PROMEDICA CORPORATION OF MICHIGAN


Address: 1671 W Michigan Ave, Suite A, Clinton, MI 49236-8702
Phone: 5174564171

PROMEDICA CORPORATION OF MICHIGAN (NPI# 1780711002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780711002
Entity Type Organization
Organization Name PROMEDICA CORPORATION OF MICHIGAN
Other Organization Name JOHN R. GOSLING
Practice Address 1671 W Michigan Ave
Suite A
Clinton
MI 49236-8702
Practice Telephone 5174564171
Practice Fax Number 5174564600
Enumeration Date 2007-02-27
Last Update Date 2008-04-20
Authorized Official Name KIMBERLY GOVAN (CREDENTIALING SPECIALIST)
Authorized Official Telephone 4198247221

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ========= MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI RRMC CD9268 01

Other Provider/Organization Names

Other Name Type Code
John R. Gosling Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518094721 Promedica Corporation of Michigan Internal Medicine 13101 Sims Hwy, Morenci, MI 49256-1030 2007-02-27
1316073703 Promedica Corporation of Michigan Family Medicine 9205 East Us Highway 23, Blissfield, MI 49228 2007-02-27
1689945172 Promedica Corporation of Michigan Otolaryngology 240 W Carleton Rd, Hillsdale, MI 49242-5034 2012-01-16
1083981302 Promedica Corporation of Michigan Internal Medicine 157 W Brooke Ln, Blissfield, MI 49228-8601 2011-12-01
1154548592 Promedica Corporation of Michigan Obstetrics & Gynecology 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 2007-04-19
1790812907 Promedica Corporation of Michigan Family Medicine 777 Kimole Ln, Suite 230, Adrian, MI 49221-1478 2007-02-27
1477689859 Promedica Corporation of Michigan Family Medicine 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 2007-02-27
1942336326 Promedica Corporation of Michigan Surgery 10 Cairns St, Tecumseh, MI 49286-1202 2007-02-27
1588791925 Promedica Corporation of Michigan Internal Medicine 818 Riverside Ave, 5th Floor Cardiology, Adrian, MI 49221-1446 2007-02-27
1982731204 Promedica Corporation of Michigan Obstetrics & Gynecology 501 E Cummins St, Tecumseh, MI 49286-2070 2007-02-27

Office Location

Street Address 1671 W MICHIGAN AVE
SUITE A
City CLINTON
State MI
Zip Code 49236-8702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356328124 Laurie Boyd Nurse Practitioner 1671 W Michigan Ave, Suite A, Clinton, MI 49236-8702 2005-12-22
1386027480 Athletico Ltd Physical Therapist 1671 W Michigan Ave, Clinton, MI 49236-8702 2015-07-07
1770870479 Susan Mullinix Physical Therapist 1671 W Michigan Ave, Ste D, Clinton, MI 49236 2011-07-01
1841395183 David Randolph Levitsky Podiatrist 1671 W Michigan Ave, Ste C-1, Clinton, MI 49236-8702 2006-09-13
1154426484 Clinton Foot & Ankle Clinic PC Podiatrist 1671 W Michigan Ave, Ste C-1, Clinton, MI 49236-8702 2006-09-13
1033196803 Sherry Bumpus Nurse Practitioner 1671 W Michigan Ave, Suite A, Clinton, MI 49236-8702 2005-12-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790976884 Wendy A. Jativa Dentist 147 West Michigan Ave, Clinton, MI 49236 2007-08-05
1568682938 Dennis Richard Kaechele Dentist 1671 West Us Hwy 12, Suite B, Clinton, MI 49236 2007-04-26
1073641817 Thomas Anthony Pinard Chiropractor 1671 W Michigan Ave Ste A-2, Clinton, MI 49236 2007-03-02
1720125842 Jan M Rizzo Dds PC Clinic/Center 147 West Michigan Avenue, Clinton, MI 49236 2007-01-30
1184711699 Schmidt & Sons Pharmacy of Clinton Inc Durable Medical Equipment & Medical Supplies 140 W. Michigan Ave., Clinton, MI 49236 2006-10-06
1518059765 Per Okey Family Medicine 301 W. Franklin Street, Clinton, MI 49236 2006-09-28
1720103997 Thomas Steven Kosmyna Chiropractor 301 W Michigan Ave, Clinton, MI 49236 2007-03-20
1164996344 Pinard Chiropractic Chiropractor 1671 W Michigan Ave Ste A-2, Clinton, MI 49236-8702 2019-01-22
1811454705 Marcia Jane Rodakowski Counselor 308 Oak Tree Drive, Clinton, MI 49236-9450 2019-02-27
1013992577 Cleon Sherrill Grooms Physical Therapist 301 W Michigan Ave, Clinton, MI 49236-9502 2005-12-07
Find all providers in zip 49236

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528538758 Premier Health Care LLC Internal Medicine 8023 Malcolm Rd, Clinton, MD 20735-1717 2018-11-30
1871913970 Whitney Philamlee Internal Medicine 2526 Highway 65 S Ste 202, Clinton, AR 72031-6678 2014-04-16
1275967564 Total Health Internal Medicine, Pllc Internal Medicine 602 Beaman St, Unit 606, Clinton, NC 28328-2604 2013-08-22
1649546995 Mitesh V Shah Internal Medicine 7801 Old Branch Ave Ste 202, Clinton, MD 20735-1642 2012-03-30
1013141621 Shannon S Swift Internal Medicine 175 Volunteer Pkwy, Clinton, AR 72031-8001 2009-05-11
1992964316 Keyteshia Guy Internal Medicine 10403 Hospital Dr Ste 103, Clinton, MD 20735-3149 2008-06-02
1265617088 Paul Edward Viser Internal Medicine 603 Beaman St Ste 401, Clinton, NC 28328-2689 2007-12-31
1912119371 Nancy Patel Internal Medicine 700 Plaza Cir Ste N, Clinton, SC 29325 2007-05-05
1760517692 Anne Owusu Internal Medicine 28373 Hwy 76 E, Clinton, SC 29325-0239 2007-02-22
1255479705 Saleh Obaisi Md Ltd Internal Medicine 505 W Side Sq, Clinton, IL 61727-1661 2007-02-04
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 49236

Improve Information

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Dataset Information

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.

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