MIDWEST VISITING PHYSICIANS, PC (NPI# 1447411848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447411848 |
Entity Type | Organization |
Organization Name | MIDWEST VISITING PHYSICIANS, PC |
Practice Address |
4299 Lake St # 85 Bridgman MI 49106-9109 |
Practice Telephone | 2694656221 |
Practice Fax Number | 2694656299 |
Mailing Telephone | 2694656221 |
Mailing Fax Number | 2694656299 |
Enumeration Date | 2008-06-19 |
Last Update Date | 2008-06-19 |
Authorized Official Name | DR. JOSEPH J RAMBO (CEO) |
Authorized Official Telephone | 2694656221 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
4299 LAKE ST # 85 |
City | BRIDGMAN |
State | MI |
Zip Code | 49106-9109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992191993 | Jenil Gandhi | Internal Medicine | 9999 Red Arrow Hwy, Bridgman, MI 49106 | 2015-04-07 |
1356670590 | Kenneth Mays | Family Medicine | 4299 Lake Street, Bridgman, MI 49106 | 2009-12-17 |
1164623385 | Dockerty Health Care Services Inc | Assisted Living Facility | 8850 Red Arrow Hwy, Bridgman, MI 49106 | 2007-05-29 |
1528278918 | Michael Joseph Marcincuk | Dentist | Red Arrow Dentistry, 9500 Red Arrow Highway, Bridgman, MI 49106 | 2007-05-23 |
1356304059 | Ryan E. Thomas, D.d.s. P.C. | Dentist | 9151 Red Arrow Hwy, Bridgman, MI 49106 | 2006-04-11 |
1316220106 | Lynda Sparks | Pharmacist | 3681 Shawnee Rd, Rite Aid Pharmacy, Bridgman, MI 49106 | 2011-09-28 |
1497965040 | Bridgman Psychological Services | Psychologist | 7889 Red Arrow Hwy, Bridgman, MI 49106 | 2007-05-23 |
1750696191 | Latreasa Klann | Doula | 9547 Maplewood, Bridgman, MI 49106-0156 | 2010-08-10 |
1548487168 | Bridgman Chiropractors. P.C. | Chiropractor | 9500 Red Arrow Hwy., Bridgman, MI 49106-0326 | 2007-04-18 |
1578786620 | John H. Foti, P.C. | Chiropractor | 4270 Lake St., Box 489, Bridgman, MI 49106-0489 | 2007-04-10 |
Find all providers in zip 49106 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447242789 | Joseph Jean Rambo | General Practice | 4299 Lake St, Bridgman, MI 49106-9109 | 2005-08-22 |
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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.