BRYAN DALE VISSER (NPI# 1588756340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588756340 |
| Entity Type | Individual |
| Full Name | BRYAN DALE VISSER |
| Credential | MD |
| Practice Address |
7901 S 12th St Suite #200 Portage MI 49024-3831 |
| Practice Telephone | 2693727200 |
| Practice Fax Number | 2693721630 |
| Mailing Telephone | 2693727200 |
| Mailing Fax Number | 2693721630 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 4301047094 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2891670 | 05 |
| Street Address |
7901 S 12TH ST SUITE #200 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593009 | Kimberly Carol Clark | Specialist | 7901 S 12th St, Suite 200, Portage, MI 49024-3831 | 2013-09-02 |
| 1669756912 | Kalamazoo Foot and Ankle Specialists, Plc | Podiatrist | 7901 S 12th St, Suite 101, Portage, MI 49024-3831 | 2011-10-05 |
| 1639464894 | Kelly Renee Campbell | Occupational Therapist | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2011-06-16 |
| 1144519133 | Jonathan Nykamp | Nurse Practitioner | 7901 S 12th St, Portage, MI 49024-3831 | 2011-03-31 |
| 1689818486 | Kimberly Clawson | Plastic Surgery | 7901 S 12th St, Portage, MI 49024 | 2009-04-23 |
| 1184886111 | Michael P Maskill | Podiatrist | 7901 S 12th St, Portage, MI 49024-3831 | 2008-07-01 |
| 1609968247 | Alfonso Emanuel F Rodriguez | Physical Therapist | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2006-09-29 |
| 1487760427 | Great Lakes Cardiovascular Thoracic Surgery, Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7901 S 12th St, Suite 201, Portage, MI 49024-3831 | 2006-08-22 |
| 1356384275 | George Joseph Mack | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7901 S 12th St, Ste. 201, Portage, MI 49024-3831 | 2006-06-14 |
| 1942247176 | Sports Medicine & Joint Care of West Michigan, Plc | Orthopaedic Surgery | 7901 S 12th St, Suite 101, Portage, MI 49024-3831 | 2006-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841306982 | Juvenal Lipana Castillo | Physical Medicine & Rehabilitation | 6172 Chablis Ln, Portage, MI 49024-9005 | 2006-08-22 |
| 1245201177 | John Steven Midmore | Physical Medicine & Rehabilitation | 3156 Willowcreek Rd, Portage, IN 46368 | 2006-01-30 |
| 1710529771 | Comprehensive Rehab Consultants LLC | Physical Medicine & Rehabilitation | 5909 Lute Rd, Portage, IN 46368-4824 | 2019-10-11 |
| 1376744664 | Porter Physician Services LLC | Physical Medicine & Rehabilitation | 3220 Lancer St, Portage, IN 46368-4495 | 2007-05-31 |
| 1538142765 | Kenneth K Oh | Physical Medicine & Rehabilitation | 2817 New Pinery Rd., Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891298 | James T Gilas M.d. Spine and Joint Center Pllc | Physical Medicine & Rehabilitation | 26635 Southfield Rd, Lathrup Village, MI 48076-4530 | 2020-11-03 |
| 1730786351 | Lance Forest Hunt | Physical Medicine & Rehabilitation | 1193 Hanover St, Owosso, MI 48867-4906 | 2020-10-06 |
| 1801401161 | Michigan Total Rehab Services, Pllc | Physical Medicine & Rehabilitation | 4677 Towne Centre Rd Ste 102, Saginaw, MI 48604-2847 | 2020-09-14 |
| 1114537818 | Premier Integrative Medical Group, Pllc | Physical Medicine & Rehabilitation | 391 S Shore Dr Ste 213, Battle Creek, MI 49014-5446 | 2020-08-06 |
| 1952910911 | A One Rehab LLC | Physical Medicine & Rehabilitation | 24315 Northwestern Hwy Ste 1, Southfield, MI 48075-6815 | 2020-07-27 |
| 1831716158 | Np Health of Mi Pllc | Physical Medicine & Rehabilitation | 5119 W Bristol Rd Ste A, Flint, MI 48507-2966 | 2020-07-02 |
| 1891311932 | Fnu Arzoo Hasija | Physical Medicine & Rehabilitation | 1428 Brians Way, Rochester Hills, MI 48307-2902 | 2020-06-24 |
| 1700402559 | David Liao Jr. | Physical Medicine & Rehabilitation | 2102 Orleans St, Detroit, MI 48207-2769 | 2020-06-17 |
| 1073139978 | Zeeshan Haque | Physical Medicine & Rehabilitation | 200 Jefferson Ave Se Ste 305, Grand Rapids, MI 49503-4502 | 2020-06-17 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
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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.