MCLAREN MEDICAL GROUP (NPI# 1306983176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306983176 |
| Entity Type | Organization |
| Organization Name | MCLAREN MEDICAL GROUP |
| Other Organization Name | MCLAREN MEDICAL MANAGMENT, INC. |
| Practice Address |
1254 N Main St Lapeer MI 48446-1343 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 8106644531 |
| Practice Fax Number | 8103377337 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | MR. WILLIAM HARDIMON (CEO) |
| Authorized Official Telephone | 8103421040 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLAREN MEDICAL MANAGEMENT INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 350D410030 | 01 |
| Other Name | Type Code |
|---|---|
| McLaren Medical Managment, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114066693 | Mclaren Medical Group | Advanced Practice Midwife | 1198 N Belsay Rd, Building 3, Burton, MI 48509-1669 | 2007-02-05 |
| 1053458091 | Mclaren Medical Group | Obstetrics & Gynecology | 2521 N Elms Rd, Flushing, MI 48433-9426 | 2007-01-31 |
| 1104294354 | Mclaren Medical Group | General Practice | 611 Court St, West Branch, MI 48661-8820 | 2015-09-04 |
| 1629369988 | Mclaren Medical Group | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2011-04-21 |
| 1649435223 | Mclaren Medical Group | Emergency Medicine | 43900 Garfield Rd, Suite 121, Clinton Township, MI 48038-1128 | 2008-07-23 |
| 1164614798 | Mclaren Medical Group | Emergency Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2007-08-17 |
| 1528100781 | Mclaren Medical Group | Advanced Practice Midwife | 3175 Professional Ct, Bay City, MI 48706-2823 | 2007-02-13 |
| 1073650750 | Mclaren Medical Group | Radiology | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1922145606 | Mclaren Medical Group | Surgery | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1659418663 | Mclaren Medical Group | Internal Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2007-01-31 |
| Street Address |
1254 N MAIN ST |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291893 | Randy M Bork | Family Medicine | 1254 N Main St, Lapeer, MI 48446-1343 | 2005-10-31 |
| 1467945691 | Ryan J Barrett Do PC | Neurological Surgery | 1254 N Main St, Lapeer, MI 48446 | 2018-06-12 |
| 1588050140 | Lapeer Women S Health Pllc | Obstetrics & Gynecology | 1254 N Main St, Lapeer, MI 48446-1343 | 2015-04-10 |
| 1134543028 | Irb Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1254 N Main St, Lapeer, MI 48446-1343 | 2014-02-12 |
| 1942549159 | Mclaren Lapeer Region | Emergency Medicine | 1254 N Main St, Lapeer, MI 48446-1343 | 2013-02-07 |
| 1326214966 | Valerie Pitsch | Pharmacist | 1254 N Main St, Lapeer, MI 48446-1343 | 2008-05-04 |
| 1568643856 | Lapeer Family Health Center | Family Medicine | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-11-15 |
| 1558558320 | Ahmed A Shalabi | Surgery | 1254 N Main St, Lapeer, MI 48446 | 2007-09-26 |
| 1225220791 | Aalia Saeed | Internal Medicine | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-08-17 |
| 1073650750 | Mclaren Medical Group | Radiology | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
| Find all providers in zip 48446 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614726 | Sydney Ann Howard | Pediatrics | 1083 Suncrest Dr, Lapeer, MI 48446-4421 | 2020-09-17 |
| 1922495043 | Sami Al-harastani | Pediatrics | 1083 Suncrest Dr Ste A, Lapeer, MI 48446 | 2015-04-16 |
| 1558463695 | Mark A Braniecki | Pediatrics | 944 Baldwin Rd, Suite A, Lapeer, MI 48446-3089 | 2006-09-01 |
| 1962484139 | Keith Dharamraj | Pediatrics | 1254 N Main St, Lapeer, MI 48446-1343 | 2005-11-15 |
| 1619968922 | Mohammad Al-harastani | Pediatrics | 1083 Suncrest Dr, Suite-a, Lapeer, MI 48446-4421 | 2005-11-04 |
| 1508857822 | Paul D Lepor | Pediatrics | 1254 N Main St, Lapeer, MI 48446-1343 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
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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.