owosso, MI 48867-1291 | 2007-05-30 |
| 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 |
| Find all providers in zip 48867 | ||||
| Taxonomy Code | 173F00000X |
| Grouping | Other Service Providers |
| Classification | Sleep Specialist, PhD |
| Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
| Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063666436 | Sloan C Hogan | Sleep Specialist, PhD | 9930 West Outer Drive, Detroit, MI 48223-1737 | 2008-11-11 |
| 1225401599 | Michigan Sleep Society & Research Center, LLC | Sleep Specialist, PhD | G3285 Beecher Rd, Flint, MI 48532-3615 | 2015-11-09 |
| 1073818498 | Night Owl Diagnostics, LLC | Sleep Specialist, PhD | 30095 Northwestern Hwy, Suite 20a, Farmington Hills, MI 48334-3284 | 2011-01-15 |
Please comment or provide details below to improve the information on OWOSSO MEDICAL GROUP, PC.
| 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.