DAVID JOEL RYNBRANDT (NPI# 1346205804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346205804 |
| Entity Type | Individual |
| Full Name | DAVID JOEL RYNBRANDT |
| Credential | MD |
| Practice Address |
521 Monroe St Petoskey MI 49770-2266 |
| Practice Telephone | 2314871900 |
| Practice Fax Number | 2313480984 |
| Mailing Telephone | 2314871900 |
| Mailing Fax Number | 2313480984 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2015-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301044812 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCN | 0B41012 | 01 |
| MI | 4084742 | 05 | |
| MI | BCBS MI | 020B41012 | 01 |
| MI | RAILROAD MEDICARE | 020043567 | 01 |
| Street Address |
521 MONROE ST |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821000 | Jeffrey Blair Beaudoin | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2006-04-18 |
| 1881931756 | Michael Martin | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2013-01-11 |
| 1912155789 | Anton A. Sharapov | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2008-09-04 |
| 1104048099 | Zachary Aaron Horton | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2007-05-02 |
| 1730145574 | Petoskey Surgeons, P.C. | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2006-04-21 |
| 1003871559 | Kevin M Markham | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972772341 | Peter James Connaughton | Surgery | 601 Spencer St, Petoskey, MI 49770 | 2008-02-29 |
| 1508050311 | Bruce G Deckinga | Surgery | 8872 Deer Run, Petoskey, MI 49770-8593 | 2007-09-05 |
| 1508821000 | Jeffrey Blair Beaudoin | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2006-04-18 |
| 1215991096 | Andris Kazmers | Surgery | 3250 Woods Way Ste 9, Petoskey, MI 49770-7629 | 2006-04-17 |
| 1306829445 | Michael Winters Johnson | Surgery | 101 W Mitchell St, Petoskey, MI 49770-2323 | 2005-11-22 |
| 1881931756 | Michael Martin | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2013-01-11 |
| 1912155789 | Anton A. Sharapov | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2008-09-04 |
| 1104048099 | Zachary Aaron Horton | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2007-05-02 |
| 1730269630 | Michael W Johnson, Md, PC | Surgery | 101 W Mitchell St, Petoskey, MI 49770-2323 | 2006-10-16 |
| 1003871559 | Kevin M Markham | Surgery | 521 Monroe St, Petoskey, MI 49770-2266 | 2006-04-19 |
| Find all providers in PETOSKEY | ||||
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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.