MARQUETTE GENERAL HOSPITAL, INC. (NPI# 1215994454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215994454 |
Entity Type | Organization |
Organization Name | MARQUETTE GENERAL HOSPITAL, INC. |
Other Organization Name | INFECTIOUS DISEASE SPECIALISTS |
Practice Address |
1414 W Fair Ave Ste 111 Marquette MI 49855-2675 |
Mailing Address |
4602 Dept Carol Stream IL 60122-0021 |
Practice Telephone | 9062257601 |
Practice Fax Number | 9062257453 |
Mailing Telephone | 9062257601 |
Mailing Fax Number | 9062257453 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2009-04-23 |
Authorized Official Name | MR. A. GARY MULLER (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 9062254821 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM GROUP NUMBER | 0E21008 | 01 |
MI | RAILROAD MEDICARE | CH9239 | 01 |
Other Name | Type Code |
---|---|
Infectious Disease Specialists | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518161330 | Marquette General Hospital, Inc. | Clinic/Center | M 67 Community Center Building, Trenary, MI 49892 | 2007-06-14 |
1336163799 | Marquette General Hospital, Inc. | Internal Medicine | 2420 1st Ave S, Escanaba, MI 49829-1309 | 2006-07-27 |
1508820259 | Marquette General Hospital, Inc. | Internal Medicine | 510 Ashmun St, Sault Sainte Marie, MI 49783-1964 | 2006-04-12 |
1417959750 | Marquette General Hospital, Inc. | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2005-06-01 |
1891065470 | Marquette General Hospital, Inc. | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2012-01-12 |
1427383009 | Marquette General Hospital, Inc. | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2009-10-15 |
1912132473 | Marquette General Hospital, Inc. | Clinical Medical Laboratory | 420 W Magnetic St, Marquette, MI 49855-2711 | 2009-05-27 |
1871734210 | Marquette General Hospital, Inc. | Psychologist | 580 W College Ave, Marquette, MI 49855-2705 | 2009-03-16 |
1639332455 | Marquette General Hospital, Inc. | Nurse Anesthetist, Certified Registered | 580 W College Ave, Marquette, MI 49855-2705 | 2008-07-02 |
1497913248 | Marquette General Hospital, Inc. | Nurse Practitioner | 1150 W Washington St, Marquette, MI 49855-4040 | 2008-05-29 |
Street Address |
1414 W FAIR AVE STE 111 |
City | MARQUETTE |
State | MI |
Zip Code | 49855-2675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821090994 | John P Bartlett | Internal Medicine | 1414 W Fair Ave, Ste 201, Marquette, MI 49855-5406 | 2005-06-02 |
1255995726 | Jennifer Helen Johnson | Pharmacist | 1414 W Fair Ave, Ste 133, Marquette, MI 49855-5408 | 2019-04-30 |
1205336260 | Adfinitas Health At Up Marquette, Pllc | Hospitalist | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2018-02-16 |
1770091381 | Adfinitas Health At Marquette, LLC | Hospitalist | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2018-01-17 |
1982139929 | Jeffrey Sweers | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-27 |
1598290991 | Rebecca Reinertsen | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
1265967665 | Dexter D Clark | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
1972956860 | William Barker | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-07-15 |
1093165763 | Kathryn Lerche | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-06-14 |
1699125377 | Riley Torreano | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-06-14 |
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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 |
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Taxonomy Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
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 |
---|---|---|---|---|
1598725640 | David Charles Merz | Internal Medicine | 1414 W Fair Ave, Suite 344, Marquette, MI 49855-2675 | 2006-03-24 |
1457346967 | John R Wallace | Internal Medicine | 1414 W Fair Ave, Suite 111, Marquette, MI 49855-2675 | 2005-09-12 |
1457345126 | Jeffrey F Gephart | Internal Medicine | 1414 W Fair Ave, Ste 111, Marquette, MI 49855-2675 | 2005-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255830121 | Infectious Disease Experts, Pllc | Internal Medicine | 5757 Springbrook Dr, Troy, MI 48098-5308 | 2018-02-06 |
1497205546 | Capitol Infectious Disease Associates | Internal Medicine | 6401 Pine Hollow Dr, East Lansing, MI 48823-9737 | 2016-10-12 |
1932517604 | Nkechi Mbanefo Azie | Internal Medicine | 1660 Pond Shore Dr, Ann Arbor, MI 48108-9565 | 2014-07-25 |
1780096032 | Quentin Doperalski | Internal Medicine | 560 W Mitchell St Ste 170, Petoskey, MI 49770-2276 | 2014-05-21 |
1215361373 | Kimberly A Zielke | Internal Medicine | 720 West Wackerly, Suite 111, Midland, MI 48640 | 2013-08-26 |
1235572462 | Erika Olson | Internal Medicine | Harper University Hospital, 3990 John R Street, 5 Hudson, Detroit, MI 48201 | 2013-04-08 |
1750648945 | Daniela Christina Pellegrini | Internal Medicine | 1700 Clinton St # At, Muskegon, MI 49442-5502 | 2012-04-12 |
1033442546 | Guided Care Community Services Corp. | Internal Medicine | 535 Griswold St, Suite 111-267, Detroit, MI 48226-3604 | 2009-09-15 |
1023246329 | Ashish Bhargava | Internal Medicine | 19251 Mack Ave Ste 333, Grosse Pointe Woods, MI 48236-2898 | 2009-06-24 |
1104099266 | Aneela Yaqoob | Internal Medicine | 3515 Parklawn Dr, Canton, MI 48188-2315 | 2008-04-09 |
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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.