GREGORY G NORTH PHD PC (NPI# 1609061464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609061464 |
| Entity Type | Organization |
| Organization Name | GREGORY G NORTH PHD PC |
| Practice Address |
11293 N M 37 Suite A Buckley MI 49620-9593 |
| Mailing Address |
5989 S Schomberg Rd Cedar MI 49621-9703 |
| Practice Telephone | 2319334268 |
| Practice Fax Number | 2312694461 |
| Mailing Telephone | 2319334268 |
| Mailing Fax Number | 2312694461 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2019-03-17 |
| Authorized Official Name | DR. GREGORY GUY NORTH (OWNER) |
| Authorized Official Telephone | 2319334268 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301005865 | MI | Behavioral Health & Social Service Providers |
| Street Address |
11293 N M 37 SUITE A |
| City | BUCKLEY |
| State | MI |
| Zip Code | 49620-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578547071 | Northern Pines Health Center, PC | Preferred Provider Organization | 11293 N M 37, Suite A, Buckley, MI 49620-9593 | 2005-11-30 |
| 1063878973 | Kori Marvin | Physician Assistant | 11293 N M 37, Buckley, MI 49620-9593 | 2016-01-07 |
| 1942584941 | Heidi Fite | Physician Assistant | 11293 N M 37, Ste. A, Buckley, MI 49620-9593 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699851659 | David L Duff | Chiropractor | 11391 South M-37, Buckley, MI 49620 | 2006-10-31 |
| 1861568479 | Mitzie Jean Hewitt | Family Medicine | 11293 N M-37, Suite A, Buckley, MI 49620 | 2006-11-27 |
| 1851375745 | Gregory Guy North | Psychologist | 11293 N M-37, Suite A, Buckley, MI 49620-0001 | 2005-12-03 |
| 1104905181 | Village of Buckley | Ambulance | 106 Industrial Dr, Buckley, MI 49620-0113 | 2006-11-02 |
| 1831680081 | Julia Sherilynn Pickard | Behavior Technician | 11730 N 17 Rd, Buckley, MI 49620-9504 | 2018-05-23 |
| 1619475969 | Luke Brandon Holly | Physician Assistant | 124 Navaho Trl, Buckley, MI 49620-9527 | 2018-01-31 |
| 1538700646 | Sarah Winske | Behavior Technician | 100 N Woodmeadows Dr, Buckley, MI 49620-9579 | 2019-10-01 |
| 1891992244 | Heidi Hansen Burgess | Physical Therapist | 10199 Samson Woods Dr, Buckley, MI 49620-9592 | 2007-06-29 |
| 1912452731 | Alexander Cooper | Nurse Practitioner | 11293 N M 37 Ste A, Buckley, MI 49620-9593 | 2016-08-22 |
| 1336365279 | Kelly R Mcdonough | Physical Therapist | 11293 N M 37 Ste B, Buckley, MI 49620-9593 | 2007-04-18 |
| Find all providers in zip 49620 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851375745 | Gregory Guy North | Psychologist | 11293 N M-37, Suite A, Buckley, MI 49620-0001 | 2005-12-03 |
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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.