MICHAEL FOSSEL (NPI# 1205822756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205822756 |
| Entity Type | Individual |
| Full Name | MICHAEL FOSSEL |
| Credential | MD |
| Practice Address |
9464 Conservation St Ne Ada MI 49301-9752 |
| Practice Telephone | 6166768779 |
| Mailing Telephone | 6166768779 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2012-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301046371 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1658868 | 05 |
| Street Address |
9464 CONSERVATION ST NE |
| City | ADA |
| State | MI |
| Zip Code | 49301-9752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
| Find all providers in zip 49301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085829 | Bradley Brown | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2018-06-05 |
| 1407288756 | Tyrone Philipson | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-08-08 |
| 1104266659 | Joshua Medved | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2013-06-28 |
| 1265775738 | Benjamin D. Lynch | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-04-02 |
| 1407144728 | Justin Kent Roulston | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2011-07-20 |
| 1811280506 | Steven Matthew Gearhart | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2011-05-27 |
| 1366750069 | Brian Gaddis | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2010-09-16 |
| 1427214022 | Michael Gearhart | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2008-08-03 |
| 1285758904 | Kent Denson | Emergency Medicine | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2007-03-19 |
| 1497825160 | Alexia Smith Willis | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-11-09 |
| Find all providers in ADA | ||||
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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.