MCLAREN PRIMARY CARE (NPI# 1639108780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639108780 |
| Entity Type | Organization |
| Organization Name | MCLAREN PRIMARY CARE |
| Practice Address |
1910 E Miller Rd Fairview MI 48621-8731 |
| Mailing Address |
1900 Columbus Ave Attn: Mclaren Bay Region Ceo Bay City MI 48708-6831 |
| Practice Telephone | 9898485484 |
| Practice Fax Number | 9898487139 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | DANIELLE C JACKS PORTER (VP/CFO) |
| Authorized Official Telephone | 9898943838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972894566 | Mclaren Primary Care | Family Medicine | 1807 M-55, West Branch, MI 48661-0000 | 2011-04-29 |
| 1154335933 | Mclaren Primary Care | Family Medicine | 2110 S M 76 Ste 6, West Branch, MI 48661-8737 | 2006-07-28 |
| 1861415796 | Mclaren Primary Care | Family Medicine | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2006-07-25 |
| 1255352936 | Mclaren Primary Care | Family Medicine | 200 N. Grand Ave, Prudenville, MI 48651 | 2006-07-21 |
| 1629007786 | Mclaren Primary Care | Family Medicine | 436 W Main St, Hale, MI 48739-9246 | 2006-07-01 |
| 1568491603 | Mclaren Primary Care | Family Medicine | 5170 Rifle River Trl, Alger, MI 48610-9343 | 2006-07-01 |
| 1063812766 | Mclaren Primary Care | Internal Medicine | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2014-08-29 |
| 1629110556 | Mclaren Primary Care | Family Medicine | 2331 Progress St, Suite D, West Branch, MI 48661-9384 | 2007-02-14 |
| 1164440129 | Mclaren Primary Care | Family Medicine | 559 Progress St, Suite A, Bldg A, West Branch, MI 48661-9399 | 2006-07-18 |
| 1871522011 | Mclaren Primary Care | Family Medicine | 558 Lockwood Ln, Mio, MI 48647-9387 | 2006-07-01 |
| Street Address |
1910 E MILLER RD |
| City | FAIRVIEW |
| State | MI |
| Zip Code | 48621-8731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285281709 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2019-08-20 |
| 1134408511 | Mclaren Bay Region | Internal Medicine | 1910 E Miller Rd, Fairview, MI 48621 | 2011-08-16 |
| 1174776207 | Fairview Clinic Plc | Clinic/Center | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2008-11-03 |
| 1396874988 | Susan Lynn Allred | Social Worker | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2007-03-02 |
| 1730197278 | Cheryl Henry | Nurse Practitioner | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-08-03 |
| 1225069412 | Rose M Ross | Nurse Practitioner | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-07-05 |
| 1770534836 | Hector Carrion | Family Medicine | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396075602 | Peggy Kay Fortin | Counselor | 1392 Maple Dr, Fairview, MI 48621-8703 | 2010-01-08 |
| 1730177015 | Ausable Valley Continuing Care Retirement Community, Inc. | Nursing Facility/Intermediate Care Facility | 1390 Maple Dr, Fairview, MI 48621-8703 | 2005-10-11 |
| 1033695127 | Alora Ehlert | Occupational Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-07-12 |
| 1780187526 | Mayuree Gopal Sawant | Physical Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-03-16 |
| 1356339196 | St Joseph Health System | Clinic/Center | 1392 Maple Dr, Fairview, MI 48621-8703 | 2005-10-06 |
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1003253170 | Northsport Physical Therapy & Rehabilitation PC | Physical Therapist | 1968 E Miller Rd, Fairview, MI 48621-8717 | 2013-05-30 |
| 1033145842 | Cherie A Mckenzie | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2006-06-23 |
| 1760848162 | Courtney Marie Bolen | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2016-01-14 |
| 1467674440 | Fairview Chiropractic Pllc | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2007-05-02 |
| Find all providers in zip 48621 | ||||
| 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 |
|---|---|---|---|---|
| 1871811307 | Rean Alex Goelst | Family Medicine | 1800 Ne Market Dr, Fairview, OR 97024-7000 | 2010-05-07 |
| 1447483680 | James Edward Thompson | Family Medicine | 836 Scenic Ranch Circle, Fairview, TX 75069 | 2009-09-03 |
| 1467619163 | Regional Health Services, Inc. | Family Medicine | 7287 West Ridge Road, Fairview, PA 16415-2360 | 2008-05-20 |
| 1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
| 1366560815 | Medical Associates of Erie | Family Medicine | 7686 West Ridge Rd, Fairview, PA 16415 | 2007-03-26 |
| 1073657003 | Aoife O'sullivan | Family Medicine | Hyster-yale, 4000 Ne Blue Lake Road, Fairview, OR 97024 | 2007-02-15 |
| 1841377082 | Thomas H Turner | Family Medicine | 7176 W Ridge Rd, Fairview, PA 16415-2027 | 2006-11-01 |
| 1356360762 | Richard Sy Sposito | Family Medicine | 7686 West Ridge Rd., Fairview, PA 16415 | 2006-07-18 |
| 1477518124 | Richard Anthony Ortoski | Family Medicine | 7686 West Ridge Road, Fairview, PA 16415 | 2006-04-18 |
| 1205827565 | Daniel J Sherwood | Family Medicine | 2340 Fairview Blvd Ste 100, Fairview, TN 37062-9458 | 2005-11-03 |
| Find all providers in FAIRVIEW | ||||
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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.