THUMB PHYSICAL MEDICINE & REHAB (NPI# 1104129303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104129303 |
Entity Type | Organization |
Organization Name | THUMB PHYSICAL MEDICINE & REHAB |
Practice Address |
1117 S Van Dyke Rd Suite 100 Bad Axe MI 48413-8467 |
Practice Telephone | 9892697252 |
Practice Fax Number | 9892697304 |
Mailing Telephone | 9892697252 |
Mailing Fax Number | 9892697304 |
Enumeration Date | 2010-12-09 |
Last Update Date | 2011-03-31 |
Authorized Official Name | DR. JOEL DE GUZMAN (DIRECTOR) |
Authorized Official Telephone | 9892697252 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
4301091071 | MI | Ambulatory Health Care Facilities |
Street Address |
1117 S VAN DYKE RD SUITE 100 |
City | BAD AXE |
State | MI |
Zip Code | 48413-8467 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851369722 | Liberata J Pantig | Internal Medicine | 1117 S Van Dyke Rd, Suite 400, Bad Axe, MI 48413-8467 | 2006-03-08 |
1154942662 | Huron Memorial Hospital | Clinic/Center | 1117 S Van Dyke Rd, Bad Axe, MI 48413-8467 | 2020-05-06 |
1003464165 | Tammy Sue Jurgess | Nurse Practitioner | 1117 S Van Dyke Rd, Bad Axe, MI 48413-8467 | 2019-08-30 |
1316155526 | Angela Stoutenburg-alaouie | Podiatrist | 1117 S Van Dyke Rd, Suite 400, Bad Axe, MI 48413-8467 | 2007-05-19 |
1952433963 | Joel Imperial De Guzman | Physical Medicine & Rehabilitation | 1117 S Van Dyke Rd, Suite 100, Bad Axe, MI 48413-8467 | 2007-03-12 |
1568562494 | Joanna Kala | Psychiatry & Neurology | 1117 S Van Dyke Rd, Bad Axe, MI 48413-8467 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
1760977938 | Joel Kangas | Physical Therapist | 128 W Huron Ave Ste B, Bad Axe, MI 48413 | 2018-06-28 |
1285179630 | Yuliya V. Christensen | Physical Therapy Assistant | 128 W. Huron Ave, Suite B, Bad Axe, MI 48413 | 2016-12-21 |
1659775807 | Trina Fairman | Social Worker | 1375 R. Dale Wertz Dr., Bad Axe, MI 48413 | 2014-10-17 |
1881011971 | Stacy Rae Sievert | Occupational Therapist | 110 E. Huron Avenue, Suite A, Bad Axe, MI 48413 | 2014-03-26 |
1316299720 | Koree Rose Muska | Dietitian, Registered | 1100 S. Van Dyke Rd, Bad Axe, MI 48413 | 2012-10-09 |
1124379433 | Natalie Kate Nugent | Psychologist | 1375 R. Dale Wertz Drive, Bad Axe, MI 48413 | 2012-09-26 |
1851589717 | Accuquest Hearing Centers | Clinic/Center | 1252 Sand Beach Road, Bad Axe, MI 48413 | 2007-10-04 |
1861685307 | Yasir Osman Ahmed Babiker | Internal Medicine | 1060 S Van Dyke, Suite 300, Bad Axe, MI 48413 | 2007-08-18 |
1356419675 | Avelina Oxholm-dababneh | Family Medicine | 1040 S Van Dyke, Suite 1, Bad Axe, MI 48413 | 2006-12-04 |
Find all providers in zip 48413 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1265081418 | Cherry Street Services Inc | Clinic/Center | 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 | 2019-09-10 |
1023662079 | J & D Vision Inc | Clinic/Center | 41821 Garfield Rd, Clinton Twp, MI 48038-1965 | 2019-07-29 |
1649839945 | Michigan Institute of Sleep Disorders Pllc | Clinic/Center | 7108 Autumn Hill Dr, West Bloomfield, MI 48323-3904 | 2019-06-10 |
1447715131 | Ryan Klanseck, Do | Clinic/Center | 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795 | 2019-02-06 |
1598242455 | Gratiot Advanced Center LLC | Clinic/Center | 7612 Gratiot Ave Ste 200, Detroit, MI 48213-2822 | 2018-07-24 |
1902356140 | Midmichigan Pain | Clinic/Center | 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 | 2016-10-12 |
1184085516 | Hester S Pernell Md Pllc | Clinic/Center | 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 | 2016-03-12 |
1275937625 | Innovative Anesthesia Services PC | Clinic/Center | 847 Parchment Dr Se Ste 105, Grand Rapids, MI 49546 | 2014-10-14 |
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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.