DR. MATTHEW M SUPRON (NPI# 1306847470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306847470 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW M SUPRON |
| Credential | D.O. |
| Practice Address |
580 W College Ave Marquette MI 49855-2705 |
| Mailing Address |
710 Chippewa Sq Suite 103 Marquette MI 49855-4821 |
| Practice Telephone | 9062262569 |
| Practice Fax Number | 9062263225 |
| Mailing Telephone | 9062262569 |
| Mailing Fax Number | 9062263225 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MS013277 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3268530 | 05 |
| Street Address |
580 W COLLEGE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196401 | Constance G Arnold | Surgery | 580 W College Ave, Marquette, MI 49855-2705 | 2005-06-28 |
| 1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1912443839 | Michael Charles Rondeau | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2017-01-17 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1275087280 | Stacie Powers | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730315094 | George Bonefeld Pllc | Anesthesiology | 628 Mountain St, Marquette, MI 49855-5060 | 2009-06-01 |
| 1891938890 | Brian Christopher Turner | Anesthesiology | 710 Chippewa Sq Ste 103, Department of Anesthesia - 6 Jcp, Marquette, MI 49855-4819 | 2009-04-07 |
| 1548479991 | Maureen Mcneely | Anesthesiology | 710 Chippewa Sq, Suite 103, Marquette, MI 49855-4821 | 2007-05-22 |
| 1508986837 | Mackenzie A Kuhl | Anesthesiology | 580 W College Ave, Marquette, MI 49855-2705 | 2007-03-30 |
| 1174516678 | Donna J Boyd | Anesthesiology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-30 |
| 1881696714 | Anup K Patel | Anesthesiology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-11 |
| 1770584914 | Mark L Callaghan | Anesthesiology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-10 |
| 1043211188 | Prakash R Dhadphale | Anesthesiology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-10 |
| 1356342422 | Greg J Ghiardi | Anesthesiology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-10 |
| 1316948474 | Mark A Washnock | Anesthesiology | 580 W College Ave, Marquette, MI 49855-2705 | 2005-08-10 |
| Find all providers in MARQUETTE | ||||
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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.