MIDMICHIGAN MEDICAL CENTER - GRATIOT (NPI# 1417045006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417045006 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER - GRATIOT |
| Practice Address |
7320 N Alger Rd Suite G Alma MI 48801-1072 |
| Mailing Address |
320 Warwick Dr Alma MI 48801-0994 |
| Practice Telephone | 9894632966 |
| Practice Fax Number | 9894635255 |
| Mailing Telephone | 9894630104 |
| Mailing Fax Number | 9894630663 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-01-30 |
| Authorized Official Name | MARK A SANTAMARIA (PRESIDENT/CEO) |
| Authorized Official Telephone | 9894663258 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDMICHIGAN MEDICAL CENTER - GRATIOT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP NUMBER | 0B91001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578859815 | Midmichigan Medical Center - Gratiot | Clinic/Center | 315 E Warwick Drive, Ste D, Alma, MI 48801-1083 | 2011-06-24 |
| 1487981809 | Midmichigan Medical Center - Gratiot | Clinic/Center | 320 Warwick Dr, Alma, MI 48801-1084 | 2009-11-05 |
| 1265596126 | Midmichigan Medical Center - Gratiot | Internal Medicine | 320 E Warwick Dr, Suite B, Alma, MI 48801-1014 | 2006-12-21 |
| 1396784880 | Midmichigan Medical Center - Gratiot | Clinic/Center | 321 E Warwick Dr, Alma, MI 48801-1084 | 2006-06-06 |
| 1396382271 | Midmichigan Medical Center - Gratiot | Clinic/Center | 364 W Wright Ave, Shepherd, MI 48883-2502 | 2019-12-10 |
| 1689195356 | Midmichigan Medical Center - Gratiot | Emergency Medicine | 4851 E Pickard St, Mt Pleasant, MI 48858-2078 | 2017-07-03 |
| 1013203355 | Midmichigan Medical Center - Gratiot | Clinic/Center | 8776 E Howard City Edmore Rd, Vestaburg, MI 48891-9406 | 2011-06-24 |
| 1386930956 | Midmichigan Medical Center - Gratiot | Clinic/Center | 820 N Pine River St, Ithaca, MI 48847-1118 | 2011-06-22 |
| 1295021863 | Midmichigan Medical Center - Gratiot | Clinic/Center | 411 W Broadway St, Suite A, Mount Pleasant, MI 48858-2446 | 2011-06-22 |
| 1356570808 | Midmichigan Medical Center - Gratiot | Midwife | 4851 E Pickard St, Mt Pleasant, MI 48858-2078 | 2009-07-06 |
| Street Address |
7320 N ALGER RD SUITE G |
| City | ALMA |
| State | MI |
| Zip Code | 48801-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982633988 | Francisco Antonio Lossio | Pediatrics | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2006-07-02 |
| 1295336733 | Alexis Strawder | Behavior Technician | 7320 N Alger Rd, Alma, MI 48801-1072 | 2020-11-02 |
| 1396342499 | Marion Raymor | Behavior Technician | 7320 N Alger Rd, Alma, MI 48801-1072 | 2020-10-02 |
| 1447885876 | Jennifer Dennis | Behavior Technician | 7320 N Alger Rd, Alma, MI 48801-1072 | 2020-03-05 |
| 1558854786 | Marcel Kirberg | Behavior Technician | 7320 N Alger Rd, Alma, MI 48801 | 2018-06-12 |
| 1962770693 | Midmichigan Medical Center-gratiot | Clinic/Center | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2011-12-08 |
| 1114214434 | Yasser Al-jebawi | Pediatrics | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2011-07-07 |
| 1952436347 | Cheri Marie Daniels | Physician Assistant | 7320 N Alger Rd, Alma, MI 48801-1072 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
| 1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
| 1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
| 1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
| 1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
| 1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
| 1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
| 1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
| 1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
| 1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
| Find all providers in zip 48801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982633988 | Francisco Antonio Lossio | Pediatrics | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2006-07-02 |
| 1902242985 | Lossio Pediatrics, Pllc | Pediatrics | 245 E Warwick Dr, Suite D, Alma, MI 48801-1026 | 2013-05-16 |
| 1114214434 | Yasser Al-jebawi | Pediatrics | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2011-07-07 |
| 1275777971 | Rachel Burke Glass | Pediatrics | 204 E 15th St, Alma, GA 31510-2908 | 2009-04-24 |
| 1487831020 | Cassandra L Wilson | Pediatrics | 204 E 15th St, Alma, GA 31510-2908 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
| 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.