GRATIOT MEDICAL CENTER AN AFFILIATE OF MIDMICHIGAN HEALTH (NPI# 1467475707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467475707 |
Entity Type | Organization |
Organization Name | GRATIOT MEDICAL CENTER AN AFFILIATE OF MIDMICHIGAN HEALTH |
Practice Address |
245 E Warwick Dr Alma MI 48801-1026 |
Mailing Address |
Po Box 864 Alma MI 48801-0864 |
Practice Telephone | 9894663332 |
Practice Fax Number | 9894666805 |
Mailing Telephone | 9894630104 |
Mailing Fax Number | 9894630663 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-08-09 |
Authorized Official Name | PAULA L CHERMSIDE (VICE PRESIDENT) |
Authorized Official Telephone | 9894663260 |
Is Organization Subpart | Y |
Parent Organization Name | GRATIOT MEDICAL CENTER AN AFFILIATE OF MIDMICHIGAN HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164528410 | Gratiot Medical Center An Affiliate of Midmichigan Health | Family Medicine | 411 W. Broadway, Suite A, Mount Pleasant, MI 48858 | 2006-09-15 |
1912021098 | Gratiot Medical Center An Affiliate of Midmichigan Health | Family Medicine | 211 S Crapo St, Suite A, Mount Pleasant, MI 48858-2961 | 2007-03-16 |
1922153311 | Gratiot Medical Center An Affiliate of Midmichigan Health | Internal Medicine | 2621 W Wackerly St, Suite C, Midland, MI 48640-6993 | 2007-01-24 |
1326102294 | Gratiot Medical Center An Affiliate of Midmichigan Health | Internal Medicine | 411 W Broadway St, Suite B, Mount Pleasant, MI 48858-2402 | 2006-12-21 |
1578645917 | Gratiot Medical Center An Affiliate of Midmichigan Health | Obstetrics & Gynecology | 315 E Warwick Dr, Suite D, Alma, MI 48801-1083 | 2006-10-19 |
Street Address |
245 E WARWICK DR |
City | ALMA |
State | MI |
Zip Code | 48801-1026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740261635 | Peter J Bruno | Surgery | 245 E Warwick Dr, Alma, MI 48801-1026 | 2005-11-08 |
1427532936 | Brittany M Cline | Nurse Practitioner | 245 E Warwick Dr, Alma, MI 48801-1026 | 2018-09-20 |
1194118877 | Amanda Jakubowski | Nurse Practitioner | 245 E Warwick Dr, Suite D, Alma, MI 48801-1026 | 2015-03-05 |
1902242985 | Lossio Pediatrics, Pllc | Pediatrics | 245 E Warwick Dr, Suite D, Alma, MI 48801-1026 | 2013-05-16 |
1386951176 | Peter Bruno M.d.p.c. | Clinic/Center | 245 E Warwick Dr, Alma, MI 48801-1026 | 2010-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
Find all providers in zip 48801 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
1295075794 | Christopher M Mcmahon | Physician Assistant | 311 E Warwick Dr, Suite A, Alma, MI 48801-1088 | 2013-02-20 |
1093761132 | Jessica D Stemper | Physician Assistant | 715 Brown St, Alma, NE 68920-2132 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
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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.