THREE RIVERS HEALTH SYSTEM, INC (NPI# 1992197925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992197925 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS HEALTH SYSTEM, INC |
| Practice Address |
7971 Moorsbridge Rd Portage MI 49024-4075 |
| Practice Telephone | 2693232094 |
| Practice Fax Number | 2693232095 |
| Mailing Telephone | 2693232094 |
| Mailing Fax Number | 2693232095 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2018-03-15 |
| Authorized Official Name | WILLIAM RUSSELL (CEO/PRESIDENT) |
| Authorized Official Telephone | 2692739601 |
| Is Organization Subpart | Y |
| Parent Organization Name | THREE RIVERS HEALTH SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124390307 | Three Rivers Health System, Inc | Podiatrist | 1021 Hill St Ste 300, Three Rivers, MI 49093-2744 | 2012-02-02 |
| 1346874070 | Three Rivers Health System, Inc | Internal Medicine | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2020-03-03 |
| 1821631334 | Three Rivers Health System, Inc | Clinic/Center | 16587 Enterprise Dr, Three Rivers, MI 49093-7902 | 2019-10-28 |
| 1427608785 | Three Rivers Health System, Inc | Nutritionist | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-09-18 |
| 1376196691 | Three Rivers Health System, Inc | Social Worker | 1101 Jefferson St, Three Rivers, MI 49093-1024 | 2019-07-17 |
| 1174065767 | Three Rivers Health System, Inc | Plastic Surgery | 1021 Hill St, Suite 300, Three Rivers, MI 49093-2745 | 2016-11-14 |
| 1790144079 | Three Rivers Health System, Inc | Family Medicine | 850 S Health Pkwy, Three Rivers, MI 49093-8358 | 2016-02-16 |
| 1942669296 | Three Rivers Health System, Inc | Otolaryngology | 3850 Glenkerry Ct, Portage, MI 49024-0700 | 2016-02-15 |
| 1093113151 | Three Rivers Health System, Inc | Family Medicine | 850 S Health Pkwy, Three Rivers, MI 49093-8358 | 2014-12-05 |
| 1245668383 | Three Rivers Health System, Inc | Clinic/Center | 110 E Main St, Marcellus, MI 49067-5102 | 2013-10-29 |
| Street Address |
7971 MOORSBRIDGE RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994841 | Scott Donald Holley | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2005-07-06 |
| 1366976912 | Kyle L Purdum | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2017-04-19 |
| 1720538341 | Southwest Michigan Plastic and Hand Surgery, PC | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2016-10-06 |
| 1386027977 | Diana Calderon | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2015-07-01 |
| 1386987311 | Kristina Machiri | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2013-03-27 |
| 1215181557 | Craig Michael Bradfield | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2008-11-13 |
| 1336335785 | Great Lakes Plastic Reconstructive & Hand Surgery P C | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2007-09-19 |
| 1316169303 | Bryan Lee Herder | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2007-05-02 |
| 1760603427 | Nancy Ellen Krolikowski | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2007-05-01 |
| 1437378932 | Great Lakes Hand Therapy PC | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952846776 | Veronica Alexis Kacmar-fedorchak | Podiatrist | 3215 Willowcreek Rd, Portage, IN 46368-5013 | 2017-01-03 |
| 1457596793 | Southwest Footcare Specialists, P.C. | Podiatrist | 6812 Shallowford Way, Portage, MI 49024-1715 | 2008-12-15 |
| 1295996502 | Portage Podiatry PC | Podiatrist | 1508 W Centre Ave, Portage, MI 49024-5356 | 2008-06-19 |
| 1982728200 | Podiatric Medical Associates PC | Podiatrist | 6289 Central Ave, Portage, IN 46368-3725 | 2007-03-19 |
| 1851498117 | Gentle Touch Foot Care, P.C. | Podiatrist | 5347 Wisteria St, Portage, MI 49002-0435 | 2006-09-20 |
| 1184662496 | Frederick N. Fedorchak | Podiatrist | 3215 Willowcreek Road, Portage, IN 46368-5013 | 2006-06-02 |
| 1306824040 | James H Simonds | Podiatrist | 126 E Kilgore Rd, Portage, MI 49002-0598 | 2006-01-04 |
| 1790156214 | Community Care Network, Inc | Podiatrist | 6375 Us Highway 6, Suite D, Portage, IN 46368-5217 | 2015-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056665 | Radu Purtuc Dpm Pllc | Podiatrist | 20005 Hidden Oaks Dr, Brownstown, MI 48183-3276 | 2020-09-03 |
| 1790300978 | Bhavik Patel | Podiatrist | 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075-4818 | 2020-06-12 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1770104580 | Ali Chami | Podiatrist | 20115 River Oaks Dr, Dearborn Heights, MI 48127-2709 | 2020-05-04 |
| 1780233627 | Bloomfield Foot & Ankle Specialists Pllc | Podiatrist | 43750 Woodward Ave Ste 102, Bloomfield Hills, MI 48302-5063 | 2019-09-04 |
| 1063068435 | Monaghan Post-vasold Podiatry Plc | Podiatrist | 5377 N Waldo Rd, Midland, MI 48642-9713 | 2019-08-12 |
| 1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
| 1285297481 | J Weber Medical Group Pllc | Podiatrist | 620 Woodmere Ave Ste C, Traverse City, MI 49686-3397 | 2019-04-15 |
| 1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
| 1780182907 | Jeffrey Schwalb Dpm Pllc | Podiatrist | 5755 W Maple Rd Ste 115, W Bloomfield, MI 48322-4415 | 2018-01-23 |
| Find all providers with the same taxonomy | ||||
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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.