MARK S MEDEL DDS PC (NPI# 1598951055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598951055 |
| Entity Type | Organization |
| Organization Name | MARK S MEDEL DDS PC |
| Practice Address |
208 N Shiawassee St Owosso MI 48831 |
| Practice Telephone | 9897233882 |
| Practice Fax Number | 9897291723 |
| Mailing Telephone | 9897233882 |
| Mailing Fax Number | 9897291723 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | DR. MARK S MEDEL (OWNER) |
| Authorized Official Telephone | 9897233882 |
| Authorized Official Credential | DDS ORAL AND MAX |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
MM13787 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 9757860390 | 01 |
| Street Address |
208 N SHIAWASSEE ST |
| City | OWOSSO |
| State | MI |
| Zip Code | 48831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043257223 | Jennifer Eashoo Lawson | Physician Assistant | 208 N Shiawassee St, Owosso, MI 48867-2755 | 2006-05-31 |
| 1417124454 | Shiawassee County Medical Group | Clinic/Center | 208 N Shiawassee St, Owosso, MI 48867-2755 | 2008-05-09 |
| 1366651457 | Ekram M Smith | Family Medicine | 208 N Shiawassee St, Owosso, MI 48867-2755 | 2007-05-22 |
| 1962521781 | Shehnaz Abdrabboh | Physician Assistant | 208 N Shiawassee St, Owosso, MI 48867-2755 | 2007-03-29 |
| 1427113042 | Mark S Medel | Dentist | 208 N Shiawassee St, Owosso, MI 48867 | 2006-12-26 |
| 1679505804 | Shiawassee Physician Services | Family Medicine | 208 N Shiawassee St, Owosso, MI 48867-2755 | 2006-07-07 |
| 1548202666 | Shiawassee County Medical Group | Clinic/Center | 208 N Shiawassee St, Owosso, MI 48867 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031744 | Marjorie Shimunec | Technician | 163 W Elm St, Elsie, MI 48831 | 2019-09-11 |
| 1841493780 | Elsie Area Ambulance Service Inc | Ambulance | 125 W. Main St, Elsie, MI 48831 | 2007-06-07 |
| 1083708911 | Robert Harold Strange | Dentist | 108 E Main Street, Elsie, MI 48831 | 2006-10-03 |
| 1013011444 | Elsie Area Ambulance Service, Inc | Ambulance | 140 W. Maple St., Elsie, MI 48831-0528 | 2006-09-07 |
| 1669039863 | Maelinda Burgess | Home Health | 11980 E S Gratiot Co Line Rd, Elsie, MI 48831-9101 | 2019-05-22 |
| 1841768603 | Linda Anne Brown | Occupational Therapist | 20788 W Baldwin Rd, Elsie, MI 48831-9255 | 2018-11-08 |
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427113042 | Mark S Medel | Dentist | 208 N Shiawassee St, Owosso, MI 48867 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080414 | Shawn J Kim | Dentist | 425 E Washington St Apt 811, Ann Arbor, MI 48104-2060 | 2020-07-08 |
| 1760008528 | Great Lakes Oral and Maxillofacial Surgery P.C. | Dentist | 2325 Summit Park Dr Ste D, Petoskey, MI 49770-8774 | 2020-06-17 |
| 1962969634 | Garfield Road Dental - 1 | Dentist | 41781 Garfield Rd, Clinton Township, MI 48038-1964 | 2019-02-28 |
| 1477903904 | Abed Yakan | Dentist | 2700 Martin Luther King Jr. Blvd., 358, Detroit, MI 48208-2576 | 2016-06-15 |
| 1811378508 | Christopher Niquette | Dentist | 2119 64th Street Sw, Byron Center, MI 49315-4931 | 2015-06-18 |
| 1528446069 | Douglas David Orzel | Dentist | 9021 N Rodgers Ct Se Ste A, Caledonia, MI 49316-7650 | 2015-05-17 |
| 1013321165 | Raymond James Hanna | Dentist | 3766 Elder Rd S, West Bloomfield, MI 48324-2534 | 2014-06-17 |
| 1831536861 | Claude Charles Lerose Jr. | Dentist | 20675 Mack Ave, Grosse Pointe Woods, MI 48236 | 2013-05-31 |
| 1821433566 | Curtis Cardon | Dentist | 5957 Harvey St Ste 200, Norton Shores, MI 49444-9737 | 2013-05-08 |
| 1043568694 | Nick Leone Dds PC | Dentist | 28018 Harper Ave., St. Clair Shores, MI 48081-1562 | 2012-08-29 |
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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.