PROMEDICA CORPORATION OF MICHIGAN (NPI# 1316073703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316073703 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CORPORATION OF MICHIGAN |
| Other Organization Name | BLISSFILED FAMILY MEDICINE |
| Practice Address |
9205 East Us Highway 23 Blissfield MI 49228 |
| Practice Telephone | 5174863058 |
| Practice Fax Number | 5174862139 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | KIMBERLY GOVAN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4198247221 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blissfiled Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518094721 | Promedica Corporation of Michigan | Internal Medicine | 13101 Sims Hwy, Morenci, MI 49256-1030 | 2007-02-27 |
| 1689945172 | Promedica Corporation of Michigan | Otolaryngology | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2012-01-16 |
| 1083981302 | Promedica Corporation of Michigan | Internal Medicine | 157 W Brooke Ln, Blissfield, MI 49228-8601 | 2011-12-01 |
| 1154548592 | Promedica Corporation of Michigan | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-04-19 |
| 1790812907 | Promedica Corporation of Michigan | Family Medicine | 777 Kimole Ln, Suite 230, Adrian, MI 49221-1478 | 2007-02-27 |
| 1477689859 | Promedica Corporation of Michigan | Family Medicine | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2007-02-27 |
| 1780711002 | Promedica Corporation of Michigan | Internal Medicine | 1671 W Michigan Ave, Suite A, Clinton, MI 49236-8702 | 2007-02-27 |
| 1942336326 | Promedica Corporation of Michigan | Surgery | 10 Cairns St, Tecumseh, MI 49286-1202 | 2007-02-27 |
| 1588791925 | Promedica Corporation of Michigan | Internal Medicine | 818 Riverside Ave, 5th Floor Cardiology, Adrian, MI 49221-1446 | 2007-02-27 |
| 1982731204 | Promedica Corporation of Michigan | Obstetrics & Gynecology | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2007-02-27 |
| Street Address |
9205 EAST US HIGHWAY 23 |
| City | BLISSFIELD |
| State | MI |
| Zip Code | 49228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386835999 | Great Lakes Family Dental Group Blissfield PC | Dentist | 9178 E Us 223, Great Lakes Family Dental Group Blissfield PC, Blissfield, MI 49228 | 2007-08-08 |
| 1932223344 | Linda Yarick Yarick | Counselor | 25 S Monroe, Monroe, MI 49228 | 2007-03-19 |
| 1235214495 | Ella M Noel | Internal Medicine | 157 West Brooke Lane, Blissfield, MI 49228 | 2006-10-26 |
| 1518341098 | Maura Ann Crescenzo | Nurse Practitioner | 157 W Brooke Ln, Blissfield, MI 49228 | 2015-07-15 |
| 1346607611 | Renae Sauter | Occupational Therapist | 403 W Adrian St, Blissfield, MI 49228-1001 | 2016-01-18 |
| 1871150912 | Amanda Suzanna Koyl | Pharmacist | 616 W Adrian St, Blissfield, MI 49228-1005 | 2019-05-23 |
| 1417013269 | Gretchen Herzburg Boyd | Counselor | 115 N Main Street, Blissfield, MI 49228-1033 | 2006-12-28 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1861808768 | Amy Descombes | Registered Nurse | 107 1/2 W Adrian St, Blissfield, MI 49228-1201 | 2014-07-11 |
| 1861782203 | Emily Theresa Louise Quinton | Physical Therapist | 116 S Lane St, Blissfield, MI 49228-1206 | 2011-04-19 |
| Find all providers in zip 49228 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245299213 | Linda Bedell | Family Medicine | 9205 E Us Highway 223, Blissfield, MI 49228-9665 | 2006-03-20 |
| 1184896672 | Blissfield Family Care Pllc | Family Medicine | 9205 E Us Highway 223, Blissfield, MI 49228-9665 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BLISSFIELD |
| Zip Code | 49228 |
Please comment or provide details below to improve the information on PROMEDICA CORPORATION OF MICHIGAN.
| 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.