DR. MARILYNN S. DEWALD (NPI# 1548262702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548262702 |
| Entity Type | Individual |
| Full Name | DR. MARILYNN S. DEWALD |
| Credential | M.D. |
| Practice Address |
1000 Cedar St Houghton MI 49931-1978 |
| Practice Telephone | 9064871710 |
| Practice Fax Number | 9064879421 |
| Mailing Telephone | 9064871710 |
| Mailing Fax Number | 9064879421 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301056759 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DEA NUMBER | BD2018605 | 01 |
| MI | RHC MEDICARE NUMBER | 233857 | 01 |
| MI | 2668377 | 05 | |
| MI | MI LICENSE NUMBER | 4301056759 | 01 |
| Street Address |
1000 CEDAR ST |
| City | HOUGHTON |
| State | MI |
| Zip Code | 49931-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972020 | Peggy Groeneveld | Pharmacist | 1000 Cedar St, Houghton, MI 49931-1978 | 2020-01-30 |
| 1265943401 | Lauren Siren | Speech-Language Pathologist | 1000 Cedar St, Houghton, MI 49931-1978 | 2017-10-16 |
| 1558713891 | Jessica L Harju | Occupational Therapist | 1000 Cedar St, Houghton, MI 49931-1978 | 2016-07-11 |
| 1518355494 | Derek Bustos | Physical Therapist | 1000 Cedar St, Houghton, MI 49931-1978 | 2014-12-31 |
| 1629475918 | Sarah Marie Verberkmoes | Physical Therapist | 1000 Cedar St, Houghton, MI 49931-1978 | 2014-12-02 |
| 1477955276 | Teri Reevs | Nurse Practitioner | 1000 Cedar St, Houghton, MI 49931-1978 | 2014-09-23 |
| 1104236256 | Christiann Rosemurgy | Advanced Practice Midwife | 1000 Cedar St, Houghton, MI 49931-1978 | 2014-04-29 |
| 1235556101 | Aspirus Keweenaw Enterprises Inc | Pharmacy | 1000 Cedar St, Houghton, MI 49931-1978 | 2014-03-27 |
| 1518268259 | Corin S Swartz | Physical Therapist | 1000 Cedar St, Houghton, MI 49931-1978 | 2010-11-11 |
| 1588992788 | Jeffrey D Baril | Physical Therapist | 1000 Cedar St, Houghton, MI 49931-1978 | 2009-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962053447 | Meghan Lawler Immel | Counselor | 47431 St. Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-09-25 |
| 1205495710 | Public Counseling Services, LLC | Counselor | 47431 Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-06-08 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1487150165 | Taylor Lee Douglas | Optometrist | 900 W Mem Dr, Houghton, MI 49931 | 2018-04-02 |
| 1033640867 | Larry Binoniemi | Pharmacist | 995 Razoback Dr, Houghton, MI 49931 | 2017-03-23 |
| 1013247972 | Portage Health Inc | General Practice | 921 W Sharon Ave., Houghton, MI 49931 | 2009-12-28 |
| 1508001629 | Aspirus Keweenaw | General Practice | 900 Memorial Drive, Houghton, MI 49931 | 2008-12-03 |
| 1306027057 | Gary Kilpela | Psychologist | 301 West Lake Ave., Suite 2, Houghton, MI 49931 | 2007-11-23 |
| 1811186455 | Baraga-houghton-keweenaw Child Development Board | Public Health or Welfare | 700 Park Avenue, Houghton, MI 49931 | 2007-10-19 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| Find all providers in zip 49931 | ||||
| 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 |
|---|---|---|---|---|
| 1649303470 | Calvin L Schierer Do PC | Family Medicine | 9734 Route 19, Houghton, NY 14744-8771 | 2007-03-13 |
| 1609811058 | Aspirus Keweenaw | Family Medicine | 301 West Lakeshore Drive, Houghton, MI 49931-2200 | 2006-06-19 |
| 1316919152 | David Brubaker | Family Medicine | 9789 Cr 35, Houghton College Health Center, Houghton, NY 14744 | 2006-02-06 |
| 1548262736 | Mark Richard Shebuski | Family Medicine | 301 W Lakeshore Dr, Houghton, MI 49931-2200 | 2005-06-01 |
| 1902126998 | Todd W Anderson | Family Medicine | 600 Macinnes Dr, Houghton, MI 49931-1144 | 2010-06-02 |
| 1942538368 | Southern Tier Community Health Center Network Inc | Family Medicine | 9864 Luckey Dr, Houghton, NY 14744-8706 | 2009-11-23 |
| 1063748770 | Portage Health Inc. | Family Medicine | 600 Macinnes Dr, Houghton, MI 49931-1144 | 2009-10-30 |
| 1093979700 | Zachariah Matthew Deyoung | Family Medicine | 600 Macinnes Dr, Houghton, MI 49931-1144 | 2008-07-11 |
| 1982801569 | Karen Marie Deyoung | Family Medicine | 600 Macinnes Dr, Houghton, MI 49931-1144 | 2007-06-28 |
| 1689682841 | Houghton College Student Health Center | Family Medicine | 9789 Cr 35, Houghton, NY 14744 | 2006-08-04 |
| Find all providers in HOUGHTON | ||||
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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.