EPMG SOUTHERN MICHIGAN PLLC (NPI# 1063075828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063075828 |
| Entity Type | Organization |
| Organization Name | EPMG SOUTHERN MICHIGAN PLLC |
| Practice Address |
5301 E Huron River Rd Ann Arbor MI 48106 |
| Mailing Address |
2000 Green Rd Ste 300 Ann Arbor MI 48105-1575 |
| Practice Telephone | 9548382371 |
| Mailing Telephone | 7346866322 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | ANDREW MULVEY (OFFICER) |
| Authorized Official Telephone | 7346866322 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607126 | Epmg Southern Michigan Pllc | Emergency Medicine | 5301 E Huron River Dr, Ann Arbor, MI 48106 | 2019-03-11 |
| Street Address |
5301 E HURON RIVER RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405103 | Epmg Southwest Michigan Pllc | Emergency Medicine | 5301 E Huron River Rd, Ann Arbor, MI 48106 | 2019-03-11 |
| 1831752674 | Epmg Southwest Michigan Pllc | Nurse Practitioner | 5301 E Huron River Rd, Ann Arbor, MI 48106 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335363 | Epmg Northern Michigan Pllc | Nurse Practitioner | 5301 E Huron River Dr Er, Ann Arbor, MI 48106 | 2019-03-13 |
| 1972005601 | Andie Michelle Stark | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 100, Ann Arbor, MI 48106 | 2018-03-08 |
| 1902308471 | Stacey Pagorek | Physical Therapist | 24 Frank Lloyd Wright Drive Lobby A - Medsport, Ann Arbor, MI 48106 | 2018-03-01 |
| 1386150217 | Joyce Barretto Patterson | Dietitian, Registered | Domino's Farm Lobby C, 24 Frank Lloyd Wright Dr., Suite 1300, Ann Arbor, MI 48106 | 2017-12-14 |
| 1376055350 | Sarah Anne Floyd | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-10-30 |
| 1932639788 | Jasmine Dominique Harris | Specialist/Technologist | 4008 Ave Maria Drive, Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-06-14 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1366738213 | Zeena Husain | Anesthesiology | 5301 East Huron River, Anesthesia Department, Ann Arbor, MI 48106 | 2011-06-20 |
| 1942505458 | Angela Nicole Bartley | Pathology | 5305 E. Huron River Drive, Ann Arbor, MI 48106 | 2011-01-13 |
| 1275866071 | Kellie Nicole Malewski | Social Worker | 5401 Mcauley Dr., Ann Arbor, MI 48106 | 2009-09-10 |
| Find all providers in zip 48106 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624685 | Francisco Bielinki Jr. | Nurse Practitioner | 2355 Devonshire Rd, Ann Arbor, MI 48104-2703 | 2020-03-12 |
| 1609335363 | Epmg Northern Michigan Pllc | Nurse Practitioner | 5301 E Huron River Dr Er, Ann Arbor, MI 48106 | 2019-03-13 |
| 1649771668 | Julie Elizabeth Cain | Nurse Practitioner | 1418 Morton Ave, Ann Arbor, MI 48104-4437 | 2018-02-25 |
| 1689190167 | Sonam Krichbaum | Nurse Practitioner | 302 E Liberty St Ste 201, Ann Arbor, MI 48104-2206 | 2017-08-16 |
| 1013438530 | Keely Marie Blosh | Nurse Practitioner | 1500 E Medical Center Dr # 4321, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 | 2017-07-06 |
| 1821538026 | Natalya Stokely-hamdan | Nurse Practitioner | 3410 Ferry St, Ann Arbor, MI 48103-1905 | 2017-03-07 |
| 1295113199 | Ji-young Byun | Nurse Practitioner | 2251 Gemstone Ct, Ann Arbor, MI 48103-8970 | 2015-05-11 |
| 1528303740 | Teresa Kathleen Reimer | Nurse Practitioner | 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 | 2012-11-28 |
| 1053662981 | Andria Scappaticci Hazergian | Nurse Practitioner | 1500 E Medical Center Dr Bldg 1000312, Ann Arbor, MI 48109-5000 | 2012-10-02 |
| 1114171238 | Donna Lee Auer | Nurse Practitioner | 325 E Eisenhower Plwy, Suite 100, Ann Arbor, MI 48108-5744 | 2008-11-17 |
| Find all providers in ANN ARBOR | ||||
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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.