MCLAREN MACOMB (NPI# 1215057609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215057609 |
| Entity Type | Organization |
| Organization Name | MCLAREN MACOMB |
| Practice Address |
36500 S Gratiot Ave Suite 102 Clinton Township MI 48035 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 5867909003 |
| Practice Fax Number | 5864933603 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | MR. THOMAS M BRISSE (CEO) |
| Authorized Official Telephone | 5864938083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 110E062060 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669691 | Mclaren Macomb | Pediatrics | 1000 Harrington Blvd., Attn: Special Care Nursery, Mt. Clemens, MI 48043 | 2006-05-23 |
| 1821040288 | Mclaren Macomb | Family Medicine | 8180 26 Mile Rd., Ste. 101, Shelby Township, MI 48316 | 2006-05-16 |
| 1033710116 | Mclaren Macomb | Rehabilitation Unit | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-04 |
| 1013256296 | Mclaren Macomb | Emergency Medicine | 39833 Bridgeview St, Harrison Township, MI 48045 | 2013-02-07 |
| 1396014601 | Mclaren Macomb | Family Medicine | 1000 Harrington Blvd., Mount Clemens, MI 48043 | 2011-12-16 |
| 1922316140 | Mclaren Macomb | General Acute Care Hospital | 1000 Harrington St, Mount Clemens, MI 48043 | 2010-09-22 |
| 1063690857 | Mclaren Macomb | Pediatrics | 1000 Harrington St, Mount Clemens, MI 48043 | 2008-02-05 |
| 1528258654 | Mclaren Macomb | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043 | 2007-07-25 |
| 1437270311 | Mclaren Macomb | Family Medicine | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035 | 2007-04-02 |
| 1124148515 | Mclaren Macomb | Surgery | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-30 |
| Street Address |
36500 S GRATIOT AVE SUITE 102 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619935921 | Marissa B. Catalan | Pediatrics | 36500 S Gratiot Ave, Ste. 101, Clinton Township, MI 48035-1772 | 2006-05-03 |
| 1326690504 | Atheer Hussain-amin | Student in an Organized Health Care Education/Training Program | 36500 S Gratiot Ave, Clinton Township, MI 48035-1772 | 2019-07-09 |
| 1619174505 | Richard Jordan Chalmers | Family Medicine | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-07-02 |
| 1942412200 | Linda M Karadsheh | Obstetrics & Gynecology | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-05-07 |
| 1437270311 | Mclaren Macomb | Family Medicine | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035 | 2007-04-02 |
| 1124148515 | Mclaren Macomb | Surgery | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-30 |
| 1467572123 | Mclaren Macomb | Orthopaedic Surgery | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-29 |
| 1003936741 | Mcg Professional Billing L.L.C. | Obstetrics & Gynecology | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-03-29 |
| 1356394571 | Mclaren Macomb | Family Medicine | 36500 S Gratiot Ave, Ste. 202, Clinton Township, MI 48035 | 2006-05-18 |
| 1285685339 | Mclaren Macomb | Orthopaedic Surgery | 36500 S Gratiot Ave, Ste. 102, Clinton Township, MI 48035 | 2006-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155950 | Convenient Ct PC | Dentist | 35992 S. Gratiot Ave, Clinton Twp, MI 48035 | 2019-07-10 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1093233884 | Justin Scott Lemanski | Student in an Organized Health Care Education/Training Program | 23162 Talbot, Cinton Twp., MI 48035 | 2017-08-31 |
| 1689035842 | Audionet America Inc | Audiologist | 33830 Harper Ave, Clinton Twp, MI 48035 | 2016-03-16 |
| 1194149054 | Cherian Kochuparampil | Behavioral Analyst | 23195 Elmira, Clinton Township, MI 48035 | 2014-02-13 |
| 1417255688 | Laura Christine Miller | Speech-Language Pathologist | 21173 Suffolk St, Clinton Township, MI 48035 | 2011-03-11 |
| 1780987404 | Cindy Sue Rodammer | Physical Therapy Assistant | 35746 Harper, Clinton Twp, MI 48035 | 2010-12-20 |
| 1427376953 | Heather Kuczynski | Physical Therapy Assistant | 35746 Harper St, Clinton Twp., MI 48035 | 2010-05-07 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| Find all providers in zip 48035 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508132283 | Jonathan Edward Beaulac | Internal Medicine | 15855 Nineteen Mile Rd., Henry Ford Macomb Hospital, Clinton Township, MI 48038 | 2012-03-28 |
| 1457664864 | Aalok Dave | Internal Medicine | 15885 19 Mile, Henry Ford Macomb Hospital, Clinton Township, MI 48038 | 2010-07-15 |
| 1255512661 | Vasudevar Rao Mandava Md PC | Internal Medicine | 43171 Dalcoma Dr Ste 8, Ste 8, Clinton Township, MI 48038-6307 | 2007-11-14 |
| 1093904500 | Sentinel Wound Care Associates PC | Internal Medicine | 19697 Driftwood Dr, Clinton Township, MI 48038-6906 | 2007-10-21 |
| 1700956356 | Rudyard Limsingian Dimson | Internal Medicine | 43351 Commons Dr, Clinton Township, MI 48038-1109 | 2006-11-09 |
| 1437242914 | Regina Del Rosario Villanueva | Internal Medicine | 43361 Commons Drive, Clinton Township, MI 48038 | 2006-10-02 |
| 1417968827 | Nina Habib Rehman | Internal Medicine | 15520 19 Mile Rd Ste 480, Clinton Township, MI 48038 | 2006-08-10 |
| 1235179201 | Carl Michael Pesta Sr. | Internal Medicine | 23575 15 Mile Rd, Clinton Township, MI 48035 | 2006-06-07 |
| 1871015560 | Firdhous Alimathunis Abdul Kather | Internal Medicine | 15855 19 Mile Rd, Henry Ford Macomb Hospitals, Clinton Township, MI 48038 | 2017-07-13 |
| 1417480849 | Nimmish Khera | Internal Medicine | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2017-04-04 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
Please comment or provide details below to improve the information on MCLAREN MACOMB.
| 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.