DLP MARQUETTE PHYSICIAN PRACTICES INC (NPI# 1184972143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184972143 |
Entity Type | Organization |
Organization Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
Other Organization Name | MARQUETTE GENERAL HOSPITAL KINGSFORD CLINIC |
Practice Address |
800 East Blvd Kingsford MI 49802-4436 |
Practice Telephone | 9067744000 |
Practice Fax Number | 9067740088 |
Mailing Telephone | 9067744000 |
Mailing Fax Number | 9067740088 |
Enumeration Date | 2012-08-23 |
Last Update Date | 2016-05-04 |
Authorized Official Name | JESS N JUDY (PRESIDENT) |
Authorized Official Telephone | 6153728500 |
Is Organization Subpart | Y |
Parent Organization Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Marquette General Hospital Kingsford Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205184876 | Dlp Marquette Physician Practices Inc | Clinic/Center | E 2995 State Hwy M67, Trenary, MI 49891-0125 | 2012-08-29 |
1053667550 | Dlp Marquette Physician Practices Inc | Nurse Practitioner | 2002 Minneapolis Ave, Gladstone, MI 49837-2027 | 2012-08-02 |
1659711448 | Dlp Marquette Physician Practices Inc | Obstetrics & Gynecology | 1414 W Fair Ave, Ste 24, Marquette, MI 49855-2675 | 2013-06-26 |
1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
1215287362 | Dlp Marquette Physician Practices Inc | Clinical Neuropsychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2012-09-17 |
1992053953 | Dlp Marquette Physician Practices Inc | Audiologist | 580 W College Ave, Marquette, MI 49855-2736 | 2012-08-23 |
1013265065 | Dlp Marquette Physician Practices Inc | Physical Medicine & Rehabilitation | 580 W College Ave, Marquette, MI 49855-2736 | 2012-08-23 |
1265780621 | Dlp Marquette Physician Practices Inc | Preventive Medicine | 1414 W Fair Ave, Ste 35, Marquette, MI 49855-2675 | 2012-08-16 |
1366790727 | Dlp Marquette Physician Practices Inc | Physician Assistant | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-16 |
1073861431 | Dlp Marquette Physician Practices Inc | Surgery | 1414 W Fair Ave, Ste 334, Marquette, MI 49855-2675 | 2012-08-16 |
Street Address |
800 EAST BLVD |
City | KINGSFORD |
State | MI |
Zip Code | 49802-4436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730163932 | Jessica Ac Judy | Nurse Practitioner | 800 East Blvd, Kingsford, MI 49802-4436 | 2005-12-01 |
1346598844 | Dlp Marquette Physician Practices Inc | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2012-08-15 |
1891065470 | Marquette General Hospital, Inc. | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2012-01-12 |
1831408459 | Dickinson County Healthcare System | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2010-09-30 |
1649462391 | Katie Ann Picucci | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2007-08-16 |
1689603839 | Linda M Opsahl | Nurse Practitioner | 800 East Blvd, Kingsford, MI 49802 | 2006-07-01 |
1902860695 | Marquette General Hospital, Inc. | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2006-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154711398 | Matthew Giordanelli | Physical Therapist | 808 Terrace Ave, Kingsford, MI 49802 | 2015-01-26 |
1205186632 | Integrated First Response-great Lakes | Ambulance | 2260 Woodward Ave, Kingsford, MI 49802 | 2012-09-13 |
1104006469 | Home Healthcare Professionals | Home Health | 733 Cass Ave, Kingsford, MI 49802 | 2007-11-05 |
1619072279 | Robert Joseph D Amour | Dentist | 1075 Woodward Ave, Suite A, Kingsford, MI 49802 | 2006-09-14 |
1891218038 | Catherine Olson | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802 | 2017-07-19 |
1730125436 | James A Hicks | Chiropractor | 815 Pyle Drive, Family Chiropractic Clinic PC, Kingsford, MI 49802 | 2006-06-21 |
1063557270 | Biancos Physical Therapy & Wellness Center | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
1235274432 | Danny J Bianco | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
1639214844 | Jodi Wadge | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
1780678318 | Patti Lynn Peterson | Psychiatry & Neurology | 1205 Pyle Dr, Kingsford, MI 49802-1132 | 2005-09-09 |
Find all providers in zip 49802 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
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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.