MEMORIAL MEDICAL CENTER OF WEST MICHIGAN (NPI# 1174932842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174932842 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
| Practice Address |
2481 N 72nd Ave Hart MI 49420-8008 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318732163 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | MARK VIPPERMAN (PRESIDENT) |
| Authorized Official Telephone | 2318452297 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650160 | Memorial Medical Center of West Michigan | Home Health | 1n Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1932662996 | Memorial Medical Center of West Michigan | Clinic/Center | 230 S Maple St, Grant, MI 49327-9006 | 2019-04-08 |
| 1730642794 | Memorial Medical Center of West Michigan | Clinic/Center | 78 N Division St, Hesperia, MI 49421-5100 | 2019-04-08 |
| 1093161820 | Memorial Medical Center of West Michigan | Clinic/Center | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2016-05-11 |
| 1215396205 | Memorial Medical Center of West Michigan | Clinic/Center | 7 N Atkinson Dr, Suite 113, Ludington, MI 49431-1953 | 2016-02-18 |
| 1982063210 | Memorial Medical Center of West Michigan | Clinic/Center | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2016-02-15 |
| 1538528872 | Memorial Medical Center of West Michigan | Clinic/Center | 907 E Tinkham Ave, Ludington, MI 49431-1537 | 2016-02-15 |
| 1689050783 | Memorial Medical Center of West Michigan | Obstetrics & Gynecology | 250 Nelson Rd, Ludington, MI 49431-1993 | 2015-07-31 |
| 1174908388 | Memorial Medical Center of West Michigan | Obstetrics & Gynecology | 913 E Ludington Ave, Ludington, MI 49431-2437 | 2015-07-29 |
| Street Address |
2481 N 72ND AVE |
| City | HART |
| State | MI |
| Zip Code | 49420-8008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477553816 | John P Cooney | Family Medicine | 2481 N 72nd Ave, Hart, MI 49420 | 2005-07-28 |
| 1730530882 | James Mccann | Social Worker | 2481 N 72nd Ave, Hart, MI 49420-8008 | 2016-06-29 |
| 1861800674 | Memorial Medical Center of West Michigan | Clinic/Center | 2481 N 72nd Ave, Hart, MI 49420-8008 | 2014-07-24 |
| 1588964100 | Elizabeth Ann Hanna | Nurse Practitioner | 2481 N 72nd Ave, Hart, MI 49420-8008 | 2010-10-29 |
| 1083819536 | Marlene Marie Berens | Nurse Practitioner | 2481 N 72nd Ave, Hart, MI 49420-8008 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891216 | Tina Hodges | Speech-Language Pathologist | 701 East Main, Hart, MI 49420 | 2018-12-03 |
| 1760847115 | Jesse Marie Burke | Social Worker | 300 W Johnson Street, Hart, MI 49420 | 2015-12-29 |
| 1184778649 | Peter Mason | Dentist | 110 Dryden St, Hart, MI 49420 | 2007-01-22 |
| 1669418356 | Rudy C Ochs | Family Medicine | 611 E Main St, Hart, MI 49420 | 2006-06-21 |
| 1881646610 | Jennifer L Tate | Physician Assistant | 611 E Main St, Hart, MI 49420 | 2006-05-17 |
| 1043673643 | Amber Leigh Wallace | Licensed Practical Nurse | 113 Riverside Dr, Hart, MI 49420-1077 | 2016-03-31 |
| 1902423239 | Hart Family Dentistry Pllc | Dentist | 110 S Dryden St, Hart, MI 49420-1105 | 2020-07-02 |
| 1285659029 | Douglas S. Brown | Chiropractor | 107 E Main St, Hart, MI 49420-1106 | 2006-07-13 |
| 1700364056 | Christina Delgado | Social Worker | 105 Lincoln St, Hart, MI 49420-1112 | 2018-07-30 |
| 1184789174 | Norma Ann Gilbert | Family Medicine | 24 North State Street, Hart, MI 49420-1121 | 2006-12-27 |
| Find all providers in zip 49420 | ||||
| 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 |
|---|---|---|---|---|
| 1184789174 | Norma Ann Gilbert | Family Medicine | 24 North State Street, Hart, MI 49420-1121 | 2006-12-27 |
| 1477553816 | John P Cooney | Family Medicine | 2481 N 72nd Ave, Hart, MI 49420 | 2005-07-28 |
| 1093710675 | Hart Family Medical Associates PC | Family Medicine | 611 East Main St, Hart, MI 49420-1190 | 2005-06-20 |
| 1962434043 | Paul A Wagner | Family Medicine | 611 East Main St, Hart, MI 49420-1190 | 2006-07-07 |
| 1922030063 | Ronald E Graeser | Family Medicine | 611 E Main St, Hart, MI 49420-1190 | 2006-07-07 |
| 1033148978 | Constance Strbich | Family Medicine | 611 E Main St, Hart, MI 49420-1190 | 2006-07-02 |
| 1669418356 | Rudy C Ochs | Family Medicine | 611 E Main St, Hart, MI 49420 | 2006-06-21 |
| 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 | ||||
Please comment or provide details below to improve the information on MEMORIAL MEDICAL CENTER OF WEST MICHIGAN.
| 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.