MCLAREN BAY REGION (NPI# 1780722785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780722785 |
| Entity Type | Organization |
| Organization Name | MCLAREN BAY REGION |
| Practice Address |
1480 W Center Rd Ste 5 Essexville MI 48732 |
| Mailing Address |
1900 Columbus Ave Bay City MI 48708-6831 |
| Practice Telephone | 9898954625 |
| Practice Fax Number | 9898954626 |
| Mailing Telephone | 9898943000 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | DANIELLE C JACKS PORTER (CFO) |
| Authorized Official Telephone | 9898943838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 700Z946010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801860218 | Mclaren Bay Region | Rehabilitation Unit | 3250 E Midland Rd, Bay City, MI 48706-2835 | 2006-02-14 |
| 1215484522 | Mclaren Bay Region | Clinic/Center | 4 Columbus Ave, Bay City, MI 48708 | 2016-09-02 |
| 1649690074 | Mclaren Bay Region | Social Worker | 690 S Trumbull St, Bay City, MI 48708 | 2014-04-24 |
| 1386069110 | Mclaren Bay Region | Psychologist | 690 S Trumbull St, Bay City, MI 48708 | 2014-03-04 |
| 1700127818 | Mclaren Bay Region | Internal Medicine | 4680 Mcleod Dr E, Saginaw, MI 48604 | 2013-03-14 |
| 1083974323 | Mclaren Bay Region | Internal Medicine | 640 S Trumbull St, Bay City, MI 48708 | 2012-05-21 |
| 1942560339 | Mclaren Bay Region | Psychologist | 690 S Trumbull St, Bay City, MI 48708 | 2012-05-21 |
| 1508131087 | Mclaren Bay Region | Internal Medicine | 1900 Columbus Ave, Bay City, MI 48708 | 2012-03-15 |
| 1184905796 | Mclaren Bay Region | Nurse Practitioner | 559 Progress St, Suite A, Bldg A, West Branch, MI 48661 | 2011-09-09 |
| 1720369671 | Mclaren Bay Region | Internal Medicine | 337 E Houghton Ave, West Branch, MI 48661 | 2011-09-06 |
| Street Address |
1480 W CENTER RD STE 5 |
| City | ESSEXVILLE |
| State | MI |
| Zip Code | 48732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346758802 | Jonathan A Dereszynski | Massage Therapist | 1491 N Wagner Rd, Essexville, MI 48732 | 2018-01-18 |
| 1033668710 | Cody Forbes | Specialist/Technologist | 1818 Golfview Drive, Apt 3, Essexxville, MI 48732 | 2016-09-23 |
| 1437510021 | Timothy Phillips | Technician, Other | 853 N. Sheurmann Rd. Apt.404, Essexville, MI 48732 | 2016-03-10 |
| 1326434986 | Allen Wang | Pharmacist | 3592 Center Ave Ste 1, Essexville, MI 48732 | 2015-04-10 |
| 1093978173 | Rashmi Goyal | Psychiatry & Neurology | 1100 Culver Road, Essexville, MI 48732 | 2008-07-08 |
| 1508060310 | Michelle L Scharnott | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732 | 2007-06-14 |
| 1437376902 | Care and Delivery Services Inc. | Home Health | 1215 N. Pine Rd, Essexville, MI 48732 | 2007-04-19 |
| 1255456265 | Bobby Joe Jones | Dentist | 1480 W Center, Suite 7, Essexville, MI 48732 | 2007-03-20 |
| 1841363439 | Marianne M Vandenboom | Counselor | 1332 Prospect Avenue, Tuscola Behavioral Health, Caro, MI 48732 | 2006-11-15 |
| 1922189620 | Do-all, Inc. | Day Training, Developmentally Disabled Services | 1465 W Center Road, Essexville, MI 48732 | 2006-10-18 |
| Find all providers in zip 48732 | ||||
| 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 |
|---|---|---|---|---|
| 1952538613 | Lily Sabouri | Family Medicine | 700 Boston Ave, Essexville, MI 48732-3110 | 2009-06-19 |
| 1508060310 | Michelle L Scharnott | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732 | 2007-06-14 |
| 1174513766 | William Ray Morrone | Family Medicine | 863 N Pine Rd, Ste. A, Essexville, MI 48732-2159 | 2005-10-25 |
| 1720075229 | Robert Kellogg Hafford | Family Medicine | 700 Borton Ave, Essexville, MI 48732-3110 | 2005-09-30 |
| 1407478563 | Peter Huynh | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732-2151 | 2020-05-12 |
| 1558983692 | Ahmed Michael Beydoun | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732-2151 | 2020-05-12 |
| 1831732809 | Rupendra Ghatak | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732-2151 | 2019-10-23 |
| 1366000895 | Anna Miracle | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732-2151 | 2019-05-30 |
| 1043877137 | Maxwell White | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732-2151 | 2019-05-23 |
| 1205493467 | Erin Campau | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732-2151 | 2019-05-23 |
| Find all providers in ESSEXVILLE | ||||
| City | ESSEXVILLE |
| Zip Code | 48732 |
Please comment or provide details below to improve the information on MCLAREN BAY REGION.
| 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.