DR. HAROLD JAMES WILLENS (NPI# 1205859477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205859477 |
| Entity Type | Individual |
| Full Name | DR. HAROLD JAMES WILLENS |
| Credential | MD |
| Practice Address |
560 W Mitchell St Suite 400 Petoskey MI 49770-2275 |
| Practice Telephone | 2314872490 |
| Practice Fax Number | 2314876055 |
| Mailing Telephone | 2314872490 |
| Mailing Fax Number | 2314876055 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301038344 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD INDIVIDUAL PI | 0602402031 | 01 |
| MI | BLUE CARE NETWORK | P54456 | 01 |
| MI | 4087252 | 05 |
| Street Address |
560 W MITCHELL ST SUITE 400 |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156940 | Melanie S Manary | Internal Medicine | 560 W Mitchell St, Ste 300, Petoskey, MI 49770-2278 | 2005-06-30 |
| 1346862455 | Mclaren Central Michigan | Clinic/Center | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2020-05-12 |
| 1841732617 | Dawn Ebersole | Nurse Practitioner | 560 W Mitchell St, Suite M40, Petoskey, MI 49770-2275 | 2016-11-10 |
| 1689025363 | Kasey Peltier | Nurse Practitioner | 560 W Mitchell St, Suite 505, Petoskey, MI 49770-2275 | 2016-06-24 |
| 1912390741 | Twin Oaks Mental Health Center, LLC | Clinic/Center | 560 W Mitchell St, Suite 208, Petoskey, MI 49770-2275 | 2015-03-18 |
| 1053728840 | Kristi Lynn Dipzinski | Nurse Practitioner | 560 W Mitchell St, Suite 300, Petoskey, MI 49770-2275 | 2014-07-14 |
| 1609281401 | Cale M Sebald | Internal Medicine | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2014-07-01 |
| 1942629530 | Robin Brooks | Audiologist | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2014-04-10 |
| 1295074128 | Lindsay Ann Potts | Physician Assistant | 560 W Mitchell St, Suite 505, Petoskey, MI 49770-2275 | 2013-02-13 |
| 1720327695 | Harbor Neurology Plc | Psychiatry & Neurology | 560 W Mitchell St, Suite 350, Petoskey, MI 49770-2275 | 2013-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1912169715 | The Cardiac Institute | Internal Medicine | 560 W. Mitchell, Suite 400, Petoskey, MI 49770-2212 | 2008-07-02 |
| 1245273069 | Harry T. Colfer | Internal Medicine | 560 W. Mitchell St., St. #400, Petoskey, MI 49770 | 2006-06-13 |
| 1750596466 | Jason M Ricci | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2007-05-14 |
| 1306985338 | Linda Gossett | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2007-02-06 |
| 1255354411 | William Lloyd Meengs | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2006-07-26 |
| 1467475517 | Patrick M Maloney | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2006-07-26 |
| 1407879620 | Gerald A. Gadowski | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2006-07-26 |
| 1245253392 | Duane W Schuil | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2006-07-26 |
| 1316960487 | Louis A Cannon | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2006-07-26 |
| 1336160555 | Andrew H Teklinski | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2006-07-22 |
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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.