PHYSICIAN MANAGEMENT SERVICES OF MICHIGAN II, LLC (NPI# 1831796374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831796374 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN MANAGEMENT SERVICES OF MICHIGAN II, LLC |
| Practice Address |
920 W Wackerly St Midland MI 48640-2700 |
| Mailing Address |
3113 Lawton Rd Ste 250 Orlando FL 32803-3517 |
| Practice Telephone | 8888298550 |
| Mailing Telephone | 8888298550 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | BRETT KENEFICK (PRESIDENT) |
| Authorized Official Telephone | 8888298550 |
| Is Organization Subpart | Y |
| Parent Organization Name | VAXCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
920 W WACKERLY ST |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063487411 | Lorenzo D Berlanga | Family Medicine | 920 W Wackerly St, Midland, MI 48640-2700 | 2006-02-21 |
| 1255996591 | Physician Management Services of Michigan, LLC | Family Medicine | 920 W Wackerly St, Midland, MI 48640-2700 | 2019-05-02 |
| 1598272668 | Beccalynne Myriah Carson | Physician Assistant | 920 W Wackerly St, Midland, MI 48640-2700 | 2018-01-10 |
| 1134656069 | Megan Lynn Welke | Social Worker | 920 W Wackerly St, Midland, MI 48640-2798 | 2017-05-23 |
| 1063810653 | Denise Kay Schaffert | Pediatrics | 920 W Wackerly St, Midland, MI 48640-2700 | 2014-12-12 |
| 1154602944 | Eric J Rocker | Physician Assistant | 920 W Wackerly St, Midland, MI 48640-2700 | 2011-09-07 |
| 1184656159 | Jeffery T Archbold | Family Medicine | 920 W Wackerly St, Midland, MI 48640-2700 | 2006-07-07 |
| 1558316976 | Cindy L Beadle | Physician Assistant | 920 W Wackerly St, Midland, MI 48640-2700 | 2006-05-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1982202263 | Stonehaven Medical Group, Pllc | Family Medicine | 4507 Santa Rosa Dr, Midland, TX 79707-2260 | 2020-10-09 |
| 1346888625 | Kw Medical Pllc | Family Medicine | 2300 W Michigan Ave Ste 7, Midland, TX 79701-5808 | 2019-12-17 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1104351055 | Mh Health Care Services, PC | Family Medicine | 2201 Fm 715, C/o Endeavor Family Clinic, Midland, TX 79706-4211 | 2017-04-28 |
| 1407380660 | Bel Esc Wellness Pllc | Family Medicine | 2304 W Michigan Ave Ste A, Midland, TX 79701-5830 | 2017-04-14 |
| 1588078620 | Melissa Weckesser | Family Medicine | 4611 Campus Ridge, Midland, MI 48670-6122 | 2014-06-17 |
| 1619388774 | Zachary Paul Castle | Family Medicine | 3415 N Loop 250 W Bldg 4, Midland, TX 79707-6034 | 2014-05-12 |
| 1447598875 | Bhuvana Balasekaran Md Pa | Family Medicine | 1301 W Wall St, Ste C, Midland, TX 79701-6621 | 2013-01-18 |
| 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.