VICENTE D CABANSAG JR MD PC (NPI# 1457496952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457496952 |
| Entity Type | Organization |
| Organization Name | VICENTE D CABANSAG JR MD PC |
| Practice Address |
68930 Vinewood Ave Sturgis MI 49091-8899 |
| Practice Telephone | 2696519302 |
| Practice Fax Number | 2696514809 |
| Mailing Telephone | 2696519302 |
| Mailing Fax Number | 2696514809 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | VICENTE D CABANSAG JR. (PRESIDENT) |
| Authorized Official Telephone | 2696519302 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 033706 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 033706 | MI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 4301080148 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | IBA | 0131026 | 01 |
| MI | BCBS OF MICHIGAN | 020750206 | 01 |
| MI | 1074410 TYPE 10 | 05 |
| Street Address |
68930 VINEWOOD AVE |
| City | STURGIS |
| State | MI |
| Zip Code | 49091-8899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106622 | Vincente D. Cabansag Jr. | General Practice | 68930 Vinewood Ave, Sturgis, MI 49091-8899 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558329 | Reflections of Thurston Woods | Custodial Care Facility | 1946 S. Thurston Woods Drive, Sturgis, MI 49091 | 2016-10-10 |
| 1124258793 | Joan M Fox | Physical Therapist | 1717 E Chicago Road, Sturgis Hospital, Sturgis, MI 49091 | 2009-07-17 |
| 1538336110 | Dr R L Chorpenning | Chiropractor | 104 W Congress, Sturgis, MI 49091 | 2008-05-13 |
| 1710176151 | Guardiantrac LLC | In Home Supportive Care | 215 Broadus St, Sturgis, MI 49091 | 2007-10-22 |
| 1134320302 | Kelly Marie Amrein | Pharmacist | 1533 E Chicago Rd., Sturgis, MI 49091 | 2007-05-29 |
| 1417079633 | Mark Donald Henson Bohlen | Social Worker | 401 S Fourth Street, Sturgis, MI 49091 | 2007-04-06 |
| 1609995349 | Michael A Fine | Physical Therapist | 70420 S. Centerville Road, Suite C, Sturgis, MI 49091 | 2007-03-27 |
| 1437203973 | Robert J Mahoney | Counselor | 70050 M 66, Sturgis, MI 49091 | 2007-01-22 |
| 1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
| 1225196355 | James Hunter Raiford | Counselor | 103 S 4th Ave, Sturgis, MI 49091 | 2006-12-04 |
| Find all providers in zip 49091 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386979979 | Regional Health Physicians Inc | Family Medicine | 1010 Ballpark Road, Suite 3, Sturgis, SD 57785-2209 | 2009-10-15 |
| 1942446604 | Hugh Bennett Mccullough | Family Medicine | 910 Independence St, Sturgis, MI 49091-2306 | 2008-12-31 |
| 1992739320 | Ann Hodgman | Family Medicine | 1010 Ballpark Rd Ste 3, Sturgis, SD 57785-2208 | 2006-07-10 |
| 1275592503 | James E Phillips | Family Medicine | 104 S Lakeview St, Sturgis, MI 49091-1947 | 2006-03-23 |
| 1518927888 | Thomas Brenner | Family Medicine | 1904 E Chicago Rd, Sturgis, MI 49091 | 2006-03-23 |
| 1134197569 | Michael Christopher Preys | Family Medicine | 1247 Sherman St, Sturgis, SD 57785-1504 | 2006-03-10 |
| 1619976271 | Yazdi N Amaria | Family Medicine | 111 S Monroe St, Sturgis, MI 49091-1728 | 2005-07-17 |
| 1972034759 | Kent Douglas Wright | Family Medicine | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-03-23 |
| 1255782751 | Josephine V Davis | Family Medicine | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2016-06-26 |
| 1760833560 | Joy Anna Mueller | Family Medicine | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2016-06-23 |
| Find all providers in STURGIS | ||||
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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.