GRATIOT MEDICAL CENTER (NPI# 1477654234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477654234 |
| Entity Type | Organization |
| Organization Name | GRATIOT MEDICAL CENTER |
| Other Organization Name | ST. LOUIS FAMILY CLINIC |
| Practice Address |
224 N Mill St Saint Louis MI 48880-1523 |
| Practice Telephone | 9896813524 |
| Practice Fax Number | 9896812683 |
| Mailing Telephone | 9896813524 |
| Mailing Fax Number | 9896812683 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-01-30 |
| Authorized Official Name | MARK A SANTAMARIA (PRESIDENT/CEO) |
| Authorized Official Telephone | 9894663258 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRATIOT MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | MI | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN | 1020574 | 01 |
| MI | BCBSM | 0B91072 | 01 |
| Other Name | Type Code |
|---|---|
| St. Louis Family Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407938590 | Gratiot Medical Center | Family Medicine | 8776 E Howard City Edmore Rd, Vestaburg, MI 48891-9406 | 2006-10-19 |
| 1225009962 | Gratiot Medical Center | Home Health | 175 E Warwick Dr, Suite C, Alma, MI 48801-1025 | 2006-01-31 |
| 1457547770 | Gratiot Medical Center | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2007-09-20 |
| 1558443994 | Gratiot Medical Center | Obstetrics & Gynecology | 1970 Ashland Dr, Mt Pleasant, MI 48858-1219 | 2006-10-19 |
| 1336157783 | Gratiot Medical Center | Psychiatry & Neurology | 317 E Warwick Dr, Suite B, Alma, MI 48801-1085 | 2006-08-03 |
| 1225042005 | Gratiot Medical Center | Internal Medicine | 315 E Warwick Dr, Suite E, Alma, MI 48801-1083 | 2006-07-28 |
| 1679506851 | Gratiot Medical Center | Family Medicine | 820 N Pine River St, Ithaca, MI 48847-1118 | 2006-07-09 |
| 1770538050 | Gratiot Medical Center | Internal Medicine | 211 S Crapo St, Suite J, Mount Pleasant, MI 48858-2961 | 2006-05-24 |
| 1013981695 | Gratiot Medical Center | Hospice Care, Community Based | 175 E Warwick Dr, Suite C, Alma, MI 48801-1025 | 2006-02-13 |
| 1780658393 | Gratiot Medical Center | Home Health | 175 E Warwick Dr, Alma, MI 48801-1025 | 2006-02-13 |
| Street Address |
224 N MILL ST |
| City | SAINT LOUIS |
| State | MI |
| Zip Code | 48880-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550689 | Gerrit Vanderlugt | Family Medicine | 224 N Mill St, Saint Louis, MI 48880-1523 | 2005-07-01 |
| 1104441302 | Mi Primary Care, Pllc | Clinic/Center | 224 N Mill St, Saint Louis, MI 48880-1523 | 2020-06-12 |
| 1306327606 | Charles Milan Dietz | Technician, Other | 224 N Mill St, Saint Louis, MI 48880-1523 | 2018-08-24 |
| 1972092815 | Chris Ray Seeley | Technician, Other | 224 N Mill St, Saint Louis, MI 48880-1523 | 2018-05-07 |
| 1255316832 | St Louis Family Clinic | Family Medicine | 224 N Mill St, Saint Louis, MI 48880-1523 | 2005-12-07 |
| 1144205725 | Joseph Gelina | Physician Assistant | 224 N Mill St, Saint Louis, MI 48880-1523 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036838 | Sheril Amilia Rolston | Technician/Technologist | 223 S Deleware St, Saint Louis, MI 48880 | 2020-06-08 |
| 1376603175 | Nancy Louise Parsons | Counselor | 214 W Saginow St, St Louis, MI 48880 | 2006-12-11 |
| 1396846234 | Greg William Lowe | Dentist | 622 E. Washington Ave., St. Louis, MI 48880 | 2006-09-25 |
| 1598319196 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 235 N Mill St, St Louis, MI 48880 | 2019-07-31 |
| 1922469170 | Justin Michael Elliott | Occupational Therapist | 1149 W Monroe Rd, St. Louis, MI 48880 | 2016-03-16 |
| 1730645052 | Judy L Crockett | Counselor | 115 Chestnut St Apt B, Saint Louis, MI 48880-1308 | 2019-02-11 |
| 1871941880 | Gary Dwayne Tegge | Technician, Other | 616 Maple St, Saint Louis, MI 48880-1335 | 2016-05-31 |
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| 1013579168 | Mari's Cleaning and Senior Care Services | Home Health | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-28 |
| 1386644839 | Evans Drugs of Saint Louis LLC | Durable Medical Equipment & Medical Supplies | 116 N Mill St, Saint Louis, MI 48880-1521 | 2005-07-27 |
| Find all providers in zip 48880 | ||||
| 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 |
|---|---|---|---|---|
| 1356986541 | Pain Relief Center of St Louis LLC | Family Medicine | 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 | 2019-11-12 |
| 1720635329 | Mercy Clinic East Communities | Family Medicine | 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 | 2019-08-20 |
| 1063066777 | Isabella Citizens for Health, Inc. | Family Medicine | 312 Union St, Saint Louis, MI 48880-1830 | 2019-07-31 |
| 1043864010 | Isabella Citizens for Health, Inc. | Family Medicine | 113 E Saginaw St, Saint Louis, MI 48880-1755 | 2019-07-29 |
| 1558896969 | Shivani Sockanathan | Family Medicine | 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 | 2017-04-23 |
| 1598299646 | Kharole Compere | Family Medicine | 175 N Oaks Plz, Saint Louis, MO 63121-2925 | 2017-04-16 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1144608035 | Daniel Urcuyo | Family Medicine | 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 | 2015-05-11 |
| 1376958728 | Jamil Neme | Family Medicine | 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 | 2014-06-24 |
| 1144633819 | Perini Shah | Family Medicine | 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 | 2014-06-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 48880 |
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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.