MT MORRIS FAMILY MEDICINE LLC (NPI# 1154622595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154622595 |
| Entity Type | Organization |
| Organization Name | MT MORRIS FAMILY MEDICINE LLC |
| Practice Address |
8434 N Saginaw Rd Mount Morris MI 48458-1190 |
| Practice Telephone | 8106861997 |
| Practice Fax Number | 8106861820 |
| Mailing Telephone | 8106861997 |
| Mailing Fax Number | 8106861820 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | MELODIE A KNICELY (PHYSICIAN) |
| Authorized Official Telephone | 8106861997 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MK051305 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 448882310 | 05 | |
| MI | BCBS PIN | 0802500611 | 01 |
| Street Address |
8434 N SAGINAW RD |
| City | MOUNT MORRIS |
| State | MI |
| Zip Code | 48458-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068614 | Mark Folts | Nurse Practitioner | 8434 N Saginaw Rd, Mount Morris, MI 48458-1190 | 2005-10-21 |
| 1548607971 | Express Urgent Care,pllc | Nurse Practitioner | 8434 N Saginaw Rd, Mount Morris, MI 48458-1190 | 2013-05-24 |
| 1801230115 | Family Urgent Care, Pllc | Clinic/Center | 8434 N Saginaw Rd, Mount Morris, MI 48458-1190 | 2013-04-18 |
| 1023389244 | Mt Morris Medical Group Pllc | Internal Medicine | 8434 N Saginaw Rd, Mount Morris, MI 48458-1190 | 2012-01-19 |
| 1194005884 | Nancy Lynn Edgar | Nurse Practitioner | 8434 N Saginaw Rd, Mount Morris, MI 48458 | 2011-08-25 |
| 1437352994 | Mohamad L Alasbahi | Internal Medicine | 8434 N Saginaw Rd, Mount Morris, MI 48458-1190 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194260364 | Lisa Marie Sarno | Social Worker | 6655 Neff Road, Mount Morris, MI 48458 | 2016-12-27 |
| 1336699958 | Mandy Marie Lyon | Nurse Practitioner | 6655 Neff Rd, Mount Morris, MI 48458 | 2016-10-06 |
| 1083161624 | Khelsey Jefferson | Technician, Other | G6190 North Dort Hwy, Mount Morris, MI 48458 | 2016-09-01 |
| 1467908731 | Kim Baxter | Technician, Other | 1218 W Stanley Road, Mt Morris, MI 48458 | 2016-08-28 |
| 1972989671 | Sharon Cantrell | Driver | 1110 Maginn Ct, Mount Morris, MI 48458 | 2015-08-04 |
| 1437585627 | Louis A Shaheen | Dentist | G9171 North Saginaw St., Mt. Morris, MI 48458 | 2013-09-19 |
| 1992015853 | Makali Inc | Pharmacy | G-6061 N Saginaw St, Mt. Morris, MI 48458 | 2010-10-13 |
| 1982833422 | American Medical Missionary Care | Family Medicine | G-6061 N. Saginaw St., Mt. Morris, MI 48458 | 2009-07-06 |
| 1134383011 | Beecher Pharmacy LLC | Pharmacy | G 6061 N Saginaw St, Mount Morris, MI 48458 | 2008-07-10 |
| 1316022999 | Daniel Reuben Gotlib | Dentist | G-6061 North Saginaw Rd, Mount Morris, MI 48458 | 2006-10-25 |
| Find all providers in zip 48458 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265867980 | P A Partners Pllc | Family Medicine | 6061 N Saginaw Rd, Mount Morris, MI 48458-2438 | 2013-09-12 |
| 1023169026 | Scott Andrew Graves | Family Medicine | 2337 W Mount Morris Rd, Mount Morris, MI 48458-8256 | 2007-01-16 |
| 1306932611 | Mark Schaaf | Family Medicine | 4485 E Mount Morris Rd, Mount Morris, MI 48458-8963 | 2006-10-05 |
| 1780786707 | Charles Paul Ellsworth | Family Medicine | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2006-09-01 |
| 1669422028 | Kimberly Gibson-berry | Family Medicine | 3142b Mount Morris Geneseo Rd, Mount Morris, NY 14510-9710 | 2006-05-10 |
| 1790120400 | Scott Wilson | Family Medicine | 118 Main St, Mount Morris, NY 14510-1218 | 2013-05-08 |
| 1730419177 | Scott A Graves Md PC | Family Medicine | 2337 W Mount Morris Rd, Mount Morris, MI 48458-8256 | 2010-01-07 |
| 1528224797 | New Herizons Family Medicine P.C. | Family Medicine | 3142b Mount Morris Geneseo Rd, Mount Morris, NY 14510-9710 | 2008-08-06 |
| 1073714242 | Louis B Coriasso | Family Medicine | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2007-05-29 |
| 1285847525 | Julie A Sawade | Family Medicine | 7057 N Clio Rd, Mount Morris, MI 48458-8261 | 2007-05-07 |
| Find all providers in MOUNT MORRIS | ||||
| City | MOUNT MORRIS |
| Zip Code | 48458 |
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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.