NORTHERN MICHIGAN UNIVERSITY (NPI# 1396894200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396894200 |
| Entity Type | Organization |
| Organization Name | NORTHERN MICHIGAN UNIVERSITY |
| Practice Address |
1401 Presque Isle Avenue Marquette MI 49855 |
| Practice Telephone | 9062272355 |
| Practice Fax Number | 9062272332 |
| Mailing Telephone | 9062272355 |
| Mailing Fax Number | 9062272332 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | DR. CHRISTOPHER J KIRKPATRICK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9062272355 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN MICHIGAN UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821552126 | Northern Michigan University | Assistant Behavior Analyst | 1401 Presque Isle Avenue, 158 Services Building, Marquette, MI 49855 | 2019-01-31 |
| 1487665725 | Northern Michigan University | Pharmacy | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2006-08-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN MICHIGAN UNIVERSITY | 1401 Presque Isle Ave, Marquette, MI 49855-5305 |
| Street Address |
1401 PRESQUE ISLE AVENUE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245221076 | David Michael Luoma | Family Medicine | 1401 Presque Isle Avenue, Northern Michigan University Vielmetti Health Center, Marquette, MI 49855 | 2005-11-01 |
| 1821552126 | Northern Michigan University | Assistant Behavior Analyst | 1401 Presque Isle Avenue, 158 Services Building, Marquette, MI 49855 | 2019-01-31 |
| 1760760839 | Michele Lee Premeau | Nurse Practitioner | 1401 Presque Isle Avenue, Health Center, Marquette, MI 49855 | 2011-07-23 |
| 1154373090 | Kayleen P Papin | Family Medicine | 1401 Presque Isle Avenue, Health Center, Marquette, MI 49855 | 2006-05-17 |
| 1194707448 | Theresa M Durley | Nurse Practitioner | 1401 Presque Isle Avenue, Health Center - Lower Gries, Marquette, MI 49855 | 2005-11-14 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
| 1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
| 1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
| 1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
| 1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
| 1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
| 1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
| 1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
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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.