DLP MARQUETTE PHYSICIAN PRACTICES INC (NPI# 1902157027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902157027 |
| Entity Type | Organization |
| Organization Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Other Organization Name | MARQUETTE GENERAL RADIOLOGY |
| Practice Address |
420 W Magnetic St Marquette MI 49855-2700 |
| Practice Telephone | 9062253466 |
| Mailing Telephone | 9062253466 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | JESS JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | Y |
| Parent Organization Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1902157027 | 05 |
| Other Name | Type Code |
|---|---|
| MARQUETTE GENERAL RADIOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205184876 | Dlp Marquette Physician Practices Inc | Clinic/Center | E 2995 State Hwy M67, Trenary, MI 49891-0125 | 2012-08-29 |
| 1053667550 | Dlp Marquette Physician Practices Inc | Nurse Practitioner | 2002 Minneapolis Ave, Gladstone, MI 49837-2027 | 2012-08-02 |
| 1659711448 | Dlp Marquette Physician Practices Inc | Obstetrics & Gynecology | 1414 W Fair Ave, Ste 24, Marquette, MI 49855-2675 | 2013-06-26 |
| 1215287362 | Dlp Marquette Physician Practices Inc | Clinical Neuropsychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2012-09-17 |
| 1184972143 | Dlp Marquette Physician Practices Inc | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2012-08-23 |
| 1992053953 | Dlp Marquette Physician Practices Inc | Audiologist | 580 W College Ave, Marquette, MI 49855-2736 | 2012-08-23 |
| 1013265065 | Dlp Marquette Physician Practices Inc | Physical Medicine & Rehabilitation | 580 W College Ave, Marquette, MI 49855-2736 | 2012-08-23 |
| 1265780621 | Dlp Marquette Physician Practices Inc | Preventive Medicine | 1414 W Fair Ave, Ste 35, Marquette, MI 49855-2675 | 2012-08-16 |
| 1366790727 | Dlp Marquette Physician Practices Inc | Physician Assistant | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-16 |
| 1073861431 | Dlp Marquette Physician Practices Inc | Surgery | 1414 W Fair Ave, Ste 334, Marquette, MI 49855-2675 | 2012-08-16 |
| Street Address |
420 W MAGNETIC ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959750 | Marquette General Hospital, Inc. | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2005-06-01 |
| 1811382641 | Dlp Marquette General Hospital LLC | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2700 | 2015-03-30 |
| 1720429566 | Carol Buentello | Nurse Practitioner | 420 W Magnetic St, Marquette, MI 49855-2700 | 2013-07-09 |
| 1174871305 | Dlp Marquette General Hospital LLC | Rehabilitation, Substance Use Disorder Unit | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-20 |
| 1366790727 | Dlp Marquette Physician Practices Inc | Physician Assistant | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-16 |
| 1699022590 | Dlp Marquette General Hospital LLC | Hearing Aid Equipment | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-09 |
| 1942505268 | Marquette General Hospital | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Marquette, MI 49855-2711 | 2011-01-18 |
| 1598078933 | Marquette General Health Systems | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2010-07-14 |
| 1164746475 | Tricia Leigh Tollenaar | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Dept., Marquette, MI 49855-2711 | 2010-03-16 |
| 1174845374 | Jeremy Joseph Lafave | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Department, Marquette, MI 49855-2711 | 2010-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134211931 | Charles Stephen Henry | Radiology | 581 Lakewood Ln, Marquette, MI 49855-9544 | 2006-09-29 |
| 1912099714 | Heidi Kristine Henry | Radiology | 420 E Hewitt Ave, Marquette, MI 49855-3714 | 2006-09-29 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1427383009 | Marquette General Hospital, Inc. | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2009-10-15 |
| 1841450772 | John Pietila | Radiology | 710 Chippewa Sq, Suite 101, Marquette, MI 49855-4821 | 2008-06-13 |
| 1396916094 | Excalibur Medical Imaging, LLC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2008-03-20 |
| 1275672867 | Hasnain Haider-shah | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2007-02-06 |
| 1902998792 | Stephane Grijseels | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-09-29 |
| 1730283805 | Christina Arnoldus | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2006-09-11 |
| 1003847856 | Northcoast Radiology Associates, PC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-07-06 |
| Find all providers in MARQUETTE | ||||
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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.