MERCY PROFESSIONAL SERVICES (NPI# 1619114386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619114386 |
Entity Type | Organization |
Organization Name | MERCY PROFESSIONAL SERVICES |
Other Organization Name | SURGIAL SERVICES |
Practice Address |
400 Hobart St Cadillac MI 49601-2331 |
Mailing Address |
Po Box 533 Grayling MI 49738-0533 |
Practice Telephone | 2318767200 |
Enumeration Date | 2009-01-16 |
Last Update Date | 2009-11-30 |
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 |
---|---|---|---|---|---|
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Surgial Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275701161 | Mercy Professional Services | Obstetrics & Gynecology | 7985 Mackinaw Trl Ste 201, Cadillac, MI 49601-8111 | 2008-02-14 |
1033544614 | Mercy Professional Services | Nurse Anesthetist, Certified Registered | 400 Hobart St, Cadillac, MI 49601-2331 | 2013-09-13 |
1285070482 | Mercy Professional Services | Internal Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2013-05-14 |
1093998338 | Mercy Professional Services | Psychologist | 2330 Victory Pkwy, Suite 500, Cincinnati, OH 45206-2839 | 2007-12-10 |
1740405513 | Mercy Professional Services | Nurse Anesthetist, Certified Registered | 400 Hobart St, Cadillac, MI 49601-2331 | 2007-04-16 |
1912951468 | Mercy Professional Services | Radiology | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2006-05-20 |
Street Address |
400 HOBART ST |
City | CADILLAC |
State | MI |
Zip Code | 49601-2331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083615025 | Gary A Shintani | Internal Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2005-08-01 |
1740819499 | Stacy Moniz | Registered Nurse | 400 Hobart St, Cadillac, MI 49601-2331 | 2020-04-05 |
1407400369 | Munson Healthcare Cadillac | Clinic/Center | 400 Hobart St, Cadillac, MI 49601-2331 | 2019-07-30 |
1689227084 | Aprill Marie Meeks | Pharmacist | 400 Hobart St, Cadillac, MI 49601-2331 | 2019-07-24 |
1033762729 | Alison Gravelin | Pharmacist | 400 Hobart St, Cadillac, MI 49601-2331 | 2019-07-22 |
1760035638 | Nneka Chris Ukah | Pharmacist | 400 Hobart St, Cadillac, MI 49601-2331 | 2019-07-19 |
1942852249 | Kimberley Diener | Pharmacist | 400 Hobart St, Cadillac, MI 49601-2331 | 2019-07-16 |
1487215463 | Ellen Deette Boyer | Dietitian, Registered | 400 Hobart St, Cadillac, MI 49601-2389 | 2019-06-21 |
1124585120 | Vanessa Mihalick | Dietitian, Registered | 400 Hobart St, Cadillac, MI 49601-2331 | 2019-02-26 |
1740773456 | Amanda M Shoemaker | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-06-08 |
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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 | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073583316 | Terrence Wayne Tatarchuk | Surgery | 8795 Pine Ridge Dr, Suite B, Cadillac, MI 49601-9777 | 2006-01-26 |
1407834898 | Louis Charles Tegtmeyer | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2006-01-05 |
1477554277 | Timothy Matthew Iseri | Surgery | 927 Carmel St, Cadillac, MI 49601-2547 | 2005-08-03 |
1336547041 | Munson Healthcare Cadillac | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2014-12-11 |
1174886279 | David Jonathan Hobbs | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2012-06-22 |
1366762569 | Mercy Surgical Care | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2010-06-10 |
1164550372 | Kent Calvin Bowden | Surgery | 927 S Carmel St, Cadillac, MI 49601 | 2007-03-01 |
1841224557 | Glenn P Verbrugge | Surgery | 927 Carmel St, Cadillac, MI 49601-2547 | 2006-07-10 |
1295769024 | Cadillac Surgical Care PC | Surgery | 927 Carmel St, Cadillac, MI 49601-2547 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508475237 | Dr Dayhim Pllc | Surgery | 12203 Shearwater Cir, Commerce Township, MI 48390-4260 | 2020-07-28 |
1922624923 | Dr Anthony Joseph Md Pllc | Surgery | 2330 S Milford Rd Ste 120, Highland, MI 48357-4982 | 2020-06-25 |
1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
1922623081 | Joon B Kim | Surgery | 1200 Michigan Ave Ste 655, East Lansing, MI 48823-4099 | 2020-06-14 |
1932724101 | Alec Jerry Raniwsky | Surgery | 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 | 2020-06-12 |
1184245771 | Upper Michigan Associates LLC | Surgery | 1414 W Fair Ave Ste 235, Marquette, MI 49855-5406 | 2020-05-05 |
1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
1487275509 | Erika C Michelin | Surgery | 28080 Grand River Ave Ste 208, Farmington Hills, MI 48336-5966 | 2020-04-29 |
1063047629 | Suzanne A. Law, D.o., P.C. | Surgery | G4007 W Court St Ste E, Flint, MI 48532-3560 | 2020-03-04 |
1801454871 | Dakita Mack | Surgery | 28050 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5919 | 2019-06-04 |
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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.