DR. PHILLIP THIELE NORTH (NPI# 1376545376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376545376 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP THIELE NORTH |
| Credential | M.D. |
| Practice Address |
715 N Main St Adrian MI 49221-2151 |
| Practice Telephone | 5175776150 |
| Practice Fax Number | 5175776172 |
| Mailing Telephone | 5175776150 |
| Mailing Fax Number | 5175776172 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301108606 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35057152 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0757140 | 05 |
| Street Address |
715 N MAIN ST |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144611633 | Adrian Urgent Care Pllc | Clinic/Center | 715 N Main St, Adrian, MI 49221-2151 | 2015-02-05 |
| 1003204769 | Adrian Urgent Care Pllc | Internal Medicine | 715 N Main St, Adrian, MI 49221-2151 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| 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 |
|---|---|---|---|---|
| 1265720262 | Aron Alan Gornowicz | Family Medicine | 146 South Charles Street, Adrian, MI 49221 | 2011-07-12 |
| 1235157421 | Tariq A. Siddiqi | Family Medicine | 755 High St, Adrian, MI 49221-1442 | 2006-07-17 |
| 1598729535 | Amy Patton | Family Medicine | 3245 N Adrian Hwy Ste A, Adrian, MI 49221 | 2006-04-14 |
| 1184624934 | Tatiana Masyk | Family Medicine | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2005-07-22 |
| 1205830791 | Nathan P Rud | Family Medicine | 601 Louisiana Ave, Adrian, MN 56110-1051 | 2005-06-13 |
| 1306206578 | Indigo Hospital Medicine - Adrian Plc | Family Medicine | 818 Riverside Ave, Adrian, MI 49221-1446 | 2016-03-02 |
| 1316325129 | Christina Yancey | Family Medicine | 1200 N Main St, Adrian, MI 49221 | 2015-05-12 |
| 1598021164 | Charan Kanwal Cheema | Family Medicine | 781 Lakeshire Trl, Adrian, MI 49221-1561 | 2012-04-08 |
| 1578797494 | Bates County Memorial Hospital | Family Medicine | 102 E. Main, Adrian, MO 64720 | 2009-05-06 |
| 1790812907 | Promedica Corporation of Michigan | Family Medicine | 777 Kimole Ln, Suite 230, Adrian, MI 49221-1478 | 2007-02-27 |
| Find all providers in ADRIAN | ||||
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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.