SHIAWASSEE PHYSICIAN SERVICES
NPI 1679505804
Family Medicine in Owosso, MI

Q: What is Shiawassee Physician Services's NPI number?

The NPI number for Shiawassee Physician Services is 1679505804. It was assigned to this organization in the NPPES registry on July 7, 2006.

Q: What is Shiawassee Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 07, 2006

208 N SHIAWASSEE ST, OWOSSO, MI 48867(989) 723-9796(989) 725-2383 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 31, 2016, Oct 27, 2016 (2 updates tracked since 2016).

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About Shiawassee Physician Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIAWASSEE PHYSICIAN SERVICES (NPI 1679505804) is a healthcare organization registered as a family medicine in Owosso, Michigan and active in the NPI registry since July 2006. The organization lists Ekram M Smith, President, as its authorized official.

NPPES Registry Identity

NPI1679505804

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSHIAWASSEE PHYSICIAN SERVICES

Location Address208 N SHIAWASSEE STOwosso, MI 48867-2755

Mailing Address208 N Shiawassee StOwosso, MI 48867 · (989) 723-9796 · Fax (989) 729-4032

Phone(989) 723-9796

Fax(989) 725-2383

Organization SubpartNo

Authorized OfficialEkram M SmithPresident · (989) 723-9796

Enumeration DateJuly 7, 2006

Last NPPES UpdateOctober 31, 20162 updates tracked since enumeration

✔ NPI 1679505804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301042819

Definition

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.

208 N SHIAWASSEE ST, Owosso, MI 48867

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Other Identifiers 5

Medicare OSCAR/certification0M67320MI

Medicaid1679505804MI

Medicaid3940611MI

Medicare UPINB45679

Other0807800101Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER EASHOO LAWSON PA

Physician Assistant