THE DOCTORS GROUP (NPI# 1467673525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467673525 |
| Entity Type | Organization |
| Organization Name | THE DOCTORS GROUP |
| Other Organization Name | SUBURBAN MEDICAL CENTERS |
| Practice Address |
9880 E Michigan Ave Suite 100 Galesburg MI 49053-8641 |
| Mailing Address |
Po Box 308 Galesburg MI 49053-0308 |
| Practice Telephone | 2696657092 |
| Practice Fax Number | 2696657097 |
| Mailing Telephone | 2696657092 |
| Mailing Fax Number | 2696657097 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | DR. KEITH L PAPENDICK (PHYSICIAN) |
| Authorized Official Telephone | 2696657092 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1005379 | 05 |
| Other Name | Type Code |
|---|---|
| Suburban Medical Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891995494 | The Doctors Group | Family Medicine | 119 E Fort St, Manchester, TN 37355-1508 | 2007-07-20 |
| Street Address |
9880 E MICHIGAN AVE SUITE 100 |
| City | GALESBURG |
| State | MI |
| Zip Code | 49053-8641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790892305 | Leon B Papendick | Physician Assistant | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497240162 | Ella Philander | Assistant Behavior Analyst | 5370 N 37th St, Galesburg, MI 49053 | 2018-06-26 |
| 1992098404 | Terry Ray Walker | Pharmacist | 9880 E. Michigan Ave, Galesburg, MI 49053 | 2011-05-17 |
| 1144746637 | Richard Alvin Finedell Jr. | Nurse Practitioner | 10310 Miller Dr, Galesburg, MI 49053 | 2017-08-17 |
| 1801900121 | Judy J Mitchelson | Physician Assistant | 10310 Miller Dr, Galesburg, MI 49053 | 2006-08-17 |
| 1306071634 | Amy Kay Embury | Psychologist | 9673 Candytuft, Galesburg, MI 49053-7724 | 2009-05-15 |
| 1134579378 | Nicole Tijerina | Technician, Other | 8396 Doe Ave, Galesburg, MI 49053-7742 | 2016-06-19 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1467098202 | Nicole Marie Conway | Nurse Practitioner | 9880 E Michigan Ave # 100, Galesburg, MI 49053-8641 | 2019-11-26 |
| 1376025676 | This Day Counseling, LLC | Community/Behavioral Health | 10144 Castle Creek Cir, Galesburg, MI 49053-8642 | 2018-09-04 |
| 1003423773 | True2u Counseling | Clinic/Center | 10144 Castle Creek Cir, Galesburg, MI 49053-8642 | 2020-09-28 |
| Find all providers in zip 49053 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538251582 | Hamsaveni K Jagannathan | Family Medicine | 311 East Main Street, Suite 409, Galesburg, IL 61401 | 2006-09-28 |
| 1104837285 | Harsha Shrikant Mehta | Family Medicine | 575 N Kellogg St, Suite 2, Galesburg, IL 61401 | 2006-08-11 |
| 1609875145 | Jeffrey Hill | Family Medicine | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2005-07-18 |
| 1235444035 | Ruby Verma | Family Medicine | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2852 | 2010-08-17 |
| 1053540237 | Annevay Conlee | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2009-07-08 |
| 1104916485 | Robert Hickerson | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2006-10-15 |
| 1417058256 | Elizabeth J Puthenveetil | Family Medicine | 1707 N Henderson St, Galesburg, IL 61401-1320 | 2006-09-26 |
| 1407955362 | Richard Flacco | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-21 |
| 1255430120 | Valerie Flacco | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-21 |
| 1346348265 | Christine Petzing | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-21 |
| Find all providers in GALESBURG | ||||
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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.