PINE MEDICAL GROUP, PC (NPI# 1356551832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356551832 |
| Entity Type | Organization |
| Organization Name | PINE MEDICAL GROUP, PC |
| Practice Address |
78 N Division Ave Hesperia MI 49421 |
| Mailing Address |
230 W Oak St Fremont MI 49412-1575 |
| Practice Telephone | 2318546415 |
| Practice Fax Number | 2318546975 |
| Mailing Telephone | 2319244200 |
| Mailing Fax Number | 2319242027 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | MR. HENRY WESTRA (ADMINISTRATOR) |
| Authorized Official Telephone | 2319244200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770791147 | Pine Medical Group, PC | Obstetrics & Gynecology | 230 W Oak St, Fremont, MI 49412-1575 | 2007-05-18 |
| Street Address |
78 N DIVISION AVE |
| City | HESPERIA |
| State | MI |
| Zip Code | 49421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518060169 | Myrtle Mclain | Family Medicine | 78 N Division, Hesperia, MI 49421 | 2006-09-07 |
| 1063535805 | Hesperia Medical Center | Family Medicine | 78 N Division, Hesperia, MI 49421 | 2007-04-09 |
| 1346546637 | Hesperia Eyecare LLC | Optometrist | 38 N Division St, Hesperia, MI 49421-5100 | 2011-02-03 |
| 1043220809 | Mollie T Hudson | Nurse Practitioner | 78 N Division St, Hesperia, MI 49421-5100 | 2006-08-08 |
| 1730642794 | Memorial Medical Center of West Michigan | Clinic/Center | 78 N Division St, Hesperia, MI 49421-5100 | 2019-04-08 |
| 1679908552 | Angela Michelle Hannah | Physician Assistant | 78 N Division St, Hesperia, MI 49421-5100 | 2013-09-10 |
| 1396878773 | Newaygo County General Hospital Association | Clinic/Center | 78 N Division St, Hesperia, MI 49421-5100 | 2007-03-14 |
| 1215045661 | Jeffrey Allen Thome | Family Medicine | 78 N Division St, Hesperia, MI 49421-5100 | 2006-08-27 |
| 1801955166 | Bob's Drug LLC | Pharmacy | 194 N Division Ave, Hesperia, MI 49421-7500 | 2006-12-06 |
| 1407049109 | Patrice Elaine Bobier | Midwife | 4220 E Loop Rd, Hesperia, MI 49421-7502 | 2007-08-25 |
| Find all providers in zip 49421 | ||||
| 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 |
|---|---|---|---|---|
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1073003000 | Impact Care Access Network II | Family Medicine | 9390 Hesperia Rd Ste 7, Hesperia, CA 92345-3602 | 2018-05-15 |
| 1427585918 | We Heart Urgent Care Inc | Family Medicine | 11949 Hesperia Rd Ste B, Hesperia, CA 92345-2181 | 2017-05-16 |
| 1003022054 | Alliance Physicians | Family Medicine | 17081 Main St, Hesperia, CA 92345-6075 | 2007-05-15 |
| 1699851550 | Telesforo Mondares Ramos | Family Medicine | 16455 Main Street, Suite 1, Hesperia, CA 92345 | 2006-10-31 |
| 1518060169 | Myrtle Mclain | Family Medicine | 78 N Division, Hesperia, MI 49421 | 2006-09-07 |
| 1346250396 | Dr.mikel Walk In Clinic Inc | Family Medicine | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2006-08-09 |
| 1255383188 | Desert Family Practice Associates | Family Medicine | 11919 Hesperia Rd, Hesperia, CA 92345-1855 | 2006-05-17 |
| 1770562506 | Eric Rodney Hansen | Family Medicine | 14575 Main St, Hesperia, CA 92345-3322 | 2006-01-11 |
| 1902256266 | Hsin Wen | Family Medicine | 16453 Bear Valley Rd, Hesperia, CA 92345-1752 | 2016-06-17 |
| Find all providers in HESPERIA | ||||
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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.