GRATIOT MEDICAL CENTER AN AFFILIATE OF MIDMICHGANHEALTH (NPI# 1285758409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285758409 |
Entity Type | Organization |
Organization Name | GRATIOT MEDICAL CENTER AN AFFILIATE OF MIDMICHGANHEALTH |
Practice Address |
315 E Warwick Dr Suite F-1 Alma MI 48801-1083 |
Mailing Address |
Po Box 684 Alma MI 48801-0684 |
Practice Telephone | 9894630957 |
Practice Fax Number | 9899684032 |
Mailing Telephone | 9894630957 |
Mailing Fax Number | 9894968403 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-08-09 |
Authorized Official Name | PAULA L CHERMSIDE (VICE PRESIDENT) |
Authorized Official Telephone | 9894663260 |
Is Organization Subpart | Y |
Parent Organization Name | GRATIOT MEDICAL CENTER AN AFFILIATE OF MIDMICHIGAN HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MI | Allopathic & Osteopathic Physicians |
Street Address |
315 E WARWICK DR SUITE F-1 |
City | ALMA |
State | MI |
Zip Code | 48801-1083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831197979 | Jeffrey F Smith | Surgery | 315 E Warwick Dr, Suite #3, Alma, MI 48801-1083 | 2005-07-12 |
1679984322 | Michigan Radiation Medicine Pllc | Radiology | 315 E Warwick Dr, Ste C, Alma, MI 48801-1083 | 2014-05-15 |
1710299557 | Mohamed Wajih Akkad | Internal Medicine | 315 E Warwick Dr, Alma, MI 48801-1083 | 2010-07-09 |
1134380850 | Rojane Swanepoel | Physician Assistant | 315 E Warwick Dr, Suite 3, Alma, MI 48801-1083 | 2008-06-25 |
1699940122 | Ahsen Tatar | Obstetrics & Gynecology | 315 E Warwick Dr, Suite D, Alma, MI 48801-1083 | 2008-04-25 |
1568634442 | Gratiot-isabella Nephrology PC | Internal Medicine | 315 E Warwick Dr, Suite F-2, Alma, MI 48801-1083 | 2008-03-31 |
1457547770 | Gratiot Medical Center | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2007-09-20 |
1558575829 | Jeffrey Lawrence Bonacci | Surgery | 315 E Warwick Dr, Ste 3, Alma, MI 48801-1083 | 2007-05-09 |
1821143546 | J. Patrick Finn | Physician Assistant | 315 E Warwick Dr, Suite A, Alma, MI 48801-1083 | 2007-01-24 |
1043389240 | Joseph R Yacisen Do PC | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2006-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
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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.