DLP MARQUETTE PHYSICIAN PRACTICES INC (NPI# 1366790727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366790727 |
| Entity Type | Organization |
| Organization Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Other Organization Name | MARQUETTE GENERAL EMERGENCY MEDICINE |
| Practice Address |
420 W Magnetic St Marquette MI 49855-2700 |
| Practice Telephone | 9062253466 |
| Practice Fax Number | 9062253370 |
| Mailing Telephone | 9062253466 |
| Mailing Fax Number | 9062253370 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| 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 | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MARQUETTE GENERAL EMERGENCY MEDICINE | 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 |
| 1184972143 | Dlp Marquette Physician Practices Inc | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2012-08-23 |
| 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 |
| 1073861431 | Dlp Marquette Physician Practices Inc | Surgery | 1414 W Fair Ave, Ste 334, Marquette, MI 49855-2675 | 2012-08-16 |
| Street Address |
420 W MAGNETIC ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959750 | Marquette General Hospital, Inc. | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2005-06-01 |
| 1811382641 | Dlp Marquette General Hospital LLC | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2700 | 2015-03-30 |
| 1720429566 | Carol Buentello | Nurse Practitioner | 420 W Magnetic St, Marquette, MI 49855-2700 | 2013-07-09 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 1174871305 | Dlp Marquette General Hospital LLC | Rehabilitation, Substance Use Disorder Unit | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-20 |
| 1699022590 | Dlp Marquette General Hospital LLC | Hearing Aid Equipment | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-09 |
| 1942505268 | Marquette General Hospital | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Marquette, MI 49855-2711 | 2011-01-18 |
| 1598078933 | Marquette General Health Systems | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2010-07-14 |
| 1164746475 | Tricia Leigh Tollenaar | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Dept., Marquette, MI 49855-2711 | 2010-03-16 |
| 1174845374 | Jeremy Joseph Lafave | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Department, Marquette, MI 49855-2711 | 2010-02-16 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508078098 | Andrew Christian Stevens | Emergency Medicine | 580 W College Avenue, Marquette, MI 49855 | 2007-05-04 |
| 1528440245 | Leah Heron | Emergency Medicine | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2015-06-19 |
| 1871939686 | Sean Donald Hendren | Emergency Medicine | 580 W College Ave, Marquette, MI 49855-2736 | 2013-05-20 |
| 1942543996 | David Mark Viau | Emergency Medicine | 580 W College Ave, Department of Emergency Medicine, Marquette, MI 49855-2736 | 2013-03-28 |
| 1437306321 | Lacey L Crabb | Emergency Medicine | 1414 W Fair Ave, Suite 342, Marquette, MI 49855-2675 | 2008-08-21 |
| 1114110830 | James Andrew Carothers | Emergency Medicine | 580 W College Ave, Marquette, MI 49855-2736 | 2007-08-27 |
| 1609081983 | Ned A Oswald | Emergency Medicine | 580 W College Ave, Marquette, MI 49855-2705 | 2007-05-11 |
| 1639261035 | David Christian Grant | Emergency Medicine | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-09-30 |
| 1093764706 | Steven J Verbridge | Emergency Medicine | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-05-09 |
| 1275517740 | James R Addison | Emergency Medicine | 420 W Magnetic St, Suite Er, Marquette, MI 49855-2711 | 2005-11-30 |
| 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.