MIDMICHIGAN MEDICAL CENTER - MIDLAND (NPI# 1124071303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124071303 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER - MIDLAND |
| Other Organization Name | FAMILY PRACTICE CENTER |
| Practice Address |
4009 Orchard Dr Midland MI 48640-6102 |
| Mailing Address |
2618 W Sugnet Rd Midland MI 48640-2647 |
| Practice Telephone | 9898393515 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ADELBERTO J ADAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 9898393387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Family Practice Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205889490 | Midmichigan Medical Center - Midland | Neurological Surgery | 4611 Campus Ridge Dr, Midland, MI 48640 | 2006-05-18 |
| 1134171820 | Midmichigan Medical Center - Midland | Physician Assistant | 4009 Orchard Dr, Midland, MI 48640-6102 | 2006-05-17 |
| 1376040659 | Midmichigan Medical Center - Midland | Pharmacy | 4000 Wellness Dr, Midland, MI 48670-2000 | 2018-04-12 |
| Street Address |
4009 ORCHARD DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134171820 | Midmichigan Medical Center - Midland | Physician Assistant | 4009 Orchard Dr, Midland, MI 48640-6102 | 2006-05-17 |
| 1194139220 | Rajiv Deochand | Family Medicine | 4009 Orchard Dr, Midland, MI 48640-6122 | 2014-06-17 |
| 1104230242 | Kyle Williams | Family Medicine | 4009 Orchard Dr, Midland, MI 48640-6122 | 2014-06-17 |
| 1235543372 | Michelle Lim | Family Medicine | 4009 Orchard Dr, Midland, MI 48640-6122 | 2014-06-17 |
| 1376973149 | Midmichigan Medical Center Midland | Clinic/Center | 4009 Orchard Dr, Midland, MI 48640-6122 | 2013-11-15 |
| 1609160506 | Andrew R Wolford | Family Medicine | 4009 Orchard Dr, Midland, MI 48640-6122 | 2011-06-08 |
| 1164716056 | Sathyakiran B Madoori | Emergency Medicine | 4009 Orchard Dr, Midland, MI 48640-6122 | 2011-06-08 |
| 1043449259 | Zachary E Iles | Family Medicine | 4009 Orchard Dr, Midland, MI 48640-6122 | 2009-07-09 |
| 1831352178 | Wynette Grace Amazona | Family Medicine | 4009 Orchard Dr, Midland, MI 48640-6122 | 2008-07-08 |
| 1316104003 | David A. Junge, M.d., P.C. | Clinic/Center | 4009 Orchard Dr, Suite 3025, Midland, MI 48640-6122 | 2008-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170732 | Infinity Health and Wellness LLC | Nurse Practitioner | 1028 Andrews Hwy Ste G, Midland, TX 79701-3815 | 2020-10-02 |
| 1659984771 | Amy Pennington | Nurse Practitioner | 5710 San Miguel Ave, Midland, TX 79705-2226 | 2020-08-28 |
| 1821607219 | Alena Vladimirovna Turner | Nurse Practitioner | 1210 Cedar Creek Rd, Midland, TX 79705-4471 | 2020-07-30 |
| 1235748880 | Emily Brooke Combs | Nurse Practitioner | 10100 E County Road 103, Midland, TX 79706-5494 | 2020-07-29 |
| 1154949378 | Sheila Shepherd | Nurse Practitioner | 2505 Goddard Dr, Midland, TX 79705-3308 | 2020-07-14 |
| 1073149464 | Stephanie Parker Black | Nurse Practitioner | 1101 W Illinois Ave, Midland, TX 79701-6156 | 2020-03-17 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1205477874 | Justin Shanks | Nurse Practitioner | 1218 Century Dr, Midland, TX 79703-6914 | 2019-10-03 |
| 1265081616 | Stephanie Crawford | Nurse Practitioner | 3408 W County Road 185, Midland, TX 79706-7843 | 2019-09-09 |
| 1548819048 | Stella Elizabeth May | Nurse Practitioner | 1101 E County Road 128, Midland, TX 79706-6521 | 2019-09-06 |
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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.