MCLAREN NORTHERN MICHIGAN (NPI# 1083771364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083771364 |
| Entity Type | Organization |
| Organization Name | MCLAREN NORTHERN MICHIGAN |
| Other Organization Name | NORTHERN MICHIGAN REGIONAL HOSPITAL |
| Practice Address |
416 Connable Ave Petoskey MI 49770-2212 |
| Practice Telephone | 2314874843 |
| Practice Fax Number | 2314874817 |
| Mailing Telephone | 2314874843 |
| Mailing Fax Number | 2314874817 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | MR. KEVIN PENDLETON (PHARMACY MANAGER) |
| Authorized Official Telephone | 2314874843 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
5301002202 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP NUMBER | 2324349 | 01 | |
| MI | 5171539 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Michigan Regional Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760736094 | Mclaren Northern Michigan | Family Medicine | 416 Connable Ave, Petoskey, MI 49770-2212 | 2012-11-08 |
| 1881754554 | Mclaren Northern Michigan | Hospitalist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-12-11 |
| 1942370754 | Mclaren Northern Michigan | General Acute Care Hospital | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-11-09 |
| 1033289848 | Mclaren Northern Michigan | Psychiatric Unit | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-11-09 |
| 1386722924 | Mclaren Northern Michigan | General Acute Care Hospital | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2006-11-01 |
| 1992812580 | Mclaren Northern Michigan | General Acute Care Hospital | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-08-23 |
| Street Address |
416 CONNABLE AVE |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512687 | Michael A Angileri | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2005-07-15 |
| 1023619483 | Bay Radiation Oncology, Pllc | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-11-03 |
| 1972116895 | Cameron P Burns | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-08-29 |
| 1447878566 | Tiffany Hornbeck | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-07-07 |
| 1083231963 | Cory Mills | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-06-26 |
| 1508417031 | Alexander Joseph Perry | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2019-09-25 |
| 1699332668 | Murphy Gillespie | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2019-05-24 |
| 1407322985 | Shanna Macclaren | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-10-22 |
| 1730664186 | Emily Powell | Occupational Therapist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-10-02 |
| 1831673458 | Mary Ford | Occupational Therapist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083485 | Msu Health Care Inc. | Pharmacy | 4660 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5353 | 2020-01-29 |
| 1669742136 | Pharmd Co | Pharmacy | 8191 S State Rd, Goodrich, MI 48438-9723 | 2011-12-30 |
| 1942385570 | Msu Health Care Inc | Pharmacy | 804 Service Rd Ste A101, East Lansing, MI 48824-7015 | 2006-10-25 |
| 1962515221 | Michigan State University | Pharmacy | 463 E Circle Dr. Rm103, East Lansing, MI 48824 | 2006-08-17 |
| 1457387185 | Gps of Michigan Institutional | Pharmacy | 1201 Keystone Ave, Ste A, Lansing, MI 48911-4041 | 2006-06-24 |
| 1710923107 | Asap Rx Inc | Pharmacy | 12699 Farley, Redford, MI 48239-2642 | 2006-06-22 |
| 1700401064 | Anthony Ibrahim | Pharmacy | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1376040659 | Midmichigan Medical Center - Midland | Pharmacy | 4000 Wellness Dr, Midland, MI 48670-2000 | 2018-04-12 |
| 1912459231 | Helen Newberry Joy Hospital Pharmacy | Pharmacy | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-11-03 |
| 1518344720 | Borgess Medical Center (inpatient Pharmacy) | Pharmacy | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2015-04-27 |
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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.