MARK E DIBBET (NPI# 1215953948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215953948 |
| Entity Type | Individual |
| Full Name | MARK E DIBBET |
| Credential | MD |
| Practice Address |
234 Lake St Roscommon MI 48653-9203 |
| Practice Telephone | 9892751200 |
| Practice Fax Number | 9892751210 |
| Mailing Telephone | 9892751200 |
| Mailing Fax Number | 9892751210 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301070153 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4624747 | 05 | |
| MI | 4647170 | 05 |
| Street Address |
234 LAKE ST |
| City | ROSCOMMON |
| State | MI |
| Zip Code | 48653-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376597807 | Mhsn Roscommon Mpca | Clinic/Center | 234 Lake St, Roscommon, MI 48653-9203 | 2006-05-20 |
| 1811347479 | Allyson Barker | Family Medicine | 234 Lake St, Roscommon, MI 48653-9203 | 2016-06-15 |
| 1598131617 | Munson Healthcare Grayling | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2015-08-12 |
| 1710383351 | Munson Healthcare Grayling | Clinic/Center | 234 Lake St, Roscommon, MI 48653-9203 | 2014-11-10 |
| 1306277421 | Setu Sharma | General Acute Care Hospital | 234 Lake St, Roscommon, MI 48653-9203 | 2013-12-01 |
| 1437390648 | Mercy Hospital Grayling | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2009-03-18 |
| 1306096516 | Mhsn Roscommon Mpca | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2008-09-24 |
| 1205025046 | Amorette Leann Anderson | Nurse Practitioner | 234 Lake St, Roscommon, MI 48653-9203 | 2007-10-17 |
| 1205852936 | Timothy J Thornton | Family Medicine | 234 Lake St, Roscommon, MI 48653-9203 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588106892 | Amanda Howe | Dental Hygienist | 135 Lake Street, Roscommon, MI 48653 | 2016-11-17 |
| 1861949471 | Christopher Michels | Contractor | 403 Peach Rd, Roscommon, MI 48653 | 2016-09-01 |
| 1114317336 | Valerie Louise Doebler | Occupational Therapy Assistant | 4450 E. Michigan Hwy., Roscommon, MI 48653 | 2015-01-26 |
| 1063664019 | Douglas C Mackintosh | Physical Therapist | 4079 West Marl Lake Dr, Roscommon, MI 48653 | 2008-10-21 |
| 1235354382 | Kevin B Rucinski Dds PC | Dentist | 188 Pine Bluffs, Roscommon, MI 48653 | 2007-04-16 |
| 1902021355 | Higgins Township Roscommon County Mich | Ambulance | 700 South Fifth Street, Roscommon, MI 48653 | 2007-04-13 |
| 1922172493 | Steven Carl Haertel | Chiropractor | 406 N 5th St, Roscommon, MI 48653 | 2006-11-17 |
| 1881775351 | Township Board of South Branch | Ambulance | 5245 N M-18, Roscommon, MI 48653 | 2006-10-18 |
| 1083712798 | Karrie Tieppo Williams | Dentist | 100 Sherwood Dr., Roscommon, MI 48653 | 2006-09-20 |
| 1386674661 | Rebecca L Smith | Counselor | 299h W Sunset, Roscommon, MI 48653 | 2006-07-03 |
| Find all providers in zip 48653 | ||||
| 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 |
|---|---|---|---|---|
| 1013992536 | Roberto Amponin Viguilla | Family Medicine | 135 Lake St, Roscommon, MI 48653-7658 | 2005-12-07 |
| 1811347479 | Allyson Barker | Family Medicine | 234 Lake St, Roscommon, MI 48653-9203 | 2016-06-15 |
| 1821338690 | George Kieler | Family Medicine | 105 S. Main Street, Suite 202, Roscommon, MI 48653-0545 | 2013-02-15 |
| 1205852936 | Timothy J Thornton | Family Medicine | 234 Lake St, Roscommon, MI 48653-9203 | 2006-07-14 |
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|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
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| 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 | ||||
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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.