JOSE MALDONADO-VAZQUEZ (NPI# 1669413282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669413282 |
| Entity Type | Individual |
| Full Name | JOSE MALDONADO-VAZQUEZ |
| Credential | MD |
| Practice Address |
104 W 6th St Clare MI 48617-1409 |
| Mailing Address |
2000 Green Rd Suite 300 Ann Arbor MI 48105-1598 |
| Practice Telephone | 9893869951 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
069529 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4081947 | 05 | |
| MI | 4081938 | 05 | |
| MI | 4091943 | 05 | |
| MI | BC/BS | JM069529 | 01 |
| MI | 4081929 | 05 | |
| MI | 4091934 | 05 |
| Street Address |
104 W 6TH ST |
| City | CLARE |
| State | MI |
| Zip Code | 48617-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316097322 | Midland Radiology Associates PC | Radiology | 104 W 6th St, Clare, MI 48617-1409 | 2007-01-11 |
| 1104860030 | Jesus Hernandez Jr. | Emergency Medicine | 104 W 6th St, Clare, MI 48617-1409 | 2006-06-14 |
| 1265473680 | Gregory J Endresbercher | Emergency Medicine | 104 W 6th St, Clare, MI 48617-1409 | 2006-06-09 |
| 1497796437 | Alan D Bersted | Emergency Medicine | 104 W 6th St, Clare, MI 48617-1409 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538598826 | Katrina Carrigan | Occupational Therapy Assistant | 600 Sw 4th Street, Clare, MI 48617 | 2013-11-06 |
| 1891075073 | Amy Ellen Weber | Nurse Practitioner | 703 Mcewan St., Midmichigan Medical Center, Clare, MI 48617 | 2011-08-19 |
| 1053615708 | Dale J Moser | Eyewear Supplier (Equipment, not the service) | 1520 N Mcewan St, Clare, MI 48617 | 2011-01-10 |
| 1063571719 | Alpha Chiropractic Clinic Inc | Chiropractor | 1424 N Mcewan Street, Clare, MI 48617 | 2006-12-08 |
| 1245324888 | Paula L Myers | Occupational Therapist | 4139 E Coleman Rd, Clare, MI 48617 | 2006-10-03 |
| 1629023403 | Russell Glyn Rader | Nurse Anesthetist, Certified Registered | 703 Mcewan, Clare, MI 48617 | 2006-05-23 |
| 1659330702 | Trisha Anne Mcmillan | Physical Therapist | 107 Schoolcrest, Clare, MI 48617 | 2006-03-18 |
| 1043641541 | Denise Ann Carrier | Licensed Practical Nurse | 810 Cedar St, Clare, MI 48617 | 2013-12-09 |
| 1487876041 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1432 N Mcewan St, Clare, MI 48617 | 2007-05-03 |
| 1417916560 | Patrick L Howe | Physical Therapist | 107 Schoolcrest, Clare, MI 48617 | 2006-03-18 |
| Find all providers in zip 48617 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104860030 | Jesus Hernandez Jr. | Emergency Medicine | 104 W 6th St, Clare, MI 48617-1409 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
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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.