MANISTEE ORTHOPAEDICS (NPI# 1467539569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467539569 |
| Entity Type | Organization |
| Organization Name | MANISTEE ORTHOPAEDICS |
| Practice Address |
1293 E Parkdale Ave Suite 2200 Manistee MI 49660-8904 |
| Practice Telephone | 2313981750 |
| Practice Fax Number | 2313981751 |
| Mailing Telephone | 2313981750 |
| Mailing Fax Number | 2313981751 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TAMMY BAUMAN (BILLER) |
| Authorized Official Telephone | 2313981752 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301046367 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 2005155171 | 01 |
| MI | 4743229 | 05 |
| Street Address |
1293 E PARKDALE AVE SUITE 2200 |
| City | MANISTEE |
| State | MI |
| Zip Code | 49660-8904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509487 | James R Gates | Orthopaedic Surgery | 1293 E Parkdale Ave, Ste 2300b, Manistee, MI 49660-8904 | 2005-06-21 |
| 1528548708 | Thomas Kane | Nurse Practitioner | 1293 E Parkdale Ave, Manistee, MI 49660-8904 | 2018-08-17 |
| 1851753032 | Munson Healthcare Manistee Hospital | Clinic/Center | 1293 E Parkdale Ave, Manistee, MI 49660-8904 | 2016-03-25 |
| 1780979971 | Marisa Gardner | Physician Assistant | 1293 E Parkdale Ave, Manistee, MI 49660 | 2011-06-15 |
| 1144512849 | West Shore Medical Center | Pediatrics | 1293 E Parkdale Ave, Manistee, MI 49660-8904 | 2011-05-12 |
| 1457519142 | Jennifer Sue Reinink | Pediatrics | 1293 E Parkdale Ave, Suite 1200, Manistee, MI 49660-8904 | 2008-05-29 |
| 1285819995 | Renaissance Women's Health, Plc | Obstetrics & Gynecology | 1293 E Parkdale Ave, Suite 1200a, Manistee, MI 49660-8904 | 2008-01-02 |
| 1891970505 | Mary Ivey Md, Plc | Obstetrics & Gynecology | 1293 E Parkdale Ave, Suite 1200a, Manistee, MI 49660-8904 | 2008-01-02 |
| 1275718900 | West Shore Womens Practice PC | Obstetrics & Gynecology | 1293 E Parkdale Ave, Suite 1200a, Manistee, MI 49660-8904 | 2007-12-31 |
| 1093913204 | Manistee Dermatology | Legal Medicine | 1293 E Parkdale Ave, Suite 2500, Manistee, MI 49660-8904 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192306 | Margaret R Batzer | Acupuncturist | 352 1st St, Manistee, MI 49660 | 2018-07-30 |
| 1821590373 | Esther Sigurdardottir | Physical Therapist | 1465 E. Parkdale Av, Manistee, MI 49660 | 2018-03-01 |
| 1104328657 | Bryan Keith Kidd | Physical Therapist | 1465 Parkdale Avenue, Manistee, MI 49660 | 2018-03-01 |
| 1790153799 | Deborah Ann Brandt | Registered Nurse | 318 River Street, Friends Who Care, Manistee, MI 49660 | 2015-09-08 |
| 1265811624 | Joyce Eileen Copeland | Assisted Living Facility | 3644 Chippewa Hwy, Manistee, MI 49660 | 2015-05-19 |
| 1275927931 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 16 Caberfae Hwy, Manistee, MI 49660 | 2015-03-20 |
| 1518244912 | Mara Lane Mckinley | Nurse Practitioner | 1465 E. Parkdale Ave3., Manistee, MICHIGAN 49660 | 2011-11-14 |
| 1477749406 | Catherine Imelda Oertel | Social Worker | 2198 Us 31 South, Manistee, MI 49660 | 2007-09-24 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1144364381 | Layne Christopher Godzina | Dentist | 422 First Street, Manistee, MI 49660 | 2007-02-19 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131855 | Robert L Barry | Orthopaedic Surgery | 1293 E Parkdale Ave Ste 2300-b, Manistee, MI 49660 | 2005-08-12 |
| 1972509487 | James R Gates | Orthopaedic Surgery | 1293 E Parkdale Ave, Ste 2300b, Manistee, MI 49660-8904 | 2005-06-21 |
| 1336274349 | West Shore Health Centers Corporation | Orthopaedic Surgery | 1293 E Parkdale Ave, Suite 2300 B, Manistee, MI 49660-8904 | 2007-02-22 |
| 1447395769 | West Shore Health Centers Corporation | Orthopaedic Surgery | 1293 E Parkdale Ave, Suite 2200 B, Manistee, MI 49660-8904 | 2007-02-21 |
| 1003904855 | West Shore Health Centers Corporation | Orthopaedic Surgery | 1293 E Parkdale Ave, Ste 2300b, Manistee, MI 49660-8904 | 2006-10-10 |
| 1376645416 | West Shore Health Centers Corporation | Orthopaedic Surgery | 1293 E Parkdale Ave, Suite 2200, Manistee, MI 49660-8904 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805365 | Conner D Ahlgren | Orthopaedic Surgery | 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073-6770 | 2020-06-09 |
| 1063035319 | Alex Kane Miller | Orthopaedic Surgery | 3577 W 13 Mile Rd Ste 402, Royal Oak, MI 48073-6710 | 2020-05-21 |
| 1396374716 | Arjun Patel | Orthopaedic Surgery | Ascension Genesys, Gme Dept, One Genesys Pkwy, Grand Blanc, MI 48439-4843 | 2020-04-07 |
| 1346876711 | Timothy Curtis Mead | Orthopaedic Surgery | 4752 Lake Harbor Rd, Norton Shores, MI 49441-5236 | 2020-03-18 |
| 1932751112 | Mendelson Warren Pharmacy | Orthopaedic Surgery | 11900 E 12 Mile Rd Ste 105, Warren, MI 48093-3487 | 2019-07-09 |
| 1023678059 | Th Mg Ohio LLC | Orthopaedic Surgery | 1050 Wilshire Dr Ste 300, Troy, MI 48084-1526 | 2019-06-20 |
| 1609430321 | Mohamed Saad-waterworks, PC | Orthopaedic Surgery | 21031 Michigan Ave Fl 2, Dearborn, MI 48124-2339 | 2019-04-29 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| 1588228845 | Muhammad Talha Padela | Orthopaedic Surgery | 3990 John R St Ste 7b, Detroit, MI 48201 | 2019-04-23 |
| 1134681125 | Neuro Spine Institute Pllc | Orthopaedic Surgery | 29255 Northwestern Hwy Ste 202, Southfield, MI 48034-5741 | 2019-04-01 |
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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.