NORTHWEST MICHIGAN SURGICAL GROUP, P.C. (NPI# 1386659043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386659043 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MICHIGAN SURGICAL GROUP, P.C. |
| Other Organization Name | PROFESSIONAL CORPORATION |
| Practice Address |
1221 Sixth Street Ste. 208 Traverse City MI 49684 |
| Practice Telephone | 2319352844 |
| Practice Fax Number | 2319352850 |
| Mailing Telephone | 2319352844 |
| Mailing Fax Number | 2319352850 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | DR. JAMES R. MCDONNELL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2319352844 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | JM008369 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Professional Corporation | Other Name - Individual/Organization |
| Street Address |
1221 SIXTH STREET STE. 208 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740235886 | Shelly C. Lall | Surgery | 1221 Sixth Street, Suite 202, Traverse City, MI 49684-2359 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| 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 |
|---|---|---|---|---|
| 1780971614 | Joel A Strehl | Surgery | 701 W Front St Ste 200, Traverse City, MI 49684-2287 | 2011-06-29 |
| 1083930465 | Christopher Ammond Lafond | Surgery | 1221 Sixth St Ste. 300, Traverse City, MI 49684-2701 | 2010-04-11 |
| 1477753952 | Edward Joseph Bergeron | Surgery | 1221 Sixth St Ste 202, Traverse City, MI 49684-2359 | 2007-07-23 |
| 1134291586 | Surgical Associates of T City Pllc | Surgery | 1221 Sixth St. Ste. 306, Traverse City, MI 49684 | 2006-11-14 |
| 1518981679 | David M Kam | Surgery | 1221 Sixth St Suite 300, Traverse City, MI 49684-2236 | 2006-07-26 |
| 1497789010 | Brian D Heeringa | Surgery | 880 Munson Ave, Suite A, Traverse City, MI 49686-3661 | 2006-07-10 |
| 1740235886 | Shelly C. Lall | Surgery | 1221 Sixth Street, Suite 202, Traverse City, MI 49684-2359 | 2006-05-24 |
| 1962403717 | Robert M Dotterrer | Surgery | 6609 Peninsula Dr, Traverse City, MI 49686-1737 | 2005-08-02 |
| 1023486867 | Brian D. Heeringa PC | Surgery | 880 Munson Ave Ste A, Traverse City, MI 49686-3661 | 2015-09-10 |
| 1194088468 | Shruti Sevak | Surgery | 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 | 2012-06-20 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on NORTHWEST MICHIGAN SURGICAL GROUP, P.C..
| 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.