DR. MARK S MEDEL (NPI# 1427113042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427113042 |
| Entity Type | Individual |
| Full Name | DR. MARK S MEDEL |
| Credential | DDS ORAL AND MAXILLO |
| Practice Address |
208 N Shiawassee St Owosso MI 48867 |
| Practice Telephone | 9897233882 |
| Practice Fax Number | 9897291723 |
| Mailing Telephone | 9897233882 |
| Mailing Fax Number | 9897291723 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
MM013787 | MI | Dental Providers |
| X | 204E00000X | Oral & Maxillofacial Surgery | MM013787 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 9757860390 | 01 |
| Street Address |
208 N SHIAWASSEE ST |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867 |
| 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 |
| 1598951055 | Mark S Medel Dds PC | Dentist | 208 N Shiawassee St, Owosso, MI 48831 | 2007-09-19 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 | 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 |
|---|---|---|---|---|
| 1598951055 | Mark S Medel Dds PC | Dentist | 208 N Shiawassee St, Owosso, MI 48831 | 2007-09-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.