MCLAREN MEDICAL GROUP (NPI# 1629369988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629369988 |
| Entity Type | Organization |
| Organization Name | MCLAREN MEDICAL GROUP |
| Practice Address |
3720 Katalin Ct Bay City MI 48706-2160 |
| Mailing Address |
3061 Christy Way Saginaw MI 48603-2224 |
| Practice Telephone | 9893919223 |
| Practice Fax Number | 9893919226 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897911382 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |
| Authorized Official Name | SUE S WILLETT (MANAGER) |
| Authorized Official Telephone | 8103421009 |
| Authorized Official Credential | BILLING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301066522 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114066693 | Mclaren Medical Group | Advanced Practice Midwife | 1198 N Belsay Rd, Building 3, Burton, MI 48509-1669 | 2007-02-05 |
| 1053458091 | Mclaren Medical Group | Obstetrics & Gynecology | 2521 N Elms Rd, Flushing, MI 48433-9426 | 2007-01-31 |
| 1104294354 | Mclaren Medical Group | General Practice | 611 Court St, West Branch, MI 48661-8820 | 2015-09-04 |
| 1649435223 | Mclaren Medical Group | Emergency Medicine | 43900 Garfield Rd, Suite 121, Clinton Township, MI 48038-1128 | 2008-07-23 |
| 1164614798 | Mclaren Medical Group | Emergency Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2007-08-17 |
| 1528100781 | Mclaren Medical Group | Advanced Practice Midwife | 3175 Professional Ct, Bay City, MI 48706-2823 | 2007-02-13 |
| 1306983176 | Mclaren Medical Group | Pediatrics | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1073650750 | Mclaren Medical Group | Radiology | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1922145606 | Mclaren Medical Group | Surgery | 1254 N Main St, Lapeer, MI 48446-1343 | 2007-01-31 |
| 1659418663 | Mclaren Medical Group | Internal Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2007-01-31 |
| Street Address |
3720 KATALIN CT |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831162460 | Revan Maragiri | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2006-02-13 |
| 1588219257 | Bay Area Physician Services PC | Clinic/Center | 3720 Katalin Ct, Bay City, MI 48706-2106 | 2019-08-08 |
| 1609304187 | Jodie Marie Kelly | Nurse Practitioner | 3720 Katalin Ct, Bay City, MI 48706-2106 | 2017-05-30 |
| 1952770976 | Andrew Willson | Physician Assistant | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2015-09-21 |
| 1245521152 | Harmohan S Kochar Md | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2011-04-26 |
| 1407185499 | Sulaiman Mohammad | Psychiatry & Neurology | 3720 Katalin Ct, Bay City, MI 48706-2106 | 2009-12-22 |
| 1003143835 | Revan Maragiri Md Plc | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2009-11-16 |
| 1144554106 | Vjr Inc | Pharmacy | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2009-09-23 |
| 1194914069 | Abul F Islam Md PC | Internal Medicine | 3720 Katalin Ct, Suite 203, Bay City, MI 48706-2160 | 2007-10-17 |
| 1013923770 | Bay Area Health Clinic PC | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1952841264 | Tazeen Ahmed LLC | Internal Medicine | 2110 16th St Ste 4, Bay City, MI 48708-7609 | 2017-03-06 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1205114196 | Matagorda Regional County District | Internal Medicine | 1115 Avenue F, Bay City, TX 77414-3013 | 2011-07-27 |
| 1376675033 | Harmohan S Kochar | Internal Medicine | 4817 E. Professional Dr., Bay City, MI 48706-2160 | 2007-03-09 |
| 1932275773 | Vc Reddy Md & Ss Dandamudi Md PC | Internal Medicine | 714 S Trumbull, Bay City, MI 48708-4217 | 2006-11-24 |
| 1801991500 | Joseph Augustine Valloppillil | Internal Medicine | 1407 Ave H, Bay City, TX 77414 | 2006-09-14 |
| 1023030772 | Marvin R Keeling | Internal Medicine | 1484 Straits Dr Ste 5, Bay City, MI 48706-8718 | 2006-07-24 |
| 1700804820 | Jeffrey A Potts | Internal Medicine | 1111 S Euclid Ave, Bay City, MI 48706-3309 | 2006-07-17 |
| 1336176486 | Sayyid S Raza | Internal Medicine | 2108 16th St, Bay City, MI 48708-7608 | 2006-06-26 |
| Find all providers in BAY CITY | ||||
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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.