ANDREA TIDY-CLARISA ALLMAN (NPI# 1033361084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033361084 |
| Entity Type | Individual |
| Full Name | ANDREA TIDY-CLARISA ALLMAN |
| Credential | D.O. |
| Practice Address |
701 S Health Pkwy Three Rivers MI 49093-8352 |
| Mailing Address |
701 S Health Pkwy Medical Staff Office Three Rivers MI 49093-8352 |
| Practice Telephone | 2692739789 |
| Practice Fax Number | 2692739611 |
| Mailing Telephone | 2692739789 |
| Mailing Fax Number | 2692739611 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101018007 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1487658746 | 05 | |
| MI | BC BS MI | 1033361084 | 01 |
| MI | BCBS GROUP-THREE RIVERS HEALTH | 700G560080 | 01 |
| Street Address |
701 S HEALTH PKWY |
| City | THREE RIVERS |
| State | MI |
| Zip Code | 49093-8352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392779 | Srinivasan Adayapalam | Anesthesiology | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2005-11-09 |
| 1083228639 | Lauren Marguerite Vandenberg | Physician Assistant | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2020-09-01 |
| 1104467786 | Michael A Cell | Nurse Practitioner | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-10-04 |
| 1427608785 | Three Rivers Health System, Inc | Nutritionist | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-09-18 |
| 1952968307 | Amanda Lovell | Dietitian, Registered | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-05-21 |
| 1376053686 | Divleen Kaur | Physician Assistant | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2017-10-02 |
| 1821513805 | Jennifer Finnerman | Physical Therapy Assistant | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2017-08-10 |
| 1871039594 | Theresa Montmorency | Dietitian, Registered | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2017-01-19 |
| 1710338843 | Muhammad Saleem | Hospitalist | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2016-06-30 |
| 1053707885 | Elizabeth Palmer | Dietitian, Registered | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833865 | Brandy Peterson | Technician/Technologist | 18511 South River Rd, Three Rivers, MI 49093 | 2015-02-05 |
| 1073933958 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 800 S Us Highway 131 Ste A, Three Rivers, MI 49093 | 2014-04-18 |
| 1184927865 | Autumn Brooke Walton | Counselor | 30 N. Main St., Three Rivers, MI 49093 | 2010-12-17 |
| 1972730877 | Peggy Cahue-kuipers | Counselor | 1020 Millard, Three Rivers, MI 49093 | 2009-06-18 |
| 1215101530 | Raelene Mckeon Kent | Pediatrics | 601 S. Us 131, Three Rivers, MI 49093 | 2008-04-17 |
| 1407043722 | Assisted Living Concepts Inc | Assisted Living Facility | 1215 Ne Elm Street, Three Rivers, MI 49093 | 2007-10-01 |
| 1205047552 | Judith Anderson | Psychologist | 131 Enterprise St, Three Rivers, MI 49093 | 2007-05-25 |
| 1619013240 | Michael Angelo Cucci | Dentist | 221 North Hooker Ave, Three Rivers, MI 49093 | 2007-01-30 |
| 1659421204 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 800 S Us 131, Three Rivers, MI 49093 | 2007-01-12 |
| 1679622401 | Gail Marjorie Woods | Dentist | 57175 North Main Street, Three Rivers, MI 49093 | 2007-01-10 |
| Find all providers in zip 49093 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205075074 | Michigan Emergency Physicians, LLP | Emergency Medicine | 701 South Health Parkway, Three Rivers, MI 49093-8352 | 2009-02-18 |
| 1629495320 | Borgess Medical Center | Emergency Medicine | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2014-03-20 |
| 1942585872 | Three Rivers Emergency Physicians Pllc | Emergency Medicine | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2011-10-11 |
| 1992017107 | Michigan Emergency Physicians LLP | Emergency Medicine | 701 South Health Parkway, Three Rivers, MI 49093-8352 | 2010-07-06 |
| 1205870029 | Karan L Thomas | Emergency Medicine | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2006-06-15 |
| 1881678225 | Mary Fuehr | Emergency Medicine | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2005-11-30 |
| 1992787881 | Patricia Kane | Emergency Medicine | 711 S Health Pkwy, Suite 4, Three Rivers, MI 49093-9387 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
| Find all providers with the same taxonomy | ||||
| City | THREE RIVERS |
| Zip Code | 49093 |
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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.