DLP MARQUETTE PHYSICIAN PRACTICES INC (NPI# 1982952404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982952404 |
| Entity Type | Organization |
| Organization Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Other Organization Name | MARQUETTE GENERAL NEUROLOGY |
| Practice Address |
580 W College Ave Marquette MI 49855-2736 |
| Practice Telephone | 9062253993 |
| Practice Fax Number | 9062254589 |
| Mailing Telephone | 9062253993 |
| Mailing Fax Number | 9062254589 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | JESS N 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 |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MARQUETTE GENERAL NEUROLOGY | 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 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 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 |
| Street Address |
580 W COLLEGE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196401 | Constance G Arnold | Surgery | 580 W College Ave, Marquette, MI 49855-2705 | 2005-06-28 |
| 1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1912443839 | Michael Charles Rondeau | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2017-01-17 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1275087280 | Stacie Powers | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-08 |
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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 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595858 | Debra J Morley | Psychiatry & Neurology | 1414 W Fair Ave Ste 285, Marquette, MI 49855 | 2005-08-17 |
| 1013130053 | Brian Jon Macfalda | Psychiatry & Neurology | 580 W College Ave, Marquette, MI 49855-2705 | 2007-04-10 |
| 1922065515 | Marquette General Hospital,inc. | Psychiatry & Neurology | 580 W College Ave, Marquette, MI 49855-2705 | 2006-04-27 |
| 1346232220 | Christian M Dinsmore | Psychiatry & Neurology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-17 |
| 1588656466 | Roman E Politi | Psychiatry & Neurology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-17 |
| 1295727188 | Pratap C Gupta | Psychiatry & Neurology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
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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.