ASPIRUS KEWEENAW (NPI# 1609811058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609811058 |
| Entity Type | Organization |
| Organization Name | ASPIRUS KEWEENAW |
| Other Organization Name | ASPIRUS KEWEENAW MEDICAL ARTS |
| Practice Address |
301 West Lakeshore Drive Houghton MI 49931-2200 |
| Practice Telephone | 9064871710 |
| Practice Fax Number | 9064879421 |
| Mailing Telephone | 9064871710 |
| Mailing Fax Number | 9064879421 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | SHANE M JACQUES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9063376500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS & BLUE SHIELD | 080C160340 | 01 |
| Other Name | Type Code |
|---|---|
| Aspirus Keweenaw Medical Arts | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205164555 | Aspirus Keweenaw | Physical Therapist | 1000 Cedar Street, Houghton, MI 49931-2801 | 2009-11-25 |
| 1508001629 | Aspirus Keweenaw | General Practice | 900 Memorial Drive, Houghton, MI 49931 | 2008-12-03 |
| 1649320524 | Aspirus Keweenaw | Clinic/Center | 110 Calumet Street, Lake Linden, MI 49945-1308 | 2007-01-11 |
| 1821497579 | Aspirus Keweenaw | Ophthalmology | 404 W Sharon Ave, Houghton, MI 49931-1980 | 2014-08-19 |
| 1790127454 | Aspirus Keweenaw | Orthopaedic Surgery | 205 Osceola St, Laurium, MI 49913-2134 | 2013-07-23 |
| 1831444744 | Aspirus Keweenaw | General Practice | 205 Osceola St, Laurium, MI 49913-2134 | 2012-07-17 |
| 1750654661 | Aspirus Keweenaw | Clinic/Center | 300 Hecla St, Laurium, MI 49913-2128 | 2012-02-23 |
| 1215092572 | Aspirus Keweenaw | Clinic/Center | 1000 Cedar St, Houghton, MI 49931-1978 | 2006-12-27 |
| 1205998713 | Aspirus Keweenaw | Clinic/Center | 205 Osceola Street, Laurium, MI 49913-2134 | 2006-12-14 |
| 1154480044 | Aspirus Keweenaw | Medicare Defined Swing Bed Unit | 205 Osceola Street, Laurium, MI 49913-2134 | 2006-12-06 |
| Street Address |
301 WEST LAKESHORE DRIVE |
| City | HOUGHTON |
| State | MI |
| Zip Code | 49931-2200 |
| 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 |
| 1316919152 | David Brubaker | Family Medicine | 9789 Cr 35, Houghton College Health Center, Houghton, NY 14744 | 2006-02-06 |
| 1548262702 | Marilynn S. Dewald | Family Medicine | 1000 Cedar St, Houghton, MI 49931-1978 | 2005-06-01 |
| 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.