DR. ALBERT TIMOTHY LINEHAN IV (NPI# 1528169729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528169729 |
| Entity Type | Individual |
| Full Name | DR. ALBERT TIMOTHY LINEHAN IV |
| Credential | M.D. |
| Practice Address |
405 N Division Rd Suite 4 Petoskey MI 49770-9045 |
| Practice Telephone | 2314876575 |
| Practice Fax Number | 2314399837 |
| Mailing Telephone | 2314876575 |
| Mailing Fax Number | 2314399837 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 4301052216 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | 030004444 | 01 |
| MI | 4091246-10 | 05 | |
| MI | BLUE SHIELD PIN | 0302464921 | 01 |
| Street Address |
405 N DIVISION RD SUITE 4 |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109463 | James M Shirilla | Internal Medicine | 405 N Division Rd, Suite 3, Petoskey, MI 49770-9045 | 2006-07-19 |
| 1861681819 | Mark C. Antonishen, M.d., P.l.l.c. | Internal Medicine | 405 N Division Rd, Ste 3, Petoskey, MI 49770-9045 | 2007-10-16 |
| 1396958500 | Northern Michigan Allergy & Asthma Center, P.C. | Allergy & Immunology | 405 N Division Rd, Suite 4, Petoskey, MI 49770-9045 | 2007-05-07 |
| 1629173026 | James M Shirilla Md PC | Internal Medicine | 405 N Division Rd, Suite 3, Petoskey, MI 49770-9045 | 2006-09-13 |
| 1215049887 | Northern Michigan Urology P.C. | Urology | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9045 | 2006-08-31 |
| 1669586871 | Howard Michael Topley | Urology | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9045 | 2006-08-18 |
| 1841304961 | James Murray Howard | Urology | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9045 | 2006-08-18 |
| 1952415077 | John W Hall | Urology | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9045 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396958500 | Northern Michigan Allergy & Asthma Center, P.C. | Allergy & Immunology | 405 N Division Rd, Suite 4, Petoskey, MI 49770-9045 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1417360660 | Allergy & Asthma Physicians of Troy, P.C. | Allergy & Immunology | 4600 Investment Drive, Suite # 110, Suite # 110, Troy, MI 48098-6366 | 2014-06-05 |
| 1861834095 | Herald Allen Habenicht | Allergy & Immunology | 10516 Range Line Rd, Berrien Springs, MI 49103-9203 | 2013-07-30 |
| 1386991461 | Lee D. Baylis, M.d. Pllc | Allergy & Immunology | 5825 S Main St Ste 203, Clarkston, MI 48346-2983 | 2012-08-08 |
| 1134485139 | James Austin Womack | Allergy & Immunology | 2310 W Mcnichols Rd, Detroit, MI 48221 | 2012-04-04 |
| 1023380797 | Leonard Samuel Gell | Allergy & Immunology | 7650 Conservation St Ne, Ada, MI 49301-9522 | 2012-01-27 |
| 1295065126 | Richard Kurt Vonmaur | Allergy & Immunology | 10653 Sudan St, Portage, MI 49002-7373 | 2009-12-24 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1245493527 | Rachel Karman Kado | Allergy & Immunology | 20228 Farmington Rd, Livonia, MI 48152-1412 | 2008-07-07 |
| 1992979223 | Rasem David Ghannam | Allergy & Immunology | 15386 Mcleans, Spring Lake, MI 49456-2129 | 2008-04-17 |
| Find all providers with the same taxonomy | ||||
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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.