ST JOSEPH HEALTH SYSTEM INC (NPI# 1396997045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396997045 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HEALTH SYSTEM INC |
| Other Organization Name | ST JOSEPH HEALTH SYSTEM NP ONLY |
| Practice Address |
200 Hemlock St Tawas City MI 48763-9237 |
| Mailing Address |
200 Hemlock Tawas City MI 48763-9237 |
| Practice Telephone | 9893629411 |
| Practice Fax Number | 9893629925 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | CHARITY HIGGINS (DIR-MEDICAL PRACTICES) |
| Authorized Official Telephone | 9893629304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| ST JOSEPH HEALTH SYSTEM NP ONLY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285918409 | St Joseph Health System Inc | Obstetrics & Gynecology | 621 Court St, Suite 106, West Branch, MI 48661-8767 | 2011-10-06 |
| 1508183369 | St Joseph Health System Inc | Urology | 110 E State St, East Tawas, MI 48730-1328 | 2010-05-03 |
| 1871810523 | St Joseph Health System Inc | Urology | 200 Hemlock St, Tawas City, MI 48763-9237 | 2010-04-21 |
| 1356503338 | St Joseph Health System Inc | Physician Assistant | 110 Beech St Ste B, Tawas City, MI 48763-8314 | 2008-06-30 |
| 1447331434 | St Joseph Health System Inc | Nurse Anesthetist, Certified Registered | 200 Hemlock, Tawas City, MI 48763 | 2006-10-18 |
| 1689662421 | St Joseph Health System Inc | Clinic/Center | 106 Division St, Oscoda, MI 48750-1607 | 2005-10-06 |
| Street Address |
200 HEMLOCK ST |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763-9237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700874542 | Robert L Donnell | Internal Medicine | 200 Hemlock St, Tawas City, MI 48763-9237 | 2005-10-06 |
| 1861909186 | Neal Mason | Nurse Anesthetist, Certified Registered | 200 Hemlock St, Tawas City, MI 48763-9237 | 2018-01-08 |
| 1356897409 | Kymberly Samotis | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2016-08-29 |
| 1962775080 | Alcona Citizens for Health, Inc | Obstetrics & Gynecology | 200 Hemlock St, Tawas City, MI 48763-9237 | 2012-02-21 |
| 1982914313 | Jayna Lynnae Ayres | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2010-10-19 |
| 1871810523 | St Joseph Health System Inc | Urology | 200 Hemlock St, Tawas City, MI 48763-9237 | 2010-04-21 |
| 1629305354 | Stacy Michelle Shoen | Pharmacist | 200 Hemlock St, Tawas City, MI 48763-9237 | 2009-11-18 |
| 1497973762 | Alliance Imaging Inc | Clinic/Center | 200 Hemlock St, Tawas City, MI 48764 | 2007-04-23 |
| 1669499133 | Dwight Fiske | Physician Assistant | 200 Hemlock St, Tawas City, MI 48763-9237 | 2006-07-17 |
| 1720017320 | Keith Lawrence | Nurse Anesthetist, Certified Registered | 200 Hemlock St, Tawas City, MI 48763-9237 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980314 | Greg Malewska | Nurse Practitioner | 420 W Lake St, Tawas City, MI 48763-8309 | 2020-10-23 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1285153023 | Erica Ruth Kalbfleisch | Nurse Practitioner | 700 German St, Tawas City, MI 48763-9349 | 2017-09-13 |
| 1265788749 | Sarah D Woods | Nurse Practitioner | 295 Maple St, Suite 202, Tawas City, MI 48763-9352 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
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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.