NORTH STREET MEDICAL CENTER P C (NPI# 1730248410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730248410 |
| Entity Type | Organization |
| Organization Name | NORTH STREET MEDICAL CENTER P C |
| Other Organization Name | NORTH SIDE FAMILY PRACTICE |
| Practice Address |
1457 N. M-52 Unit 2 Owosso MI 48867 |
| Mailing Address |
1457 N. M-52 Unit 2 Owosso MI 48667 |
| Practice Telephone | 9897235136 |
| Practice Fax Number | 9897238269 |
| Mailing Telephone | 9897235136 |
| Mailing Fax Number | 9897238269 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2012-11-14 |
| Authorized Official Name | JODI S. FLANDERS (PHYSICIAN & PRACTICE OWNER) |
| Authorized Official Telephone | 9897235136 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NORTH SIDE FAMILY PRACTICE | Doing Business As Name - Organization |
| Street Address |
1457 N. M-52 UNIT 2 |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912920984 | Jodi S Flanders | Family Medicine | 1457 N. M-52, Unit 2, Owosso, MI 48867-1277 | 2006-07-25 |
| 1861415705 | Timothy D Oliver | Family Medicine | 1457 N. M-52, Unit 2, Owosso, MI 48867-1277 | 2006-07-25 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730335662 | Suja Jeyasingh | Family Medicine | 239 N. State Road, Suite A, Owosso, MI 48867-9075 | 2008-08-12 |
| 1205905098 | Douglas Fay Strong | Family Medicine | 320 N Washington St, Owosso, MI 48867-2823 | 2006-11-07 |
| 1912920984 | Jodi S Flanders | Family Medicine | 1457 N. M-52, Unit 2, Owosso, MI 48867-1277 | 2006-07-25 |
| 1033147699 | Wanda B Iza | Family Medicine | 239 N State Rd, Owosso, MI 48867-9075 | 2006-06-30 |
| 1598793325 | Jeffrey S Hoffa | Family Medicine | 1490 North M-52, Health Delivery Inc., Owosso, MI 48867 | 2006-06-29 |
| 1790721009 | Michelle Ann Shields | Family Medicine | 1975 W M 21, Owosso, MI 48867-8163 | 2006-06-22 |
| 1740225689 | Peter D Cotey Do PC | Family Medicine | 1053 E Main St, Suite 204, Owosso, MI 48867-8417 | 2006-06-17 |
| 1528012366 | John Robert Behm | Family Medicine | 6980 S M 52, Owosso, MI 48867-9515 | 2006-05-19 |
| 1295726081 | Angela Keros Badra | Family Medicine | 204 W Exchange St, Owosso, MI 48867-2818 | 2005-11-02 |
| 1437148798 | David C Dotson | Family Medicine | 216 E Comstock St, Owosso, MI 48867-3161 | 2005-10-19 |
| Find all providers in OWOSSO | ||||
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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.