DR. DOUGLAS G PANKRATZ (NPI# 1306838214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306838214 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS G PANKRATZ |
| Credential | M.D. |
| Practice Address |
1080 S Van Dyke Rd Ste A Bad Axe MI 48413-9635 |
| Practice Telephone | 9892699551 |
| Practice Fax Number | 9892697051 |
| Mailing Telephone | 9892699551 |
| Mailing Fax Number | 9892697051 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | DP042780 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1368714 | 05 | |
| MI | STATE LICENSE NUMBER | DP042780 | 01 |
| Street Address |
1080 S VAN DYKE RD STE A |
| City | BAD AXE |
| State | MI |
| Zip Code | 48413-9635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235638651 | Rostam Adult and Pediatric Medicine Pllc | Family Medicine | 1080 S Van Dyke Rd, Bad Axe, MI 48413-9635 | 2018-02-12 |
| 1083086268 | Kelly Howard | Dental Hygienist | 1080 S Van Dyke Rd, Suite A, Bad Axe, MI 48413-9635 | 2015-10-27 |
| 1386075828 | Huron Medical Center | Family Medicine | 1080 S Van Dyke Rd, Bad Axe, MI 48413-9635 | 2013-12-10 |
| 1396176830 | Huron Medical Cneter | Pediatrics | 1080 S Van Dyke Rd, Bad Axe, MI 48413-9635 | 2013-12-10 |
| 1538415278 | Huron Memorial Hospital | Clinic/Center | 1080 S Van Dyke Rd, Suite A, Bad Axe, MI 48413-9635 | 2012-07-31 |
| 1902125677 | Behzod Rostam | Family Medicine | 1080 S Van Dyke Rd, Ste A, Bad Axe, MI 48413-9635 | 2010-05-20 |
| 1265758965 | Active Healthcare Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1080 S Van Dyke Rd, Suite D, Bad Axe, MI 48413-9635 | 2010-04-20 |
| 1982937819 | Active Health Care Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1080 S Van Dyke Rd, Bad Axe, MI 48413-9635 | 2009-09-10 |
| 1891955159 | Pollex Orthopaedics PC | Orthopaedic Surgery | 1080 S Van Dyke Rd, Ste A, Bad Axe, MI 48413-9635 | 2008-06-11 |
| 1760691026 | Kimberly A Dimock | Physician Assistant | 1080 S Van Dyke Rd, Suite B, Bad Axe, MI 48413-9635 | 2007-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1760977938 | Joel Kangas | Physical Therapist | 128 W Huron Ave Ste B, Bad Axe, MI 48413 | 2018-06-28 |
| 1285179630 | Yuliya V. Christensen | Physical Therapy Assistant | 128 W. Huron Ave, Suite B, Bad Axe, MI 48413 | 2016-12-21 |
| 1659775807 | Trina Fairman | Social Worker | 1375 R. Dale Wertz Dr., Bad Axe, MI 48413 | 2014-10-17 |
| 1881011971 | Stacy Rae Sievert | Occupational Therapist | 110 E. Huron Avenue, Suite A, Bad Axe, MI 48413 | 2014-03-26 |
| 1316299720 | Koree Rose Muska | Dietitian, Registered | 1100 S. Van Dyke Rd, Bad Axe, MI 48413 | 2012-10-09 |
| 1124379433 | Natalie Kate Nugent | Psychologist | 1375 R. Dale Wertz Drive, Bad Axe, MI 48413 | 2012-09-26 |
| 1851589717 | Accuquest Hearing Centers | Clinic/Center | 1252 Sand Beach Road, Bad Axe, MI 48413 | 2007-10-04 |
| 1861685307 | Yasir Osman Ahmed Babiker | Internal Medicine | 1060 S Van Dyke, Suite 300, Bad Axe, MI 48413 | 2007-08-18 |
| 1356419675 | Avelina Oxholm-dababneh | Family Medicine | 1040 S Van Dyke, Suite 1, Bad Axe, MI 48413 | 2006-12-04 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811221732 | Mary L Morden | Orthopaedic Surgery | 329 W Huron Ave, Bad Axe, MI 48413-1122 | 2009-09-24 |
| 1891955159 | Pollex Orthopaedics PC | Orthopaedic Surgery | 1080 S Van Dyke Rd, Ste A, Bad Axe, MI 48413-9635 | 2008-06-11 |
| 1558538645 | Craig J. Mcmanaman D.o.pllc | Orthopaedic Surgery | 1011 S Van Dyke Rd, Suite A, Bad Axe, MI 48413-9630 | 2008-05-08 |
| 1700993052 | Craig J Mcmanaman | Orthopaedic Surgery | 1011 S Van Dyke Rd, Suite A, Bad Axe, MI 48413 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805365 | Conner D Ahlgren | Orthopaedic Surgery | 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073-6770 | 2020-06-09 |
| 1063035319 | Alex Kane Miller | Orthopaedic Surgery | 3577 W 13 Mile Rd Ste 402, Royal Oak, MI 48073-6710 | 2020-05-21 |
| 1396374716 | Arjun Patel | Orthopaedic Surgery | Ascension Genesys, Gme Dept, One Genesys Pkwy, Grand Blanc, MI 48439-4843 | 2020-04-07 |
| 1346876711 | Timothy Curtis Mead | Orthopaedic Surgery | 4752 Lake Harbor Rd, Norton Shores, MI 49441-5236 | 2020-03-18 |
| 1932751112 | Mendelson Warren Pharmacy | Orthopaedic Surgery | 11900 E 12 Mile Rd Ste 105, Warren, MI 48093-3487 | 2019-07-09 |
| 1023678059 | Th Mg Ohio LLC | Orthopaedic Surgery | 1050 Wilshire Dr Ste 300, Troy, MI 48084-1526 | 2019-06-20 |
| 1609430321 | Mohamed Saad-waterworks, PC | Orthopaedic Surgery | 21031 Michigan Ave Fl 2, Dearborn, MI 48124-2339 | 2019-04-29 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| 1588228845 | Muhammad Talha Padela | Orthopaedic Surgery | 3990 John R St Ste 7b, Detroit, MI 48201 | 2019-04-23 |
| 1134681125 | Neuro Spine Institute Pllc | Orthopaedic Surgery | 29255 Northwestern Hwy Ste 202, Southfield, MI 48034-5741 | 2019-04-01 |
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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.