COLDWATER INTEGRATED MEDICINE (NPI# 1295148336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295148336 |
| Entity Type | Organization |
| Organization Name | COLDWATER INTEGRATED MEDICINE |
| Other Organization Name | COLDWATER PRIVATE MEDICINE |
| Practice Address |
892 E Chicago St Suite A Coldwater MI 49036-2063 |
| Practice Telephone | 5172782519 |
| Mailing Telephone | 5172782519 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | DR. JEFFREY SCOTT RUSSELL (PRINCIPAL OFFICER) |
| Authorized Official Telephone | 5172782519 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
5101011799 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 5101011799 | 01 |
| Other Name | Type Code |
|---|---|
| Coldwater Private Medicine | Former Legal Business Name - Organization |
| Street Address |
892 E CHICAGO ST SUITE A |
| City | COLDWATER |
| State | MI |
| Zip Code | 49036-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953027 | Nicole L Hatt | Chiropractor | 892 E Chicago St, Suite I, Coldwater, MI 49036-2063 | 2005-06-28 |
| 1831303536 | Kristine Simpao | Physical Therapist | 892 E Chicago St, Ste H, Coldwater, MI 49036-2063 | 2007-05-10 |
| 1114072311 | Prompt Care Express P.C. | Durable Medical Equipment & Medical Supplies | 892 E Chicago St, Suite C, Coldwater, MI 49036-2063 | 2007-01-25 |
| 1821066119 | Michael Martin | General Practice | 892 E Chicago St, Suite C, Coldwater, MI 49036-2063 | 2006-03-10 |
| 1841268513 | Prompt Care Express PC | General Practice | 892 E Chicago St, Suite C, Coldwater, MI 49036-2063 | 2006-03-09 |
| 1124096805 | Howard S Wharton | General Practice | 892 E Chicago St, Suite C, Coldwater, MI 49036-2063 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295790 | Jacqueline Hensell | Physical Therapist | 320 East Chicago St, Coldwater, MI 49036 | 2018-11-27 |
| 1285104869 | Jaycie Rose Littley | Physical Therapist | 320 E Chicago Street, Coldwater, MI 49036 | 2018-11-27 |
| 1881161651 | David Linklater | Physical Therapist | Promedica Coldwater Regional Hospital, 274 East Chicago Street, Coldwater, MI 49036 | 2018-10-30 |
| 1144733734 | Luke Norcross | Social Worker | 200 Vista Drive, Coldwater, MI 49036 | 2017-11-06 |
| 1508312471 | Tiffany Vanluven | Rehabilitation Practitioner | 528 West Chicago St. Atp13, Coldwater, MI 49036 | 2016-08-30 |
| 1477904175 | Shawn Talbot | Psychologist | 300 Orleans Blvd, Coldwater, MI 49036 | 2016-06-24 |
| 1124406863 | Alexys Wolfinger | Rehabilitation Practitioner | 528 W. Chicago St. Apt. 20, Coldwater, MI 49036 | 2015-05-14 |
| 1194118968 | Kim Clemens | Rehabilitation Practitioner | 465 N Michigan Ave., Coldwater, MI 49036 | 2015-03-18 |
| 1205238854 | Coldwater Family Dentistry P.C. | Dentist | 575 N Union City Road, Coldwater, MI 49036 | 2014-09-25 |
| 1114337581 | Johnson Kattathra | Pharmacist | 620 E Chicago St, Coldwater, MI 49036 | 2014-05-06 |
| Find all providers in zip 49036 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457893430 | Branch Pediatrics | Clinic/Center | 360 E Chicago Street, Suite 101, Coldwater, MI 49036-2074 | 2016-11-08 |
| 1255645131 | Pravincha P. Patel, M.d. | Clinic/Center | 423 Central Ave, Coldwater, MS 38618-3915 | 2010-08-03 |
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|---|---|---|---|---|
| 1487252458 | Midland Express Urgent and Family Care | Clinic/Center | 600 Cambridge St Ste 1, Midland, MI 48642-4508 | 2020-10-13 |
| 1841805306 | Alex Wagner, LLC | Clinic/Center | 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 | 2020-09-11 |
| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1588295463 | Scheurer Hospital | Clinic/Center | 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 | 2020-01-30 |
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 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.