MIDMICHIGAN MEDICAL CENTER-MIDLAND (NPI# 1386771053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386771053 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Practice Address |
4005 Orchard Dr Midland MI 48670-0001 |
| Practice Telephone | 9898393000 |
| Practice Fax Number | 9898391304 |
| Mailing Telephone | 9898393000 |
| Mailing Fax Number | 9898391304 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREGORY H ROGERS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9898393225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1730631441 | Midmichigan Medical Center-midland | Nurse Practitioner | 4000 Wellness Dr, Midland, MI 48670-2000 | 2016-10-28 |
| 1184751851 | Midmichigan Medical Center-midland | Podiatrist | 4000 Wellness Dr, Midland, MI 48670-0001 | 2007-02-28 |
| 1770668683 | Midmichigan Medical Center-midland | Nurse Anesthetist, Certified Registered | 4000 Wellness Dr, Midland, MI 48670-0001 | 2006-10-26 |
| 1639182421 | Midmichigan Medical Center-midland | Psychiatric Unit | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-08-14 |
| 1346253135 | Midmichigan Medical Center-midland | Rehabilitation Unit | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-08-14 |
| 1902841414 | Midmichigan Medical Center-midland | Ambulance | 4000 Wellness Dr, Midland, MI 48670-0001 | 2006-06-18 |
| Street Address |
4005 ORCHARD DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168907 | Juanita M Rivera | Anesthesiology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-01-16 |
| 1235646308 | Sarah Ann Schumacher | Physician Assistant | 4005 Orchard Dr, Midland, MI 48670-2001 | 2018-01-10 |
| 1124485727 | Heidi Smithingell | Specialist/Technologist | 4005 Orchard Dr, Midland, MI 48670-0001 | 2016-01-27 |
| 1356624324 | Heather Christine Wood | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2011-09-26 |
| 1215219928 | Midmichigan Visiting Nurse Assoc | Durable Medical Equipment & Medical Supplies | 4005 Orchard Dr, Suite Level B, Midland, MI 48670-0001 | 2011-09-20 |
| 1205120045 | Jesse Myers | Internal Medicine | 4005 Orchard Dr, Midland, MI 48670-2001 | 2011-06-08 |
| 1497055438 | Debbie J Jensen | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2010-10-25 |
| 1982914149 | Courtney R Hills | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2010-10-20 |
| 1598091134 | Nusrat Qayyum | Physician Assistant | 4005 Orchard Dr, Midland, MI 48670-0001 | 2009-11-01 |
| 1730414079 | Kristin Michelle Short | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2009-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1366096828 | Christine Marie Pasko | Nurse Anesthetist, Certified Registered | 4000 Wellness Dr, Midland, MI 48670 | 2019-08-01 |
| 1942702493 | Joebelle Dela Cruz Ingalla | Physical Therapist | 4000 Wellness Dr, Midland, MI 48670 | 2018-03-01 |
| 1215386552 | Monica Tadros | Internal Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2016-06-07 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1487074175 | Tiffany Thalappillil Philip | Family Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2014-04-21 |
| 1730526393 | Erica Ann Waddle | Internal Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2013-05-22 |
| 1871882365 | Foaz Kayali | Radiology | 4000 Wellness Dr, Midland, MI 48670 | 2011-04-05 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836569 | Midland Emergency Center, LLC | Emergency Medicine | 5409 W Wadley Ave, Midland, TX 79707-5073 | 2018-10-05 |
| 1225125222 | John William Duff | Emergency Medicine | 2213 Dilloway Dr, Midland, MI 48640-6767 | 2006-10-10 |
| 1326158072 | David Eric Newcomb II | Emergency Medicine | Emergency Department Mid-michigan Regional Med Ctr, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-08-30 |
| 1437266582 | Travis C Taylor | Emergency Medicine | 4300 Campus Ridg, Midland, MI 48640 | 2006-08-24 |
| 1972528073 | Paul Best | Emergency Medicine | 4617 Storey Ave, Midland, TX 79703-5464 | 2006-07-12 |
| 1043243249 | Belinda Hoover Brewster | Emergency Medicine | 2677 E Blackhurst Rd, Midland, MI 48642-7867 | 2006-07-09 |
| 1912945460 | Neill Robert Slater | Emergency Medicine | 2021 Fringewood Dr, Midland, TX 79707-5051 | 2006-06-04 |
| 1437114659 | Gustavo A Fierro-carrion | Emergency Medicine | 5101 N A St, # 237, Midland, TX 79705-2103 | 2006-04-19 |
| 1407307663 | Emergency Physicians of Permian Basin, Pllc | Emergency Medicine | 3415 N Loop 250 W, Midland, TX 79707-6001 | 2016-10-21 |
| 1346691904 | Jd Durgin Md Basin Surgical Pllc | Emergency Medicine | 1811 W Wall St, Midland, TX 79701-6531 | 2016-06-24 |
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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.