MCLAREN PRIMARY CARE (NPI# 1063812766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063812766 |
| Entity Type | Organization |
| Organization Name | MCLAREN PRIMARY CARE |
| Practice Address |
2331 Progress St Suite D West Branch MI 48661-9384 |
| Mailing Address |
1900 Columbus Ave Attn: Mclaren Bay Region Ceo Bay City MI 48708-6831 |
| Practice Telephone | 9893451184 |
| Practice Fax Number | 9893456944 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | DANIELLE C JACKS PORTER (VP/CFO) |
| Authorized Official Telephone | 9898943838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972894566 | Mclaren Primary Care | Family Medicine | 1807 M-55, West Branch, MI 48661-0000 | 2011-04-29 |
| 1154335933 | Mclaren Primary Care | Family Medicine | 2110 S M 76 Ste 6, West Branch, MI 48661-8737 | 2006-07-28 |
| 1861415796 | Mclaren Primary Care | Family Medicine | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2006-07-25 |
| 1255352936 | Mclaren Primary Care | Family Medicine | 200 N. Grand Ave, Prudenville, MI 48651 | 2006-07-21 |
| 1629007786 | Mclaren Primary Care | Family Medicine | 436 W Main St, Hale, MI 48739-9246 | 2006-07-01 |
| 1639108780 | Mclaren Primary Care | Family Medicine | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-07-01 |
| 1568491603 | Mclaren Primary Care | Family Medicine | 5170 Rifle River Trl, Alger, MI 48610-9343 | 2006-07-01 |
| 1629110556 | Mclaren Primary Care | Family Medicine | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2007-02-14 |
| 1164440129 | Mclaren Primary Care | Family Medicine | 559 Progress St, Suite A, Bldg A, West Branch, MI 48661-9399 | 2006-07-18 |
| 1871522011 | Mclaren Primary Care | Family Medicine | 558 Lockwood Ln, Mio, MI 48647-9387 | 2006-07-01 |
| Street Address |
2331 PROGRESS ST SUITE D |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-9384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215987235 | Theodore A Bash | Family Medicine | 2331 Progress St, West Branch, MI 48661-9384 | 2006-05-11 |
| 1528329612 | Kerri Ann Stephens | Nurse Practitioner | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2012-06-05 |
| 1477846111 | Mclaren Bay Region | Nurse Practitioner | 2331 Progress St, Suite D, West Branch, MI 48661 | 2011-05-26 |
| 1285939868 | Jamie J Mulkey | Nurse Practitioner | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2011-01-13 |
| 1932302346 | Mandhir Jamwal | Family Medicine | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2007-06-06 |
| 1629110556 | Mclaren Primary Care | Family Medicine | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2007-02-14 |
| 1457383119 | David Hickman | Nurse Practitioner | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2006-07-06 |
| 1912951955 | Barbara Graf | Physician Assistant | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2006-05-22 |
| 1598716631 | James D Bash | Family Medicine | 2331 Progress St, West Branch, MI 48661-9384 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053461848 | Trust Care Clinic Pllc | Internal Medicine | 611 Court St Lowr Level, Suite B, West Branch, MI 48661-9390 | 2007-01-12 |
| 1962438796 | Laura B Prescott | Internal Medicine | 322 W Houghton Ave, West Branch, MI 48661-1264 | 2006-06-23 |
| 1730674540 | Midmichigan Medical Center- West Branch | Internal Medicine | 2463 S M 30, West Branch, MI 48661 | 2018-06-25 |
| 1720369671 | Mclaren Bay Region | Internal Medicine | 337 E Houghton Ave, West Branch, MI 48661 | 2011-09-06 |
| 1386951382 | Sally Jo Sperbeck | Internal Medicine | 335 E Houghton Ave, Suite 2, West Branch, MI 48661-1127 | 2010-09-12 |
| 1831251982 | Northern Phototherapy Management Facility LLC | Internal Medicine | 337 E Houghton Ave, Suite 3, West Branch, MI 48661-1127 | 2006-12-15 |
| 1447276167 | David Rex Hunter | Internal Medicine | 640 Court St, West Branch, MI 48661 | 2006-07-14 |
| 1881664829 | Hatem M Ataya | Internal Medicine | 611 Court St, West Branch, MI 48661-9390 | 2006-01-24 |
| 1023006822 | Medical Arts Center | Internal Medicine | 2463 S M 30, West Branch, MI 48661-9312 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910687 | Berry Johnson Health Pllc | Internal Medicine | 30123 Rock Creek Dr, Southfield, MI 48076-5358 | 2020-10-24 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1790399798 | Enhua Wang | Internal Medicine | 1215 E Michigan Ave Ste 500, Lansing, MI 48912-1811 | 2020-09-07 |
| 1093329849 | Hey Doc, P.C. | Internal Medicine | 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 | 2020-08-31 |
| 1568074375 | Mohammad Nadeemullah Pllc | Internal Medicine | 5400 Waldenhill Ct, Superior Twp, MI 48198-9654 | 2020-08-21 |
| 1356953723 | Eager Internal Medicine, Pllc | Internal Medicine | 720 N Lapeer Rd Ste 101, Lake Orion, MI 48362-4011 | 2020-08-18 |
| 1144838335 | Ranim Chamseddin | Internal Medicine | 3200 Five Points Dr Unit 110, Auburn Hills, MI 48326-2372 | 2020-07-14 |
| 1407474562 | Pravalika Rudraraju | Internal Medicine | 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 | 2020-07-06 |
| 1780200469 | Abed L Dabaja | Internal Medicine | 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 | 2020-06-18 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
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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.