MCLAREN MEDICAL GROUP (NPI# 1528100781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528100781 |
| Entity Type | Organization |
| Organization Name | MCLAREN MEDICAL GROUP |
| Other Organization Name | MCLAREN MEDICAL MANAGEMENT CNM BAY CITY |
| Practice Address |
3175 Professional Ct Bay City MI 48706-2823 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 9896676325 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | WILLIAM HARDIMON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8103421064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 4208758570 | 01 |
| Other Name | Type Code |
|---|---|
| McLaren Medical Management CNM Bay City | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114066693 | Mclaren Medical Group | Advanced Practice Midwife | 1198 N Belsay Rd, Building 3, Burton, MI 48509-1669 | 2007-02-05 |
| 1053458091 | Mclaren Medical Group | Obstetrics & Gynecology | 2521 N Elms Rd, Flushing, MI 48433-9426 | 2007-01-31 |
| 1104294354 | Mclaren Medical Group | General Practice | 611 Court St, West Branch, MI 48661-8820 | 2015-09-04 |
| 1629369988 | Mclaren Medical Group | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2011-04-21 |
| 1649435223 | Mclaren Medical Group | Emergency Medicine | 43900 Garfield Rd, Suite 121, Clinton Township, MI 48038-1128 | 2008-07-23 |
| 1164614798 | Mclaren Medical Group | Emergency Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2007-08-17 |
| 1306983176 | Mclaren Medical Group | Pediatrics | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1073650750 | Mclaren Medical Group | Radiology | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1922145606 | Mclaren Medical Group | Surgery | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1659418663 | Mclaren Medical Group | Internal Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2007-01-31 |
| Street Address |
3175 PROFESSIONAL CT |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396768313 | Tari S Stull | Surgery | 3175 Professional Ct, Bay City, MI 48706-2823 | 2006-07-25 |
| 1992156673 | Brooke Moore | Social Worker | 3175 Professional Ct, Bay City, MI 48706-2823 | 2016-06-23 |
| 1578834610 | Marvin Najjar | Obstetrics & Gynecology | 3175 Professional Ct, Bay City, MI 48706-2823 | 2012-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881670024 | Mary Ann Fleming | Advanced Practice Midwife | 3175 W. Professional Drive, Bay City, MI 48706-2823 | 2005-12-20 |
| 1467440214 | Katherine Mari Nerreter | Advanced Practice Midwife | 3175 Professional Drive, Bay City, MI 48706-2823 | 2005-10-06 |
| 1093703860 | Nancy O'hare | Advanced Practice Midwife | 3175 W Professional Dr, Bay City, MI 48706-2823 | 2005-10-06 |
| 1003804881 | Rose Marie Fife | Advanced Practice Midwife | 3175 W Professional Dr, Bay City, MI 48706 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779657 | Sydney Christine Wergin | Advanced Practice Midwife | 1711 Broadview St Apt 202, Ann Arbor, MI 48105-1842 | 2020-08-04 |
| 1609492925 | Kathryn Weber | Advanced Practice Midwife | 5701 Bow Pointe Dr Ste 350, Clarkston, MI 48346-5406 | 2020-06-23 |
| 1508498551 | Hillary Hoskins | Advanced Practice Midwife | 601 John St Ste N-1200a, Kalamazoo, MI 49007-5341 | 2020-02-07 |
| 1992354211 | Andrea Allen | Advanced Practice Midwife | 3016 W Wackerly, Midland, MI 48640-8964 | 2019-09-09 |
| 1700442266 | Deborah Kaye Price | Advanced Practice Midwife | 12251 James St Ste 500, Holland, MI 49424-8944 | 2019-05-10 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1982101531 | Kelsey Laurer | Advanced Practice Midwife | 12620 Coach Ln, South Lyon, MI 48178-9138 | 2018-04-10 |
| 1821596768 | Renee Elizabeth O'neill | Advanced Practice Midwife | 506 Campus Dr, Hancock, MI 49930-1569 | 2018-01-25 |
| 1972018273 | Abigail Sarah Fana | Advanced Practice Midwife | 21720 Indian Creek Dr, Farmington Hills, MI 48335-5530 | 2017-12-08 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
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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.