BARAGA COUNTY MEMORIAL HOSPITAL (NPI# 1487758595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487758595 |
Entity Type | Organization |
Organization Name | BARAGA COUNTY MEMORIAL HOSPITAL |
Other Organization Name | PATHOLOGIST |
Practice Address |
18341 Us Highway 41 Lanse MI 49946-8024 |
Practice Telephone | 9065243300 |
Practice Fax Number | 9065246218 |
Mailing Telephone | 9065243300 |
Mailing Fax Number | 9065246218 |
Enumeration Date | 2006-09-11 |
Last Update Date | 2014-03-28 |
Authorized Official Name | MR. TIM ZWICKEY (ADMINISTRATOR) |
Authorized Official Telephone | 9065243321 |
Authorized Official Credential | CEO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301039795 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS OF MICHIGAN GROUP | 0Z71002 | 01 |
Other Name | Type Code |
---|---|
Pathologist | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932218807 | Baraga County Memorial Hospital | Home Health | 510 Memorial St, Suite A, Lanse, MI 49946-1138 | 2006-08-30 |
1841555430 | Baraga County Memorial Hospital | Clinic/Center | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2012-07-10 |
1457459059 | Baraga County Memorial Hospital | Hospice Care, Community Based | 510 Memorial St, Suite A, Lanse, MI 49946-1138 | 2006-09-20 |
1508960600 | Baraga County Memorial Hospital | Emergency Medicine | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2006-09-11 |
1700980968 | Baraga County Memorial Hospital | Family Medicine | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2006-09-11 |
1841394046 | Baraga County Memorial Hospital | Medicare Defined Swing Bed Unit | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2006-09-11 |
1770687931 | Baraga County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 510 Memorial St, Lanse, MI 49946-1138 | 2006-09-11 |
1851409643 | Baraga County Memorial Hospital | Family Medicine | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2006-08-29 |
1558479824 | Baraga County Memorial Hospital | General Acute Care Hospital | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2006-08-28 |
Street Address |
18341 US HIGHWAY 41 |
City | LANSE |
State | MI |
Zip Code | 49946-8024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669479390 | Sharon L Gilliland | Pediatrics | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2005-07-07 |
1952961567 | Kevin Michael Johnson | Nurse Practitioner | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2019-06-17 |
1982164844 | Lisa Brown | Pharmacist | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2019-03-25 |
1215491543 | Trista Barron | Occupational Therapist | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2019-01-31 |
1114409372 | Katie Kolbus | Speech-Language Pathologist | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2018-09-05 |
1144722265 | Jeffrey S Dauphinais | Nurse Practitioner | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2018-03-05 |
1932617404 | Carter Hendricks | Pharmacist | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2018-01-17 |
1356898415 | Leanna Miller | Nurse Practitioner | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2016-09-07 |
1992056824 | Kimberly S. Hendrickson | Counselor | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2012-10-02 |
1841555430 | Baraga County Memorial Hospital | Clinic/Center | 18341 Us Highway 41, Lanse, MI 49946-8024 | 2012-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205251154 | L'anse Family Dental, Pllc | Dentist | 12 S Fourth St, L'anse, MI 49946 | 2014-03-03 |
1427285295 | Phyllis Alma Lee | Registered Nurse | 902 Boyer Street, L'anse, MI 49946 | 2009-06-18 |
1437350055 | Anni Christina Gregor | Social Worker | 4 West Broad St, L'anse, MI 49946 | 2007-05-30 |
1699813030 | T & P Inc | Pharmacy | 10 E Broad, Lanse, MI 49946 | 2007-02-01 |
1689731812 | L'anse Pharmacy Inc. | Pharmacy | 18341 Us Hwy 41, L'anse, MI 49946 | 2007-01-03 |
1578522918 | Ronald P D'agostino Jr. | Family Medicine | 108 W Eastern Ave, Lanse, MI 49946 | 2006-03-23 |
1740630326 | Kristina B Welle | Dentist | 12 S 4th St, Lanse, MI 49946 | 2016-06-15 |
1902270135 | Tonia Maria Truesdell | Psychologist | 118 N Main St, Lanse, MI 49946 | 2015-11-27 |
1134174204 | Mark G Summersett | Dentist | 12 S. Fourth St., Lanse, MI 49946-0009 | 2006-05-24 |
1184017642 | Baragaland Senior Citizens, Inc. | Home Health | 6 N Main St, Lanse, MI 49946-1024 | 2015-03-09 |
Find all providers in zip 49946 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
1942756234 | Ahmed Alrajjal | Pathology | 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 | 2016-08-28 |
1649630435 | Barry Dewitt | Pathology | 11345 Greenview Dr, Fenton, MI 48430-2591 | 2016-03-07 |
1922467919 | Wilford E. Maldonado | Pathology | 4722 Huron Hill Dr, Okemos, MI 48864-2052 | 2016-02-18 |
1144636895 | Ramya Gadde | Pathology | 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 | 2014-07-02 |
1710329206 | Yulei Shen | Pathology | 1546 Brentwood Dr, Troy, MI 48098-2713 | 2013-07-24 |
1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
1942552336 | Kusum Kumar | Pathology | 3885 Highwood Pl, Okemos, MI 48864-3790 | 2012-10-09 |
1073864898 | Karel Kithier | Pathology | 5022 Temple Drive, Sterling Heights, MI 48310-4067 | 2012-09-20 |
1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
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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.