IMAGING ASSOCIATES OF MICHIGAN PLLC (NPI# 1164943007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164943007 |
| Entity Type | Organization |
| Organization Name | IMAGING ASSOCIATES OF MICHIGAN PLLC |
| Practice Address |
580 W College Ave Marquette MI 49855-2736 |
| Mailing Address |
2 Macarthur Pl Ste 300 Santa Ana CA 92707-5924 |
| Practice Telephone | 7134613573 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | KEEGAN SCANLON (ENROLLMENT OFFICER) |
| Authorized Official Telephone | 4243548724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
580 W COLLEGE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196401 | Constance G Arnold | Surgery | 580 W College Ave, Marquette, MI 49855-2705 | 2005-06-28 |
| 1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1912443839 | Michael Charles Rondeau | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2017-01-17 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1275087280 | Stacie Powers | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-08 |
| 1154773810 | Joseph Morris Holcomb | Nurse Anesthetist, Certified Registered | 580 W College Ave, Marquette, MI 49855-2736 | 2016-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134211931 | Charles Stephen Henry | Radiology | 581 Lakewood Ln, Marquette, MI 49855-9544 | 2006-09-29 |
| 1912099714 | Heidi Kristine Henry | Radiology | 420 E Hewitt Ave, Marquette, MI 49855-3714 | 2006-09-29 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 1427383009 | Marquette General Hospital, Inc. | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2009-10-15 |
| 1841450772 | John Pietila | Radiology | 710 Chippewa Sq, Suite 101, Marquette, MI 49855-4821 | 2008-06-13 |
| 1396916094 | Excalibur Medical Imaging, LLC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2008-03-20 |
| 1275672867 | Hasnain Haider-shah | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2007-02-06 |
| 1902998792 | Stephane Grijseels | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-09-29 |
| 1730283805 | Christina Arnoldus | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2006-09-11 |
| 1003847856 | Northcoast Radiology Associates, PC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-07-06 |
| Find all providers in MARQUETTE | ||||
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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.