MCLAREN BAY REGION (NPI# 1053690438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053690438 |
| Entity Type | Organization |
| Organization Name | MCLAREN BAY REGION |
| Practice Address |
558 Lockwood Ln Mio MI 48647 |
| Mailing Address |
558 Lockwood Ln Po Box 460 Mio MI 48647-9387 |
| Practice Telephone | 9898263271 |
| Practice Fax Number | 9898266749 |
| Mailing Telephone | 9898263271 |
| Mailing Fax Number | 9898266749 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | DANIELLE C JACKS PORTER (CFO) |
| Authorized Official Telephone | 9898943838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780722785 | Mclaren Bay Region | Internal Medicine | 1480 W Center Rd Ste 5, Essexville, MI 48732 | 2007-02-02 |
| 1801860218 | Mclaren Bay Region | Rehabilitation Unit | 3250 E Midland Rd, Bay City, MI 48706-2835 | 2006-02-14 |
| 1215484522 | Mclaren Bay Region | Clinic/Center | 4 Columbus Ave, Bay City, MI 48708 | 2016-09-02 |
| 1649690074 | Mclaren Bay Region | Social Worker | 690 S Trumbull St, Bay City, MI 48708 | 2014-04-24 |
| 1386069110 | Mclaren Bay Region | Psychologist | 690 S Trumbull St, Bay City, MI 48708 | 2014-03-04 |
| 1700127818 | Mclaren Bay Region | Internal Medicine | 4680 Mcleod Dr E, Saginaw, MI 48604 | 2013-03-14 |
| 1083974323 | Mclaren Bay Region | Internal Medicine | 640 S Trumbull St, Bay City, MI 48708 | 2012-05-21 |
| 1942560339 | Mclaren Bay Region | Psychologist | 690 S Trumbull St, Bay City, MI 48708 | 2012-05-21 |
| 1508131087 | Mclaren Bay Region | Internal Medicine | 1900 Columbus Ave, Bay City, MI 48708 | 2012-03-15 |
| 1184905796 | Mclaren Bay Region | Nurse Practitioner | 559 Progress St, Suite A, Bldg A, West Branch, MI 48661 | 2011-09-09 |
| Street Address |
558 LOCKWOOD LN |
| City | MIO |
| State | MI |
| Zip Code | 48647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790738375 | Linda Esch | Nurse Practitioner | 558 Lockwood Ln, Mio, MI 48647-9387 | 2006-05-18 |
| 1215550645 | Mclaren Central Michigan | Clinic/Center | 558 Lockwood Ln, Mio, MI 48647-9387 | 2020-05-20 |
| 1639660947 | Kelsie Passmore | Physician Assistant | 558 Lockwood Ln, Mio, MI 48647-9387 | 2018-05-22 |
| 1871522011 | Mclaren Primary Care | Family Medicine | 558 Lockwood Ln, Mio, MI 48647-9387 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831480490 | Terrence Lee Krumbach | Pharmacist | 101 South Morenci, Rite Aid Discount Pharmacy #1715, Mio, MI 48647 | 2011-04-29 |
| 1588961502 | Debra K Alderton Pattullo | Counselor | 831 W. Miller Road, Mcog, Mio, MI 48647 | 2011-02-28 |
| 1982735999 | James Stephens Mangutz | Dentist | 107 E. Eighth St., Mio, MI 48647 | 2007-03-08 |
| 1467719252 | Michigan Physical Therapy, Inc. | Clinic/Center | 124 South Morenci Street, Mio, MI 48647-1032 | 2012-04-18 |
| 1063493989 | Pioneer Family Pharmacy Inc | Pharmacy | 114 South Morenci Ave, Mio, MI 48647-1060 | 2005-11-08 |
| 1700212479 | Family Fitness and Rehabilitation, LLC | Clinic/Center | 122 S Morenci Ave Ste A, Mio, MI 48647-2508 | 2013-09-25 |
| 1457644262 | Richard Daniel Graebner | Pharmacist | 101 S Morenci Ave, Mio, MI 48647-2508 | 2011-05-26 |
| 1164755187 | Angie A. Miller | Pharmacist | 114 S Morenci Ave, Mio, MI 48647-2508 | 2009-09-09 |
| 1043358393 | Michigan Institute of Rehabilitative Services, Inc | Clinic/Center | 122 S. Morenci Avenue, Mio, MI 48647-2508 | 2007-02-01 |
| 1104935659 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 101 South Morenci Street, Mio, MI 48647-2508 | 2006-08-29 |
| Find all providers in zip 48647 | ||||
| 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 |
|---|---|---|---|---|
| 1235788639 | Munson Healthcare Grayling | Family Medicine | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-09 |
| 1871522011 | Mclaren Primary Care | Family Medicine | 558 Lockwood Ln, Mio, MI 48647-9387 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| 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.