MID MICHIGAN RADIOLOGY ASSOCIATES, P.C. (NPI# 1366541138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366541138 |
| Entity Type | Organization |
| Organization Name | MID MICHIGAN RADIOLOGY ASSOCIATES, P.C. |
| Practice Address |
211 S Crapo St Suite F Mt Pleasant MI 48858 |
| Mailing Address |
211 S Crapo St Ste F Mt Pleasant MI 48858-2961 |
| Practice Telephone | 9897732081 |
| Practice Fax Number | 9897733418 |
| Mailing Telephone | 9897732081 |
| Mailing Fax Number | 9897733418 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | MR. JOHANNES BUITEWEG (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 9897732081 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MICHIGAN | 300C76006 | 01 |
| MI | 1379244 | 05 |
| Street Address |
211 S CRAPO ST SUITE F |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547836 | Patricia Ann Luetkemeier | Nurse Practitioner | 211 S Crapo St, Ste L, Mt Pleasant, MI 48858-2961 | 2005-06-11 |
| 1477913242 | Dialysis Access Partners, Pllc | Specialist | 211 S Crapo St, Suite F, Mt Pleasant, MI 48858-2961 | 2016-03-07 |
| 1871886952 | Isomm LLC | Clinic/Center | 211 S Crapo St, Ste H, Mt Pleasant, MI 48858-2961 | 2011-05-23 |
| 1174855175 | Mohanad Fallouh, Md Pllc | Internal Medicine | 211 S Crapo St, Suite J, Mt Pleasant, MI 48858-2961 | 2010-02-02 |
| 1609009984 | Zachary Kanjuparamban Mdpc | Specialist | 211 S Crapo St, Suite D, Mt Pleasant, MI 48858-2961 | 2009-09-02 |
| 1609047935 | Stephen G. Chase, M.d., P.C. | Otolaryngology | 211 S Crapo St, Suite M, Mt Pleasant, MI 48858-2961 | 2008-03-14 |
| 1144407818 | Christian E Allan Md PC | Obstetrics & Gynecology | 211 S Crapo St, Suite L, Mt Pleasant, MI 48858-2961 | 2008-01-24 |
| 1669557823 | Zachary Kanjuparamban | Specialist | 211 S Crapo St, Suite D, Mt Pleasant, MI 48858-2961 | 2006-10-26 |
| 1679672471 | Philip C Trover | Radiology | 211 S Crapo St, Suite F, Mt Pleasant, MI 48858-2961 | 2006-09-21 |
| 1770599714 | Allen P Montoye | Dentist | 211 S Crapo St, Suite C, Mt Pleasant, MI 48858-2961 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| 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 |
|---|---|---|---|---|
| 1952951154 | Premier Radiology Wisconsin, LLC | Radiology | 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 | 2019-09-19 |
| 1033233903 | Dale Burdette Riepe | Radiology | 1121 County Road 1345, Mt Pleasant, TX 75455-7011 | 2007-03-18 |
| 1497887582 | John Bell Hood | Radiology | 284 S Plaza Ct, Mt Pleasant, SC 29464-6302 | 2007-03-12 |
| 1255437216 | Marilyn Roberts Hendrix | Radiology | 173 N Plaza Ct, Mt Pleasant, SC 29464-6301 | 2006-09-16 |
| 1417982174 | Dx Imaging, Ltd | Radiology | 1901 N Jefferson Ave, 3003 Joe Ramsey Blvd Greenville Tx 75401, Mt Pleasant, TX 75455-2334 | 2006-07-11 |
| 1982608725 | John J Chomyn | Radiology | 2000 Hospital Dr, Mt Pleasant, SC 29464 | 2005-06-09 |
| 1316548779 | Raleigh Radiology Associates, Inc. | Radiology | 2000 Hospital Dr, Mt Pleasant, SC 29464-3764 | 2020-11-03 |
| 1659637569 | Nicolas James Mazal | Radiology | 1241 Woodland Ave, Mt Pleasant, SC 29464-3288 | 2012-04-04 |
| 1679672471 | Philip C Trover | Radiology | 211 S Crapo St, Suite F, Mt Pleasant, MI 48858-2961 | 2006-09-21 |
| 1952349730 | Bryan T Jones | Radiology | 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 | 2006-06-03 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on MID MICHIGAN RADIOLOGY ASSOCIATES, P.C..
| 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.