RED ARROW FAMILY PRACTICE (NPI# 1457540908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457540908 |
Entity Type | Organization |
Organization Name | RED ARROW FAMILY PRACTICE |
Practice Address |
6500 Red Arrow Hwy Coloma MI 49038-8700 |
Practice Telephone | 2694684100 |
Practice Fax Number | 2694683334 |
Mailing Telephone | 2694684100 |
Mailing Fax Number | 2694683334 |
Enumeration Date | 2007-10-22 |
Last Update Date | 2007-10-22 |
Authorized Official Name | DR. MICHAEL E MAYLE (OWNER) |
Authorized Official Telephone | 2694684100 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 009859 | MI | Allopathic & Osteopathic Physicians |
Street Address |
6500 RED ARROW HWY |
City | COLOMA |
State | MI |
Zip Code | 49038-8700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528494135 | Gerald Carl Thiele | Hearing Instrument Specialist | 6693 Red Arrow Hwy, Coloma, MI 49038 | 2013-09-16 |
1518283100 | Jeffrey Thomas Perrapato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6270 Lakewood Pointe Drive, Coloma, MI 49038 | 2010-04-08 |
1316123102 | Moss Chiropractic Clinic P.C. | Chiropractor | 429 N. Paw Paw Street, Coloma, MI 49038 | 2008-01-11 |
1386848745 | Daniel A Iliff | Chiropractor | 6560 Red Arrow Highway, Coloma, MI 49038 | 2007-06-12 |
1598711939 | Darlene Suzanne Bruner-getz | Dentist | 213 N Paw Paw St, Coloma, MI 49038 | 2006-05-26 |
1194295782 | Jeremy B Shelley | Physical Therapist | 7040 Red Arrow Hwy, Coloma, MI 49038 | 2018-11-27 |
1265898878 | Brandi Smith | Nurse Practitioner | 6701 Paw Paw Ave, Coloma, MI 49038 | 2016-01-12 |
1144866906 | Healing Counseling Services LLC | Social Worker | 6572 Red Arrow Hwy Ste 2, Coloma, MI 49038-8700 | 2019-11-26 |
1962562397 | Susan L Startup | Social Worker | 6560 Red Arrow Hwy, Coloma, MI 49038-8700 | 2006-12-08 |
1700813227 | Judy D Henderson | Internal Medicine | 6572 Red Arrow Hwy, Coloma, MI 49038-8700 | 2006-06-28 |
Find all providers in zip 49038 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.