THREE RIVERS HEALTH SYSTEM, INC (NPI# 1386916575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386916575 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS HEALTH SYSTEM, INC |
| Other Organization Name | THREE RIVERS HEALTH WOMENS SERVICES |
| Practice Address |
711 S Health Pkwy Suite 1 Three Rivers MI 49093-9387 |
| Practice Telephone | 2692736400 |
| Practice Fax Number | 2692739639 |
| Mailing Telephone | 2692736400 |
| Mailing Fax Number | 2692739639 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | WILLIAM RUSSELL (CEO/PRESIDENT) |
| Authorized Official Telephone | 2692739601 |
| Is Organization Subpart | Y |
| Parent Organization Name | THREE RIVERS HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 750020 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Three Rivers Health Womens Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124390307 | Three Rivers Health System, Inc | Podiatrist | 1021 Hill St Ste 300, Three Rivers, MI 49093-2744 | 2012-02-02 |
| 1346874070 | Three Rivers Health System, Inc | Internal Medicine | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2020-03-03 |
| 1821631334 | Three Rivers Health System, Inc | Clinic/Center | 16587 Enterprise Dr, Three Rivers, MI 49093-7902 | 2019-10-28 |
| 1427608785 | Three Rivers Health System, Inc | Nutritionist | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-09-18 |
| 1376196691 | Three Rivers Health System, Inc | Social Worker | 1101 Jefferson St, Three Rivers, MI 49093-1024 | 2019-07-17 |
| 1174065767 | Three Rivers Health System, Inc | Plastic Surgery | 1021 Hill St, Suite 300, Three Rivers, MI 49093-2745 | 2016-11-14 |
| 1790144079 | Three Rivers Health System, Inc | Family Medicine | 850 S Health Pkwy, Three Rivers, MI 49093-8358 | 2016-02-16 |
| 1942669296 | Three Rivers Health System, Inc | Otolaryngology | 3850 Glenkerry Ct, Portage, MI 49024-0700 | 2016-02-15 |
| 1992197925 | Three Rivers Health System, Inc | Podiatrist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2015-02-27 |
| 1093113151 | Three Rivers Health System, Inc | Family Medicine | 850 S Health Pkwy, Three Rivers, MI 49093-8358 | 2014-12-05 |
| Street Address |
711 S HEALTH PKWY SUITE 1 |
| City | THREE RIVERS |
| State | MI |
| Zip Code | 49093-9387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265413520 | Heidi Lynn Alexander | Physician Assistant | 711 S Health Pkwy, Suite 4, Three Rivers, MI 49093-9387 | 2005-11-14 |
| 1790125367 | Otavio Pereira Rodrigues | Internal Medicine | 711 S Health Pkwy, Three Rivers, MI 49093 | 2013-06-27 |
| 1942541636 | Three Rivers Health System, Inc | Internal Medicine | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2013-03-06 |
| 1356696538 | Three Rivers Health | Clinic/Center | 711 S Health Pkwy, Suite 3, Three Rivers, MI 49093-9387 | 2012-07-13 |
| 1992050173 | Three Rivers Health System, Inc | Clinic/Center | 711 S Health Pkwy, Suite 3, Three Rivers, MI 49093-9387 | 2012-07-13 |
| 1043582224 | Three Rivers Health System, Inc | Clinic/Center | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1508138785 | Three Rivers Health System, Inc | Family Medicine | 711 S Health Pkwy, Suite 4, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1467724658 | Three Rivers Health System, Inc | Home Health | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1366714552 | Three Rivers Health System, Inc | Hospice Care, Community Based | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1124305529 | Anne Davidhizar | Nurse Practitioner | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2011-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833865 | Brandy Peterson | Technician/Technologist | 18511 South River Rd, Three Rivers, MI 49093 | 2015-02-05 |
| 1073933958 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 800 S Us Highway 131 Ste A, Three Rivers, MI 49093 | 2014-04-18 |
| 1184927865 | Autumn Brooke Walton | Counselor | 30 N. Main St., Three Rivers, MI 49093 | 2010-12-17 |
| 1972730877 | Peggy Cahue-kuipers | Counselor | 1020 Millard, Three Rivers, MI 49093 | 2009-06-18 |
| 1215101530 | Raelene Mckeon Kent | Pediatrics | 601 S. Us 131, Three Rivers, MI 49093 | 2008-04-17 |
| 1407043722 | Assisted Living Concepts Inc | Assisted Living Facility | 1215 Ne Elm Street, Three Rivers, MI 49093 | 2007-10-01 |
| 1205047552 | Judith Anderson | Psychologist | 131 Enterprise St, Three Rivers, MI 49093 | 2007-05-25 |
| 1619013240 | Michael Angelo Cucci | Dentist | 221 North Hooker Ave, Three Rivers, MI 49093 | 2007-01-30 |
| 1659421204 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 800 S Us 131, Three Rivers, MI 49093 | 2007-01-12 |
| 1679622401 | Gail Marjorie Woods | Dentist | 57175 North Main Street, Three Rivers, MI 49093 | 2007-01-10 |
| Find all providers in zip 49093 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477668341 | Audley Richard Mamby | Obstetrics & Gynecology | 711 S Health Pkwy, Suite 1, Three Rivers, MI 49093-9387 | 2006-08-20 |
| 1316922909 | Three Rivers Health | Obstetrics & Gynecology | 711 S Health Pkwy, Suite 1, Three Rivers, MI 49093-9387 | 2005-12-07 |
| 1346222361 | Marijo Steenstra | Obstetrics & Gynecology | 721 S Health Pkwy, Medical Office Building 2, Three Rivers, MI 49093-8352 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | THREE RIVERS |
| Zip Code | 49093 |
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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.