MCLAREN NORTHERN MICHIGAN (NPI# 1386722924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386722924 |
| Entity Type | Organization |
| Organization Name | MCLAREN NORTHERN MICHIGAN |
| Practice Address |
820 Arlington Ave Petoskey MI 49770-2469 |
| Mailing Address |
416 Connable Ave Petoskey MI 49770-2212 |
| Practice Telephone | 2314874685 |
| Practice Fax Number | 2314874611 |
| Mailing Telephone | 2314877684 |
| Mailing Fax Number | 2314877721 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | STEVEN THOMPSON (VP/CFO) |
| Authorized Official Telephone | 2314874094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 1060000053 | MI | Hospitals |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760736094 | Mclaren Northern Michigan | Family Medicine | 416 Connable Ave, Petoskey, MI 49770-2212 | 2012-11-08 |
| 1083771364 | Mclaren Northern Michigan | Pharmacy | 416 Connable Ave, Petoskey, MI 49770-2212 | 2007-01-03 |
| 1881754554 | Mclaren Northern Michigan | Hospitalist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-12-11 |
| 1942370754 | Mclaren Northern Michigan | General Acute Care Hospital | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-11-09 |
| 1033289848 | Mclaren Northern Michigan | Psychiatric Unit | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-11-09 |
| 1992812580 | Mclaren Northern Michigan | General Acute Care Hospital | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-08-23 |
| Street Address |
820 ARLINGTON AVE |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073537965 | Meghan A Radocy | Physical Therapist | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2006-07-26 |
| 1760004733 | Mclaren Central Michigan | Clinic/Center | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2020-05-13 |
| 1447715669 | Brenna Sellman | Physical Therapist | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2019-02-01 |
| 1710488051 | Michael J Carmody | Physical Therapist | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2018-02-22 |
| 1194225847 | Christina Mae Calcaterra | Physical Therapist | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2018-02-20 |
| 1629578703 | Timothy Amborski | Nurse Practitioner | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2018-02-15 |
| 1164742268 | Alfred Godwin Ajise | Internal Medicine | 820 Arlington Ave, Nephrology, Petoskey, MI 49770-2469 | 2010-06-11 |
| 1154445633 | Michael Koskus | Audiologist | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2007-03-19 |
| 1669539219 | William N Nicholson | Psychologist | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2007-01-02 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
| Find all providers with the same taxonomy | ||||
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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.