MCLAREN MACOMB (NPI# 1437270311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437270311 |
| Entity Type | Organization |
| Organization Name | MCLAREN MACOMB |
| Practice Address |
36500 S Gratiot Ave Suite 202 Clinton Township MI 48035 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 5864933727 |
| Practice Fax Number | 5864933720 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2007-04-02 |
| 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 | ||
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 0E06239 | 01 |
| 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 |
| 1396014601 | Mclaren Macomb | Family Medicine | 1000 Harrington Blvd., Mount Clemens, MI 48043 | 2011-12-16 |
| 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 |
| 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 |
36500 S GRATIOT AVE SUITE 202 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619935921 | Marissa B. Catalan | Pediatrics | 36500 S Gratiot Ave, Ste. 101, Clinton Township, MI 48035-1772 | 2006-05-03 |
| 1326690504 | Atheer Hussain-amin | Student in an Organized Health Care Education/Training Program | 36500 S Gratiot Ave, Clinton Township, MI 48035-1772 | 2019-07-09 |
| 1619174505 | Richard Jordan Chalmers | Family Medicine | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-07-02 |
| 1942412200 | Linda M Karadsheh | Obstetrics & Gynecology | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-05-07 |
| 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 |
| 1467572123 | Mclaren Macomb | Orthopaedic Surgery | 36500 S Gratiot Ave, Suite 102, Clinton Township, MI 48035 | 2007-03-29 |
| 1003936741 | Mcg Professional Billing L.L.C. | Obstetrics & Gynecology | 36500 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-1772 | 2007-03-29 |
| 1356394571 | Mclaren Macomb | Family Medicine | 36500 S Gratiot Ave, Ste. 202, Clinton Township, MI 48035 | 2006-05-18 |
| 1285685339 | Mclaren Macomb | Orthopaedic Surgery | 36500 S Gratiot Ave, Ste. 102, Clinton Township, MI 48035 | 2006-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155950 | Convenient Ct PC | Dentist | 35992 S. Gratiot Ave, Clinton Twp, MI 48035 | 2019-07-10 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1093233884 | Justin Scott Lemanski | Student in an Organized Health Care Education/Training Program | 23162 Talbot, Cinton Twp., MI 48035 | 2017-08-31 |
| 1689035842 | Audionet America Inc | Audiologist | 33830 Harper Ave, Clinton Twp, MI 48035 | 2016-03-16 |
| 1194149054 | Cherian Kochuparampil | Behavioral Analyst | 23195 Elmira, Clinton Township, MI 48035 | 2014-02-13 |
| 1417255688 | Laura Christine Miller | Speech-Language Pathologist | 21173 Suffolk St, Clinton Township, MI 48035 | 2011-03-11 |
| 1780987404 | Cindy Sue Rodammer | Physical Therapy Assistant | 35746 Harper, Clinton Twp, MI 48035 | 2010-12-20 |
| 1427376953 | Heather Kuczynski | Physical Therapy Assistant | 35746 Harper St, Clinton Twp., MI 48035 | 2010-05-07 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| Find all providers in zip 48035 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| 1720418585 | Afeinstein Omm Institute LLC | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035-2958 | 2013-11-14 |
| 1366713786 | Comprehensive Chronic Pain Management Plc | Neuromusculoskeletal Medicine & OMM | 43171 Dalcoma Dr, Suite 3, Clinton Township, MI 48038-6307 | 2012-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1649634411 | Benjamin J Visger Do Pllc | Neuromusculoskeletal Medicine & OMM | 1865 Lawnel Ave, Norton Shores, MI 49441-3742 | 2016-04-07 |
| 1639583206 | John Morasso | Neuromusculoskeletal Medicine & OMM | 6525 West Maple Rd., Ste 101 E, West Bloomfield, MI 48322-4930 | 2014-06-11 |
| 1477845618 | Bashar Abou-rass | Neuromusculoskeletal Medicine & OMM | 4673 Ravine Dr, Bloomfield, MI 48301-3640 | 2011-05-06 |
| 1144559642 | Stephen I. Goldman, D.o., P.C. | Neuromusculoskeletal Medicine & OMM | 23995 Novi Rd, Suite C103, Novi, MI 48375-5439 | 2009-12-11 |
| 1902005762 | Ravi David Yarid | Neuromusculoskeletal Medicine & OMM | 12 E Bacon St, Suite 120, Hillsdale, MI 49242-1616 | 2007-07-12 |
| 1477752327 | Amelia Louise Bueche | Neuromusculoskeletal Medicine & OMM | 818 Red Dr Ste 100, Traverse City, MI 49684 | 2007-07-12 |
| 1730384744 | Douglas Reed Jackson | Neuromusculoskeletal Medicine & OMM | 3211 Applewood Rd, Midland, MI 48640-2666 | 2007-06-19 |
| 1104031574 | Ronald Edmund Gren | Neuromusculoskeletal Medicine & OMM | 19500 Pierson Dr, Northville, MI 48167-2650 | 2007-05-11 |
| 1124240858 | Amber M. Gruber | Neuromusculoskeletal Medicine & OMM | 44250 Dequindre, Family Medicine Center, Sterling Heights, MI 48314 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
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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.