DANIEL VERBURG MD PLC (NPI# 1255585501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255585501 |
| Entity Type | Organization |
| Organization Name | DANIEL VERBURG MD PLC |
| Other Organization Name | VERBURG GYNECOLOGY |
| Practice Address |
2390 Mitchell Park Dr Ste D Petoskey MI 49770-8965 |
| Practice Telephone | 2314879355 |
| Mailing Telephone | 2314879355 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2009-01-15 |
| Authorized Official Name | DR. DANIEL J VERBURG (OWNER) |
| Authorized Official Telephone | 2314879355 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4301035417 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VERBURG GYNECOLOGY | Doing Business As Name - Organization |
| Street Address |
2390 MITCHELL PARK DR STE D |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130576 | Carolyn Marie Wiese | Physician Assistant | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770 | 2005-08-09 |
| 1902419179 | Mclaren Central Michigan | Clinic/Center | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770-8965 | 2020-08-27 |
| 1417596875 | Lance Edgerton | Nurse Practitioner | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770-8965 | 2020-01-03 |
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396993895 | Clare B. Heidtke, Md, Pllc | Obstetrics & Gynecology | 2810 Charlevoix Ave, Suite 104, Petoskey, MI 49770-8421 | 2008-09-09 |
| 1013004373 | Clare B Heidtke | Obstetrics & Gynecology | 2810 Charlevoix Ave, Suite 104, Petoskey, MI 49770-8421 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532330 | Rula Al-aouar Plc | Obstetrics & Gynecology | 2380 W Warren Street, Dearborn Heights, MI 48127-2276 | 2020-09-14 |
| 1306497466 | Iha Health Services Corporation | Obstetrics & Gynecology | 1065 N Huron River Dr Ste 400, Ypsilanti, MI 48197-3296 | 2019-09-20 |
| 1770021354 | Southfield Obsterical and Gynecologic Institute P.C. | Obstetrics & Gynecology | 29275 Northwestern Hwy Ste 207, Southfield, MI 48034-5744 | 2017-02-03 |
| 1013335504 | Evelyn Hall | Obstetrics & Gynecology | 504 Catherine St, Ann Arbor, MI 48104-1433 | 2014-04-01 |
| 1740616804 | Mohammad Amin Ariani | Obstetrics & Gynecology | 65 Belle Meade St, Grosse Pointe Shores, MI 48236-1552 | 2013-09-20 |
| 1548564164 | Joseph Lee Decook | Obstetrics & Gynecology | 2238 Tony Ave, Fennville, MI 49408-9463 | 2010-12-23 |
| 1992005821 | Diana L. Cohen, D.o., P.C. | Obstetrics & Gynecology | 1240 S Lapeer Rd, Suite 101b, Lake Orion, MI 48360-1470 | 2010-10-26 |
| 1386961498 | Zeenat Anwar | Obstetrics & Gynecology | 3820 Gratiot Ave, Port Huron, MI 48060-1536 | 2010-04-28 |
| 1063658755 | Joseph Kroon | Obstetrics & Gynecology | 656 Wellington Cres, Mount Clemens, MI 48043-2949 | 2008-12-30 |
| 1386805158 | Francis Darling | Obstetrics & Gynecology | 9062 Lake Dominion Dr, Brighton, MI 48114-9104 | 2008-06-24 |
| 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.