GERIATRIC PHYSICIAN STAFFING PC (NPI# 1558616144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558616144 |
| Entity Type | Organization |
| Organization Name | GERIATRIC PHYSICIAN STAFFING PC |
| Practice Address |
124 W Fourth St Suttons Bay MI 49682-9733 |
| Mailing Address |
2700 N Setterbo Rd Suttons Bay MI 49682-9391 |
| Practice Telephone | 2312711200 |
| Practice Fax Number | 2312715959 |
| Mailing Telephone | 2312715990 |
| Mailing Fax Number | 2312715959 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | DR. PHILLIP W SIEMER (PHYSICIAN) |
| Authorized Official Telephone | 2312715990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 4301051573 | MI | Allopathic & Osteopathic Physicians |
| Y | 314000000X | Skilled Nursing Facility | 4301051573 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1588612972 | 05 |
| Street Address |
124 W FOURTH ST |
| City | SUTTONS BAY |
| State | MI |
| Zip Code | 49682-9733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700955218 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9711 | 2006-11-07 |
| 1396261681 | Leelanau Opco, LLC | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2017-08-17 |
| 1265885099 | Justin Mazurek | Physical Therapy Assistant | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2016-07-17 |
| 1043666993 | Devon Amanda Burke | Speech-Language Pathologist | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2016-05-10 |
| 1457759896 | Fmg West Fourth Street Michigan LLC | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2014-12-17 |
| 1508267964 | Jessica Zuiderveen Colton | Speech-Language Pathologist | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2014-09-04 |
| 1851720403 | Michelle Martines | Physical Therapy Assistant | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2013-11-04 |
| 1295920726 | Jaclyn Marie Anderson | Occupational Therapist | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1942756259 | Aleeah Bebermeyer | Physical Therapy Assistant | 73 W Fourth St., Sutton Bay, MI 49682 | 2016-08-28 |
| 1619346780 | Kathy Ann Bowers | Registered Nurse | 2300 N. Stallman Rd, Suttons Bay, MI 49682 | 2015-09-18 |
| 1508126517 | Grand Traverse Band of Ottawa and Chippewa Indians | Clinic/Center | 2300 N Stallman Road, Peshawbestown, MI 49682 | 2012-05-23 |
| 1063648491 | John Allen Nagel | Pharmacist | 321 N.st.joseph, Suttons Bay, MI 49682 | 2009-05-29 |
| 1205953395 | Mark Hall Hoffman | Chiropractor | 111 Madison St, Suttons Bay, MI 49682 | 2007-03-23 |
| 1104957109 | Lise C. Zahn | Physical Therapist | 73 Fourth St., Suttons Bay, MI 49682 | 2007-03-08 |
| 1457481251 | Andrea Darlene Xaver | Pharmacist | 321 N. St. Joseph St., Suttons Bay, MI 49682 | 2007-03-07 |
| 1871643858 | Steven David Hall | Dentist | 1299 Southwest Bay Shore Drive, Suttons Bay, MI 49682 | 2007-01-11 |
| 1457441362 | Donald R Mileski | Pharmacist | 321 N Saint Joseph St, Suttons Bay, MI 49682 | 2006-10-13 |
| Find all providers in zip 49682 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700955218 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9711 | 2006-11-07 |
| 1396261681 | Leelanau Opco, LLC | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2017-08-17 |
| 1457759896 | Fmg West Fourth Street Michigan LLC | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2014-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
| City | SUTTONS BAY |
| Zip Code | 49682 |
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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.