MERCY HOSPITAL CADILLAC (NPI# 1568731289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568731289 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL CADILLAC |
| Other Organization Name | MERCY CADILLAC PHYSICIAN NETWORK |
| Practice Address |
7985 Mackinaw Trl Cadillac MI 49601-8111 |
| Mailing Address |
Po Box 533 Grayling MI 49738-0533 |
| Practice Telephone | 2318766200 |
| Mailing Telephone | 2318767200 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | JOHN L. MACLEOD (CEO) |
| Authorized Official Telephone | 2318767200 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH-MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Cadillac Physician Network | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609213222 | Mercy Hospital Cadillac | Family Medicine | 100 N Roland St, Mc Bain, MI 49657-9683 | 2013-05-23 |
| 1538489760 | Mercy Hospital Cadillac | Family Medicine | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2010-06-10 |
| 1003908625 | Mercy Hospital Cadillac | General Acute Care Hospital | 400 Hobart St, Cadillac, MI 49601-2331 | 2006-09-29 |
| Street Address |
7985 MACKINAW TRL |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738060 | Douglas E Cox | Family Medicine | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2005-05-24 |
| 1992204135 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2018-02-02 |
| 1366828527 | Munson Healthcare Cadillac | Family Medicine | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2015-08-10 |
| 1104215946 | Munson Home Care | Hospice Care, Community Based | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2015-01-16 |
| 1912303728 | Munson Healthcare Cadillac | Clinic/Center | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2014-11-06 |
| 1730431917 | Kylee Gatzke | Nurse Practitioner | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2012-10-11 |
| 1700133410 | Michelle Lee Davis | Social Worker | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2012-08-13 |
| 1770860694 | Spectrum Health Hospitals | Obstetrics & Gynecology | 7985 Mackinaw Trl, Ste. 201, Cadillac, MI 49601-8111 | 2011-11-06 |
| 1558651125 | Heather Lynn Nolan | Nurse Practitioner | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2011-04-15 |
| 1538489760 | Mercy Hospital Cadillac | Family Medicine | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2010-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275701161 | Mercy Professional Services | Obstetrics & Gynecology | 7985 Mackinaw Trl Ste 201, Cadillac, MI 49601-8111 | 2008-02-14 |
| 1710973045 | John F Itnyre | Obstetrics & Gynecology | 7800 Us 131 S, Suite C, Cadillac, MI 49601-8437 | 2005-09-22 |
| 1487051611 | Munson Healthcare Cadillac | Obstetrics & Gynecology | 400 Hobart St, Cadillac, MI 49601-2331 | 2014-12-03 |
| 1619105624 | Andrea Noel Mcswain | Obstetrics & Gynecology | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2009-06-29 |
| 1851499941 | Nelson Pou | Obstetrics & Gynecology | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2006-09-20 |
| 1558357608 | William M Long | Obstetrics & Gynecology | 7800 Us 131 S, Suite C, Cadillac, MI 49601-8437 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
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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.