MCLAREN MACOMB (NPI# 1467572123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467572123 |
| Entity Type | Organization |
| Organization Name | MCLAREN MACOMB |
| Practice Address |
36500 S Gratiot Ave Suite 102 Clinton Township MI 48035 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 5867909003 |
| Practice Fax Number | 5864933603 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | MR. THOMAS M BRISSE (CEO) |
| Authorized Official Telephone | 5864938083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 200E064300 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669691 | Mclaren Macomb | Pediatrics | 1000 Harrington Blvd., Attn: Special Care Nursery, Mt. Clemens, MI 48043 | 2006-05-23 |
| 1821040288 | Mclaren Macomb | Family Medicine | 8180 26 Mile Rd., Ste. 101, Shelby Township, MI 48316 | 2006-05-16 |
| 1033710116 | Mclaren Macomb | Rehabilitation Unit | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-04 |
| 1013256296 | Mclaren Macomb | Emergency Medicine | 39833 Bridgeview St, Harrison Township, MI 48045 | 2013-02-07 |
| 1396014601 | Mclaren Macomb | Family Medicine | 1000 Harrington Blvd., Mount Clemens, MI 48043 | 2011-12-16 |
| 1922316140 | Mclaren Macomb | General Acute Care Hospital | 1000 Harrington St, Mount Clemens, MI 48043 | 2010-09-22 |
| 1063690857 | Mclaren Macomb | Pediatrics | 1000 Harrington St, Mount Clemens, MI 48043 | 2008-02-05 |
| 1528258654 | Mclaren Macomb | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043 | 2007-07-25 |
| 1437270311 | Mclaren Macomb | Family Medicine | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035 | 2007-04-02 |
| 1215057609 | Mclaren Macomb | Internal Medicine | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-30 |
| Street Address |
36500 S GRATIOT AVE SUITE 102 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619935921 | Marissa B. Catalan | Pediatrics | 36500 S Gratiot Ave, Ste. 101, Clinton Township, MI 48035-1772 | 2006-05-03 |
| 1326690504 | Atheer Hussain-amin | Student in an Organized Health Care Education/Training Program | 36500 S Gratiot Ave, Clinton Township, MI 48035-1772 | 2019-07-09 |
| 1619174505 | Richard Jordan Chalmers | Family Medicine | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-07-02 |
| 1942412200 | Linda M Karadsheh | Obstetrics & Gynecology | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-05-07 |
| 1437270311 | Mclaren Macomb | Family Medicine | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035 | 2007-04-02 |
| 1215057609 | Mclaren Macomb | Internal Medicine | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-30 |
| 1124148515 | Mclaren Macomb | Surgery | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-30 |
| 1003936741 | Mcg Professional Billing L.L.C. | Obstetrics & Gynecology | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-03-29 |
| 1356394571 | Mclaren Macomb | Family Medicine | 36500 S Gratiot Ave, Ste. 202, Clinton Township, MI 48035 | 2006-05-18 |
| 1285685339 | Mclaren Macomb | Orthopaedic Surgery | 36500 S Gratiot Ave, Ste. 102, Clinton Township, MI 48035 | 2006-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155950 | Convenient Ct PC | Dentist | 35992 S. Gratiot Ave, Clinton Twp, MI 48035 | 2019-07-10 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1093233884 | Justin Scott Lemanski | Student in an Organized Health Care Education/Training Program | 23162 Talbot, Cinton Twp., MI 48035 | 2017-08-31 |
| 1689035842 | Audionet America Inc | Audiologist | 33830 Harper Ave, Clinton Twp, MI 48035 | 2016-03-16 |
| 1194149054 | Cherian Kochuparampil | Behavioral Analyst | 23195 Elmira, Clinton Township, MI 48035 | 2014-02-13 |
| 1417255688 | Laura Christine Miller | Speech-Language Pathologist | 21173 Suffolk St, Clinton Township, MI 48035 | 2011-03-11 |
| 1780987404 | Cindy Sue Rodammer | Physical Therapy Assistant | 35746 Harper, Clinton Twp, MI 48035 | 2010-12-20 |
| 1427376953 | Heather Kuczynski | Physical Therapy Assistant | 35746 Harper St, Clinton Twp., MI 48035 | 2010-05-07 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| Find all providers in zip 48035 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548353162 | Orthopedic Surgery and Sports Medicine | Orthopaedic Surgery | 43281 Commons Drive, Clinton Township, MI 48038 | 2006-10-02 |
| 1184651374 | Peter B Ajluni | Orthopaedic Surgery | 21620 Harrington St, Clinton Township, MI 48036-2319 | 2006-06-26 |
| 1851338156 | Ronald L Meisel | Orthopaedic Surgery | 16570 19 Mile Rd, Clinton Township, MI 48038-1106 | 2006-06-02 |
| 1609856368 | James B Anderson | Orthopaedic Surgery | 18756 Millar Rd, Clinton Township, MI 48036-2095 | 2006-01-19 |
| 1457857138 | Matthew David Schuch | Orthopaedic Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-04-02 |
| 1417318171 | Jonathan Allred Olson | Orthopaedic Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2016-03-09 |
| 1356701189 | Heather Rae Wortham | Orthopaedic Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2016-03-07 |
| 1912365032 | Movement Orthopedics | Orthopaedic Surgery | 43475 Dalcoma Dr, Suite #160, Clinton Township, MI 48038-3591 | 2016-02-03 |
| 1790069714 | Henry Ford Macomb Hospital Corporation | Orthopaedic Surgery | 15520 19 Mile Rd, Suite 430, Clinton Township, MI 48038-6333 | 2011-10-10 |
| 1275836900 | Amjad M Yaish Do Plc | Orthopaedic Surgery | 21620 Harrington St, Clinton Township, MI 48036-2319 | 2010-12-20 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
Please comment or provide details below to improve the information on MCLAREN MACOMB.
| 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.