PERE MARQUETTE EMERGENCY PHYSICIANS, PLC (NPI# 1447284112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447284112 |
| Entity Type | Organization |
| Organization Name | PERE MARQUETTE EMERGENCY PHYSICIANS, PLC |
| Practice Address |
1 N Atkinson Dr Ludington MI 49431-1906 |
| Mailing Address |
Po Box 8309 Fountain Valley CA 92728-8309 |
| Practice Telephone | 2318452390 |
| Practice Fax Number | 2318452240 |
| Mailing Telephone | 8008116964 |
| Mailing Fax Number | 5624680347 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | MICHELLE S CRANICK-KUSTER (BUSINESS MANAGER) |
| Authorized Official Telephone | 2318452390 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DD8294 | 01 | |
| MI | BCBS | 700E310200 | 01 |
| Street Address |
1 N ATKINSON DR |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1033505128 | Spectrum Health | Non-Pharmacy Dispensing Site | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2015-04-15 |
| 1508260902 | Memorial Medical Center of West Michigan | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-10-14 |
| 1629481502 | Spectrum Health Primary Care Partners | Internal Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-06-09 |
| 1477966489 | West Michigan Heart | Internal Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-06-06 |
| 1326481847 | Brian Lindenborn | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2013-04-15 |
| 1790025500 | Indigo Hospital Medicine - Ludington, Plc | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2013-02-15 |
| 1215280722 | Robert Paul Olson | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2012-10-22 |
| 1376781005 | Jorel Dickinson-hendershot | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2009-02-03 |
| 1538324553 | Iman Henry Zeidan | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| 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 |
|---|---|---|---|---|
| 1861670325 | Craig Nelson | Emergency Medicine | 6665 W Timber Ln, Ludington, MI 49431-1063 | 2008-02-07 |
| 1508066812 | Atkinson Emergency Physicians | Emergency Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2007-07-24 |
| 1851442248 | Douglas James Ruckman | Emergency Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PERE MARQUETTE EMERGENCY PHYSICIANS, PLC.
| 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.