DICKINSON COUNTY HEALTHCARE SYSTEM (NPI# 1154613594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154613594 |
| Entity Type | Organization |
| Organization Name | DICKINSON COUNTY HEALTHCARE SYSTEM |
| Other Organization Name | DICKINSON TELEMEDICINE |
| Practice Address |
1711 S Stephenson Ave Suite 230 Iron Mountain MI 49801-3639 |
| Mailing Address |
Po Box 549 Iron Mountain MI 49801-0549 |
| Practice Telephone | 9067741313 |
| Practice Fax Number | 9067765639 |
| Mailing Telephone | 9067741313 |
| Mailing Fax Number | 9067765639 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | ALICIA HENDERSON (PHYSICIAN BILLING SUPERVISOR) |
| Authorized Official Telephone | 9067765665 |
| Authorized Official Credential | CPC, CCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MI | Allopathic & Osteopathic Physicians | |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MI | Allopathic & Osteopathic Physicians | |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MI | Allopathic & Osteopathic Physicians | |
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dickinson Telemedicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411760 | Dickinson County Healthcare System | Physician Assistant | 1711 S Stephenson Ave Ste 205, Iron Mountain, MI 49801-3649 | 2019-01-30 |
| 1316317415 | Dickinson County Healthcare System | Durable Medical Equipment & Medical Supplies | 2845 Us Highway 2/41 Ste 101, Bark River, MI 49807-9661 | 2015-10-01 |
| 1538597778 | Dickinson County Healthcare System | Physician Assistant | 431 Hamilton Ave, Kingsford, MI 49802-4513 | 2013-10-25 |
| 1205030053 | Dickinson County Healthcare System | Obstetrics & Gynecology | 1721 S. Shephenson Ave, Ob/gyn Bldg., Iron Mountain, MI 49801-3805 | 2007-06-14 |
| 1114120201 | Dickinson County Healthcare System | Clinic/Center | 2845 Highway Us2 41, Suite 202, Bark River, MI 49807 | 2007-06-07 |
| 1164539672 | Dickinson County Healthcare System | Orthopaedic Surgery | 1711 S Stephenson Ave Ste 100, Iron Mountain, MI 49801-3648 | 2006-08-23 |
| 1346260700 | Dickinson County Healthcare System | Durable Medical Equipment & Medical Supplies | 710 Carpenter Ave, Iron Mountain, MI 49801-3306 | 2006-07-20 |
| 1063443430 | Dickinson County Healthcare System | Home Health | 722 River Avenue, Iron Mountain, MI 49801-3423 | 2006-07-05 |
| 1699719310 | Dickinson County Healthcare System | Family Medicine | 536 Kenny Dr, Wausaukee, WI 54177-9627 | 2006-06-15 |
| 1639112774 | Dickinson County Healthcare System | Clinic/Center | W4243 M69, Felch, MI 49831-9800 | 2006-06-14 |
| Street Address |
1711 S STEPHENSON AVE SUITE 230 |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434849 | Daniel M Mitchell | Family Medicine | 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 | 2005-08-12 |
| 1053883256 | Baycare Clinic, LLP | Neurological Surgery | 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 | 2018-12-28 |
| 1891176806 | Dickinson County Healthcare System | Surgery | 1711 S Stephenson Ave, Ste 305, Iron Mountain, MI 49801-3639 | 2015-06-16 |
| 1316330566 | Emily Warren | Student in an Organized Health Care Education/Training Program | 1711 S Stephenson Ave, Iron Mountain, MI 49801 | 2015-03-12 |
| 1326455015 | Dickinson County Healthcare System | Internal Medicine | 1711 S Stephenson Ave, Suite 315, Iron Mountain, MI 49801-3639 | 2014-07-15 |
| 1043635378 | Dickinson County Healthcare System | Internal Medicine | 1711 S Stephenson Ave, Suite 125, Iron Mountain, MI 49801-3639 | 2014-02-24 |
| 1992141352 | Michigan-wisconsin Family Practice Associates, P.C. | Family Medicine | 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 | 2013-05-13 |
| 1700125150 | Dickinson County Healthcare System | Family Medicine | 1711 S Stephenson Ave, Suite 115, Iron Mountain, MI 49801-3639 | 2013-02-05 |
| 1841534484 | Dickinson County Healthcare System | Audiologist | 1711 S Stephenson Ave, Suite 320, Iron Mountain, MI 49801-3639 | 2012-11-20 |
| 1366721953 | Jeffrey Richard Hutchinson | Audiologist | 1711 S Stephenson Ave, Suite 320, Iron Mountain, MI 49801-3639 | 2011-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982904587 | Spectrum Health Primary Care Partners | Pediatrics | 550 W Grand Ave, Muskegon, MI 49441-2336 | 2010-10-28 |
| 1730354994 | Kheir Al Zouhayli Md PC | Pediatrics | 1639 E Big Beaver, 104, Troy, MI 48083 | 2008-04-28 |
| 1528048501 | Yasser Awaad | Pediatrics | 1331 Monroe St, Dearborn, MI 48124-2888 | 2006-01-18 |
| 1922582196 | Spectrum Health Primary Care Partners | Pediatrics | 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677 | 2018-09-24 |
| 1669779005 | Spectrum Health Primary Care Partners | Pediatrics | 100 Pine St, Suite 225, Zeeland, MI 49464-2600 | 2011-02-22 |
| 1578860912 | Spectrum Health Primary Care Partners | Pediatrics | 700 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2011-02-22 |
| 1710104187 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1962543660 | Colleen Noble | Pediatrics | 461 W Huron St, Nomc Developmental Pediatrics, Pontiac, MI 48341-1601 | 2007-02-08 |
| 1538205539 | Vivek Baluja | Pediatrics | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2007-01-29 |
| 1164571824 | Oakwood Young Programs, LLC | Pediatrics | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
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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.