MCLAREN MACOMB (NPI# 1396014601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396014601 |
| Entity Type | Organization |
| Organization Name | MCLAREN MACOMB |
| Practice Address |
1000 Harrington Blvd. Mount Clemens MI 48043 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 5864938000 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | MR. THOMAS M BRISSE (CEO) |
| Authorized Official Telephone | 5864938083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669691 | Mclaren Macomb | Pediatrics | 1000 Harrington Blvd., Attn: Special Care Nursery, Mt. Clemens, MI 48043 | 2006-05-23 |
| 1821040288 | Mclaren Macomb | Family Medicine | 8180 26 Mile Rd., Ste. 101, Shelby Township, MI 48316 | 2006-05-16 |
| 1033710116 | Mclaren Macomb | Rehabilitation Unit | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-04 |
| 1013256296 | Mclaren Macomb | Emergency Medicine | 39833 Bridgeview St, Harrison Township, MI 48045 | 2013-02-07 |
| 1922316140 | Mclaren Macomb | General Acute Care Hospital | 1000 Harrington St, Mount Clemens, MI 48043 | 2010-09-22 |
| 1063690857 | Mclaren Macomb | Pediatrics | 1000 Harrington St, Mount Clemens, MI 48043 | 2008-02-05 |
| 1528258654 | Mclaren Macomb | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043 | 2007-07-25 |
| 1437270311 | Mclaren Macomb | Family Medicine | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035 | 2007-04-02 |
| 1215057609 | Mclaren Macomb | Internal Medicine | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-30 |
| 1124148515 | Mclaren Macomb | Surgery | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-30 |
| Street Address |
1000 HARRINGTON BLVD. |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003355504 | Allyson Bowes Rivard | Student in an Organized Health Care Education/Training Program | 1000 Harrington Blvd., Mount Clemens, MI 48043-2920 | 2017-02-16 |
| 1316387491 | Dominic Carl Fano | Family Medicine | 1000 Harrington Blvd., Mount Clemens, MI 48043-2920 | 2013-07-03 |
| 1487861043 | Michael Blair Deyoung | Internal Medicine | 1000 Harrington Blvd., Mount Clemens, MI 48043-2920 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346301645 | Ernesto Hermosilla Bedia | Internal Medicine | 43565 Elizabeth St, Mount Clemens, MI 48043-1034 | 2006-12-12 |
| 1215987946 | Inpatient Solutions PC | Internal Medicine | 198 S Main St, Suite 3, Mount Clemens, MI 48043-7917 | 2006-05-11 |
| 1306842190 | Internal Medicine Associates of Mt. Clemens, PC | Internal Medicine | 133 S Main St, Mount Clemens, MI 48043-2308 | 2005-06-26 |
| 1255336335 | Richard L Reece Jr. | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2005-06-16 |
| 1437760246 | Sandeep Kaur | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-14 |
| 1538779475 | Kirandeep Sehmi | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-05 |
| 1669080172 | Anisha Tailor | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-21 |
| 1518453224 | Dhuha Alwan | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-05 |
| 1689160517 | Artak Mkrtchyan | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1063908077 | Akhlema Haidar | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
Please comment or provide details below to improve the information on MCLAREN MACOMB.
| 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.