MARQUETTE GENERAL HOSPITAL, INC. (NPI# 1427383009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427383009 |
| Entity Type | Organization |
| Organization Name | MARQUETTE GENERAL HOSPITAL, INC. |
| Other Organization Name | MARQUETTE GENERAL MEDICAL GROUP RADIOLOGY SPECIALISTS |
| Practice Address |
580 W College Ave Marquette MI 49855-2705 |
| Mailing Address |
4633 Department Carol Stream IL 60122-4633 |
| Practice Telephone | 9062253540 |
| Mailing Telephone | 6142178322 |
| Mailing Fax Number | 6142486549 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | MR. A. GARY MULLER (CEO) |
| Authorized Official Telephone | 9062254774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Marquette General Medical Group Radiology specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518161330 | Marquette General Hospital, Inc. | Clinic/Center | M 67 Community Center Building, Trenary, MI 49892 | 2007-06-14 |
| 1336163799 | Marquette General Hospital, Inc. | Internal Medicine | 2420 1st Ave S, Escanaba, MI 49829-1309 | 2006-07-27 |
| 1508820259 | Marquette General Hospital, Inc. | Internal Medicine | 510 Ashmun St, Sault Sainte Marie, MI 49783-1964 | 2006-04-12 |
| 1417959750 | Marquette General Hospital, Inc. | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2005-06-01 |
| 1891065470 | Marquette General Hospital, Inc. | Family Medicine | 800 East Blvd, Kingsford, MI 49802-4436 | 2012-01-12 |
| 1912132473 | Marquette General Hospital, Inc. | Clinical Medical Laboratory | 420 W Magnetic St, Marquette, MI 49855-2711 | 2009-05-27 |
| 1871734210 | Marquette General Hospital, Inc. | Psychologist | 580 W College Ave, Marquette, MI 49855-2705 | 2009-03-16 |
| 1639332455 | Marquette General Hospital, Inc. | Nurse Anesthetist, Certified Registered | 580 W College Ave, Marquette, MI 49855-2705 | 2008-07-02 |
| 1497913248 | Marquette General Hospital, Inc. | Nurse Practitioner | 1150 W Washington St, Marquette, MI 49855-4040 | 2008-05-29 |
| 1306004155 | Marquette General Hospital, Inc. | Nurse Practitioner | 2530 1st Ave N, Escanaba, MI 49829-1390 | 2008-05-29 |
| Street Address |
580 W COLLEGE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196401 | Constance G Arnold | Surgery | 580 W College Ave, Marquette, MI 49855-2705 | 2005-06-28 |
| 1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1912443839 | Michael Charles Rondeau | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2017-01-17 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1275087280 | Stacie Powers | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134211931 | Charles Stephen Henry | Radiology | 581 Lakewood Ln, Marquette, MI 49855-9544 | 2006-09-29 |
| 1912099714 | Heidi Kristine Henry | Radiology | 420 E Hewitt Ave, Marquette, MI 49855-3714 | 2006-09-29 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 1841450772 | John Pietila | Radiology | 710 Chippewa Sq, Suite 101, Marquette, MI 49855-4821 | 2008-06-13 |
| 1396916094 | Excalibur Medical Imaging, LLC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2008-03-20 |
| 1275672867 | Hasnain Haider-shah | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2007-02-06 |
| 1902998792 | Stephane Grijseels | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-09-29 |
| 1730283805 | Christina Arnoldus | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2006-09-11 |
| 1003847856 | Northcoast Radiology Associates, PC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-07-06 |
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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.