PORT HURON INTERNAL MEDICINE (NPI# 1437609781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437609781 |
| Entity Type | Organization |
| Organization Name | PORT HURON INTERNAL MEDICINE |
| Practice Address |
2540 16th St Port Huron MI 48060-6405 |
| Practice Telephone | 5866340055 |
| Mailing Telephone | 5866340055 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | DR. JOHN JARAD (INTERNAL MEDICINE PHYSICIAN) |
| Authorized Official Telephone | 8109871000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
4704272224 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2540 16TH ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235654 | John Imad Jarad | Internal Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2005-06-14 |
| 1134761042 | Kelly Thomas | Nurse Practitioner | 2540 16th St, Port Huron, MI 48060-6405 | 2019-10-11 |
| 1154737609 | Anshum Goel Bhalla | Internal Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2014-07-04 |
| 1528252251 | Port Huron Internal Medicine Associates | Internal Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2007-09-06 |
| 1013983253 | Sara E Liter-kuester | Internal Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2006-02-27 |
| 1164423216 | Cheryl A Canto | Family Medicine | 2540 16th St, Port Huron, MI 48060-6405 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033352265 | Mira Edgerton | Clinical Nurse Specialist | 4397 Stoneycroft Dr, Okemos, MI 48864-2935 | 2009-04-17 |
| 1417493065 | Jessica Mcdiarmid | Clinical Nurse Specialist | 1201 Flushing Rd, Flint, MI 48504 | 2017-01-06 |
| 1730553819 | Shireen Fradi | Clinical Nurse Specialist | 33259 Dequindre Rd, Troy, MI 48083-4628 | 2015-11-30 |
| 1124445341 | Julie Brusca | Clinical Nurse Specialist | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-26 |
| 1033410451 | Cherrell Monik Shells | Clinical Nurse Specialist | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2010-11-17 |
| 1275840282 | Lisa L Ferguson | Clinical Nurse Specialist | 221 E Maple St, Carson City, MI 48811-0550 | 2010-09-13 |
| 1316252166 | Kermit Steven Day | Clinical Nurse Specialist | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2010-08-17 |
| 1376733972 | Aspirus Iron River Hospital & Clinics, Inc. | Clinical Nurse Specialist | 1400 W Ice Lake Rd, Iron River, MI 49935-9526 | 2007-07-30 |
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on PORT HURON INTERNAL MEDICINE.
| 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.