BAYBROOK MEDICAL CENTER (NPI# 1053307611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053307611 |
| Entity Type | Organization |
| Organization Name | BAYBROOK MEDICAL CENTER |
| Practice Address |
1691 M 32 W Suite 300 Alpena MI 49707-8210 |
| Practice Telephone | 9893547666 |
| Practice Fax Number | 9893547595 |
| Mailing Telephone | 9893547666 |
| Mailing Fax Number | 9893547595 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2008-05-30 |
| Authorized Official Name | MRS. KARIE KAYE BLEAU (BILLER) |
| Authorized Official Telephone | 9893547666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4286318 | 05 | |
| MI | BLUE CROSS BLUE SHIELD OF MI | 010Z40570 | 01 |
| Street Address |
1691 M 32 W SUITE 300 |
| City | ALPENA |
| State | MI |
| Zip Code | 49707-8210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003292905 | Alpena Redicare Walk-in Clinic, Pllc | Family Medicine | 1691 M 32 W, Suite 2, Alpena, MI 49707-8210 | 2015-08-03 |
| 1669712907 | Grand Lake Health Center LLC | Nurse Practitioner | 1691 M 32 W, Suite 300, Alpena, MI 49707-8210 | 2013-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969261 | Alisha Allen | Counselor | Charis Counseling Services of Northeast Michigan, Pllc, 311 N. 2nd Ave, Alpena, MI 49707 | 2019-08-30 |
| 1376015032 | Rachel Marie Vercnocke | Physical Therapist | Midmichigan Home Care, 1521 W. Chisholm Street, Alpena, MI 49707 | 2018-12-19 |
| 1245731405 | Alcona Citizens for Health, Inc. | Clinic/Center | 3036 French Rd, Alpena, MI 49707 | 2018-02-23 |
| 1750775417 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1251 M32w W. Washington Ave., Alpena, MI 49707 | 2015-03-20 |
| 1962895136 | Florencio Cusip Agustin IIi | Physical Therapist | 437 W. Washington Ave, Alpena, MI 49707 | 2015-03-12 |
| 1659762110 | James L Counsellor | Counselor | 115 N First Ave Ste 101, Alpena, MI 49707 | 2015-02-05 |
| 1093002099 | Geraldine Zachos Williams | Chiropractor | 525 S. State Ave, Alpena, MI 49707 | 2011-06-29 |
| 1023310224 | Steven A Machulis | Specialist/Technologist, Other | 225 Long Lake Ave, Alpena, MI 49707 | 2010-11-22 |
| 1578727335 | Allan Paul Frank | Internal Medicine | 2079 South State, Alpena, MI 49707 | 2008-07-10 |
| 1215116025 | Rong Lawson | Family Medicine | Alpena Medical Arts, PC, 211 Long Rapids Road, Alpena, MI 49707 | 2007-10-29 |
| Find all providers in zip 49707 | ||||
| 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 |
|---|---|---|---|---|
| 1598908063 | Jessica Glenn-beatty | Family Medicine | 114 E Oldfield St, Alpena, MI 49707-2354 | 2009-04-14 |
| 1215116025 | Rong Lawson | Family Medicine | Alpena Medical Arts, PC, 211 Long Rapids Road, Alpena, MI 49707 | 2007-10-29 |
| 1457490609 | David Dennis Dargis | Family Medicine | 109 S 13th Ave, Alpena, MI 49707-1609 | 2007-02-05 |
| 1821140666 | Integrated Family Care, PC | Family Medicine | 5541 N Point Rd, Alpena, MI 49707-8909 | 2007-01-18 |
| 1073507158 | Thomas J Cook | Family Medicine | 346 Long Rapids Plz, Alpena, MI 49707-1374 | 2005-09-06 |
| 1679094353 | Alcona Citizens for Health, Inc. | Family Medicine | 346 Long Rapids Plz, Alpena, MI 49707-1374 | 2017-07-03 |
| 1003292905 | Alpena Redicare Walk-in Clinic, Pllc | Family Medicine | 1691 M 32 W, Suite 2, Alpena, MI 49707-8210 | 2015-08-03 |
| 1962763284 | Thunder Bay Community Health Service, Inc | Family Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2012-06-04 |
| 1972871929 | Alpena Medical Arts, PC | Family Medicine | 211 Long Rapids Rd, Alpena, MI 49707-1315 | 2011-12-06 |
| 1740411461 | Indigo Hospital Medicine - Alpena, Plc | Family Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2009-07-29 |
| Find all providers in ALPENA | ||||
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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.