MCLAREN MEDICAL GROUP (NPI# 1053458091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053458091 |
| Entity Type | Organization |
| Organization Name | MCLAREN MEDICAL GROUP |
| Other Organization Name | MCLAREN MEDICAL MANAGMENT, INC. |
| Practice Address |
2521 N Elms Rd Flushing MI 48433-9426 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 8104873640 |
| Practice Fax Number | 8104873697 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | MR. WILLIAM HARDIMON (CEO) |
| Authorized Official Telephone | 8103421040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 160D410050 | 01 |
| Other Name | Type Code |
|---|---|
| McLaren Medical Managment, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114066693 | Mclaren Medical Group | Advanced Practice Midwife | 1198 N Belsay Rd, Building 3, Burton, MI 48509-1669 | 2007-02-05 |
| 1104294354 | Mclaren Medical Group | General Practice | 611 Court St, West Branch, MI 48661-8820 | 2015-09-04 |
| 1629369988 | Mclaren Medical Group | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2011-04-21 |
| 1649435223 | Mclaren Medical Group | Emergency Medicine | 43900 Garfield Rd, Suite 121, Clinton Township, MI 48038-1128 | 2008-07-23 |
| 1164614798 | Mclaren Medical Group | Emergency Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2007-08-17 |
| 1528100781 | Mclaren Medical Group | Advanced Practice Midwife | 3175 Professional Ct, Bay City, MI 48706-2823 | 2007-02-13 |
| 1306983176 | Mclaren Medical Group | Pediatrics | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1073650750 | Mclaren Medical Group | Radiology | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1922145606 | Mclaren Medical Group | Surgery | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1659418663 | Mclaren Medical Group | Internal Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2007-01-31 |
| Street Address |
2521 N ELMS RD |
| City | FLUSHING |
| State | MI |
| Zip Code | 48433-9426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467440 | Kylee Swanson | Licensed Practical Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-11-06 |
| 1205447489 | Robyn Gohagon | Licensed Practical Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-08-12 |
| 1326659517 | Bethney Hernandez | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-08-12 |
| 1245858745 | Ashley Williamson | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-07-10 |
| 1720605330 | Mackenzie Phillips | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-06-30 |
| 1942826839 | Keena Swanson | Licensed Practical Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-06-17 |
| 1487273108 | Margaret Burrows | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-13 |
| 1801415534 | Cara Kuenzer | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-13 |
| 1356960322 | Fidelia Okwereogu | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-10 |
| 1609495787 | Nicole Stevens | Licensed Practical Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611467 | Summer A Bates | Nurse Practitioner | 1459 S. Center Rd, Burton, MI 48433 | 2012-09-18 |
| 1982965083 | David Shorez | Dentist | 6221 W. Pierson Rd, Flushing, MI 48433 | 2012-06-05 |
| 1740540434 | Jennifer Marie Shorez | Dentist | 6221 W. Pierson Rd., Flushing, MI 48433 | 2012-05-29 |
| 1174826069 | Jon L. Schriner, D.o PC | Respite Care | G-6045 West Pierson Rd, Flushing, MI 48433 | 2010-12-15 |
| 1154503993 | Ruelan Back and Neck Care Center Pllc | Chiropractor | G-6390 W Pierson Rd, Flushing, MI 48433 | 2007-12-04 |
| 1023130937 | Kimberly Christine Blakeslee | Dentist | 6221 W Pierson Road, Flushing, MI 48433 | 2007-04-04 |
| 1679636088 | Flushing Optical Inc | Optometrist | 105 S. Cherry Street, Flushing, MI 48433 | 2006-12-18 |
| 1245304161 | William Michael Trosko | Counselor | 1434 Flushing Road, Flushing, MI 48433 | 2006-11-20 |
| 1740211820 | Natalya A Brezden Dds Pllc | Dentist | G-6221 W Pierson Rd, Flushing, MI 48433 | 2006-07-06 |
| 1487621892 | Pharma Care Inc | Clinical Medical Laboratory | 209 S Cherry St, Flushing, MI 48433 | 2006-03-03 |
| Find all providers in zip 48433 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1083277701 | Tsz Wan Li | Obstetrics & Gynecology | 3808 Union St Ste 3g, Flushing, NY 11354-5544 | 2019-04-18 |
| 1194241562 | Tracy T. Vo | Obstetrics & Gynecology | 13511 40th Rd Ste 4a, Flushing, NY 11354-5329 | 2017-08-17 |
| 1952859746 | Active Medical PC | Obstetrics & Gynecology | 43-44 Kissena Blvd, Suite La, Flushing, NY 11355 | 2016-09-21 |
| 1184071433 | Ob-gyn Express Medical Services, Pllc | Obstetrics & Gynecology | 7062 Kissena Blvd Fl 2, Flushing, NY 11367-2245 | 2016-05-17 |
| 1710257837 | Bina Chaudhari-mody, Md PC | Obstetrics & Gynecology | 4370 Kissena Blvd # 1l, Flushing, NY 11355-3769 | 2012-01-05 |
| 1003110180 | Ella Uvadyeva | Obstetrics & Gynecology | 15319 75th Ave, Flushing, NY 11367-3066 | 2011-01-04 |
| 1881915197 | Mei Wang | Obstetrics & Gynecology | 13630 Maple Ave Ste 2k, Flushing, NY 11355-3868 | 2010-06-21 |
| 1659502748 | Dorota Witulska | Obstetrics & Gynecology | 13630 Maple Ave Ste 2h, Flushing, NY 11355-3868 | 2009-08-06 |
| Find all providers in FLUSHING | ||||
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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.