CENTRAL MICHIGAN UNIVERSITY (NPI# 1447606801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447606801 |
| Entity Type | Organization |
| Organization Name | CENTRAL MICHIGAN UNIVERSITY |
| Practice Address |
Cmu Sports Medicine Rose 100 Mt Pleasant MI 48859-0001 |
| Practice Telephone | 9897742281 |
| Practice Fax Number | 9897741095 |
| Mailing Telephone | 9897742281 |
| Mailing Fax Number | 9897741095 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | MATTHEW JACKSON (ATHLETIC DIRECTOR) |
| Authorized Official Telephone | 9897747657 |
| Is Organization Subpart | Y |
| Parent Organization Name | 1588897896 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
5101018472 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508307273 | Central Michigan University | Point of Service | 203 E Broomfield, Rose 145, Mt Pleasant, MI 48859-0001 | 2017-03-15 |
| 1255888558 | Central Michigan University | Behavioral Analyst | 600 E Preston, Mount Pleasant, MI 48859 | 2016-09-02 |
| 1790058386 | Central Michigan University | Surgery | 2981 Health Pkwy, Suite B, Mount Pleasant, MI 48858-9347 | 2012-02-14 |
| 1487686754 | Central Michigan University | Family Medicine | 202 Foust Hall, Central Michigan University Health Services, Mt Pleasant, MI 48859-0001 | 2006-07-07 |
| 1073987616 | Central Michigan University | Psychologist | 1101 Health Professions Bldg, Ste 2105, Mt Pleasant, MI 48859-0001 | 2015-11-19 |
| 1083088611 | Central Michigan University | Speech-Language Pathologist | 1101 Health Professions Building, Ste 2186, Mt Pleasant, MI 48859-0001 | 2015-11-19 |
| 1497138788 | Central Michigan University | General Acute Care Hospital | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2015-07-03 |
| 1285043760 | Central Michigan University | Psychologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2014-08-08 |
| 1669896197 | Central Michigan University | Physical Therapist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2014-02-04 |
| 1659711760 | Central Michigan University | Pediatrics | 1201 South Dr, Ste. 341, Mt Pleasant, MI 48858-3256 | 2013-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL MICHIGAN UNIVERSITY | 300 E Preston, Mount Pleasant, MI 48858-4261 |
| Virginia Business Entities | Central Michigan University | Warriner Hall 106, Mount Pleasant, Michigan 48859 |
| System for Award Management (SAM) Entities | CENTRAL MICHIGAN UNIVERSITY RESEARCH CORP | 2625 Denison Dr, Mount Pleasant, MI 48858-5596 |
| Street Address |
CMU SPORTS MEDICINE ROSE 100 |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48859-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598255481 | Kimberly Kay Wyse | Psychologist | 2520 S University Park Drive, Building D Caat Center, Mount Pleasant, MI 48859 | 2018-05-16 |
| 1255888558 | Central Michigan University | Behavioral Analyst | 600 E Preston, Mount Pleasant, MI 48859 | 2016-09-02 |
| 1992852461 | Christina Eyers | Specialist/Technologist | 1172 Hpb, Mt. Pleasant, MI 48859 | 2007-01-05 |
| 1922630763 | Michael Swabash | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859 | 2020-02-10 |
| 1710332440 | Jennifer Barnstable | Speech-Language Pathologist | 301 Williamston Center Rd, Suite 800, Williamston, MI 48859 | 2016-05-02 |
| 1447423942 | Roschelle A Heuberger | Dietitian, Registered | 1101 Health Professions Bldg, Mt Pleasant, MI 48859 | 2008-04-07 |
| 1659559375 | Linda Jean Patterson | Speech-Language Pathologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859 | 2008-02-05 |
| 1083798540 | Michael Anthony Nerbonne | Audiologist | 1101 Health Professions Building, Mount Pleasant, MI 48859 | 2006-10-24 |
| 1942818919 | Dominique Hope Dimatteo | Specialist/Technologist | 145c Rose Center, Mount Pleasant, MI 48859-0001 | 2020-07-16 |
| 1750913596 | Elizabeth Kay Edson | Student in an Organized Health Care Education/Training Program | 1280 East Camus Dr, Mt Pleasant, MI 48859-0001 | 2020-02-10 |
| Find all providers in zip 48859 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413236 | Sports and Regenerative Medicine Pllc | Family Medicine | 526 W Genesee St Ste 3, Frankenmuth, MI 48734-1357 | 2018-04-05 |
| 1982138442 | Stephen Michael Spadafore | Family Medicine | 2951 Earhart Rd, Ann Arbor, MI 48105-9728 | 2017-04-11 |
| 1962808162 | Mclaren Greater Lansing | Family Medicine | 2479 Woodlake Cir, Suite 340, Okemos, MI 48864 | 2014-11-15 |
| 1306080213 | Caroline E Beall | Family Medicine | 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 | 2009-04-22 |
| 1104038629 | Robert Edward Poley | Family Medicine | 15959 Hall Rd Ste 405, Macomb, MI 48044 | 2007-05-04 |
| 1063563187 | Lee Stephen Fruman | Family Medicine | 24670 S Cromwell Dr, Franklin, MI 48025-1644 | 2007-01-15 |
| 1366505802 | Sports Medicine Associates,plc | Family Medicine | 3121 University Dr, Ste 140, Auburn Hills, MI 48326-2385 | 2006-12-18 |
| 1538220561 | Thomas K Jamieson | Family Medicine | 2720 Pleasant Grove Rd, Lansing, MI 48910-2410 | 2006-12-13 |
| 1366550105 | D-care PC | Family Medicine | 25932 Dequindre Rd, Suite C, Warren, MI 48091-1071 | 2006-08-29 |
| 1144243114 | Jules Reinhardt D O PC | Family Medicine | 1457 Suncrest Dr, Lapeer, MI 48446-1151 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 48859 |
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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.