DR. TEONA MAGHLAKELIDZE (NPI# 1508078023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508078023 |
| Entity Type | Individual |
| Full Name | DR. TEONA MAGHLAKELIDZE |
| Credential | MD |
| Practice Address |
4401 Campus Ridge Dr Ste 1100 Midland MI 48640-6125 |
| Practice Telephone | (989) 837-9200 |
| Practice Fax Number | 9898379205 |
| Mailing Telephone | (989) 837-9200 |
| Mailing Fax Number | 9898379205 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301083483 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MCLAREN HEALTH PLAN | 1026132 | 01 | |
| COMMUNITY CHOICE OF MI | 381908328 383 | 01 | |
| MI | MEDICAID TYPE 77 | 5175823 | 01 |
| MCLAREN HEALTH PLAN | 1026133 | 01 | |
| MCLAREN HEALTH PLAN | 1026135 | 01 | |
| AETNA | 381908328 | 01 | |
| MI | BLUE CROSS GROUP | 700G361110 | 01 |
| HEALTHPLUS OF MICHIGAN | 01006116 | 01 | |
| MI | BLUE CROSS TRUST | 1107312852 | 01 |
| MI | 5175850 | 05 | |
| BLUE CARE NETWORK | 700G361110 | 01 | |
| GREAT LAKES HEALTH PLAN | 161377 | 01 | |
| MCLAREN HEALTH PLAN | 1026134 | 01 | |
| MI | BLUE CROSS INDIVIDUAL | 1107312852 | 01 |
| COMMUNITY CHOICE OF MI | 381908328 384 | 01 | |
| COMMUNITY CHOICE OF MI | 381908328 386 | 01 | |
| MI | BLUE CROSS | 700G361110 | 01 |
| COMMUNITY CHOICE OF MI | 381908328 076 | 01 | |
| COMMUNITY CHOICE OF MI | 381908328 385 | 01 |
| Street Address |
4401 CAMPUS RIDGE DR STE 1100 |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780694992 | Roschelle M Houston | Internal Medicine | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2006-08-09 |
| 1538778881 | Ryan M Lalonde | Pharmacist | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2020-07-23 |
| 1326474172 | Kathleen P Toepke | Physician Assistant | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2013-09-24 |
| 1316220551 | Suja S Shenoy | Internal Medicine | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2011-09-23 |
| 1417157165 | Phillip Kadaj | Internal Medicine | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2007-07-20 |
| 1245437953 | Ahmad Lutfi Subhi | Internal Medicine | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2007-06-27 |
| 1548321045 | Jennifer Lynn Jordahl | Nurse Practitioner | 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640-6125 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586862 | Midessa Integrative Medicine | Internal Medicine | 4311 Andrew Hwy, B, Midland, TX 79703-4823 | 2019-03-12 |
| 1558857177 | Midland Ambulatory Surgery Center, LLC | Internal Medicine | 2106 N Midland Dr Ste 100, Midland, TX 79707-5503 | 2018-07-06 |
| 1932541406 | Madhavi Gadiraju | Internal Medicine | 2402 W Wall St Ste 2, Midland, TX 79701-6316 | 2013-07-24 |
| 1346541943 | Stephen L Wiesenfeld | Internal Medicine | 3102 Shell Ave, Midland, TX 79705-8237 | 2010-11-12 |
| 1689989238 | Sentinel Medical Group Pllc | Internal Medicine | 4706 Greentree Blvd, Midland, TX 79707-1610 | 2010-08-06 |
| 1306167309 | Maung K Hlaing | Internal Medicine | 4805 Briarwood Ave, Apt E 206, Midland, TX 79707-2625 | 2010-06-14 |
| 1073833075 | Phillip Hyunsuk Chae | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 100, Craddick Medical Office Bldg., Midland, TX 79701-5849 | 2010-06-02 |
| 1306162557 | Leela Kumar Lella | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2010-04-13 |
| 1497985188 | Vikram Reddy Vadyala | Internal Medicine | 2817 W Loop 250 N Ste A, Midland, TX 79705-3205 | 2009-07-16 |
| 1295969699 | Ramakrishna Thokala | Internal Medicine | 3302 W Golf Course Rd Ste 100, Midland, TX 79703 | 2009-05-13 |
| Find all providers in MIDLAND | ||||
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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.