JEMELLEE PERPETUA JACALA-TADIAN (NPI# 1669681748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669681748 |
| Entity Type | Individual |
| Full Name | JEMELLEE PERPETUA JACALA-TADIAN |
| Credential | M.D. |
| Practice Address |
15774 State Street Hillman MI 49746-0427 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9897424583 |
| Practice Fax Number | 9897422183 |
| Mailing Telephone | 9897424583 |
| Mailing Fax Number | 9897422183 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301088607 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1669681748 | 05 |
| Street Address |
15774 STATE STREET |
| City | HILLMAN |
| State | MI |
| Zip Code | 49746-0427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508896762 | Bonita H. Gawel | Physician Assistant | 15774 State Street, Hillman, MI 49746-8818 | 2006-07-04 |
| 1629107552 | Thunder Bay Community Health Service, Inc | Family Medicine | 15774 State Street, Hillman, MI 49746 | 2007-03-05 |
| 1104951938 | Rebecca N Litzner | Social Worker | 15774 State Street, Hillman, MI 49746-0427 | 2007-02-22 |
| 1003964255 | Carolyn S Koppenol | Psychiatry & Neurology | 15774 State Street, Hillman, MI 49746-0427 | 2007-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437426731 | Thunder Bay Community Health Service, Inc | Clinic/Center | 631 Caring Street, Hillman, MI 49746 | 2011-11-30 |
| 1659379808 | Richard Neal Olree Jr. | Chiropractor | 311 State Street, Hillman, MI 49746 | 2005-07-12 |
| 1215983556 | Amy L Kane | Nurse Practitioner | 15774 State St, Hillman, MI 49746-0427 | 2006-05-26 |
| 1942253851 | Thunder Bay Community Health Service, Inc | Clinic/Center | 15774 Sate Street, Hillman, MI 49746-0427 | 2006-05-19 |
| 1538404660 | Ruth Chew | Obstetrics & Gynecology | 18600 Red Pine Dr, Hillman, MI 49746-7920 | 2012-11-29 |
| 1033691175 | Abigail R Macarthur | Physician Assistant | 15774 State St, Hillman, MI 49746-7961 | 2018-09-05 |
| 1861914475 | Thunder Bay Community Health Service, Inc | Clinic/Center | 15774 State St, Hillman, MI 49746-7961 | 2017-07-14 |
| 1992106702 | Mary Jameson | Social Worker | 15774 State St, Hillman, MI 49746-7961 | 2014-09-11 |
| 1497171607 | Erin Fletcher | Social Worker | 15774 State St, Hillman, MI 49746-7961 | 2014-03-12 |
| 1386077980 | Trisha Jane Deschamps | Nurse Practitioner | 15774 State St, Hillman, MI 49746-7961 | 2013-08-19 |
| Find all providers in zip 49746 | ||||
| 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 |
|---|---|---|---|---|
| 1063788909 | Thunder Bay Community Health Service, Inc | Family Medicine | 245 E Third St, Hillman, MI 49746-9213 | 2012-03-26 |
| 1326200411 | Mille Lacs Health System | Family Medicine | 26362 370th Ave, Hillman, MN 56338-2349 | 2008-06-30 |
| 1497967202 | Timothy Lee Hayes | Family Medicine | 15774 State St, Hillman, MI 49746-7961 | 2007-05-04 |
| 1629107552 | Thunder Bay Community Health Service, Inc | Family Medicine | 15774 State Street, Hillman, MI 49746 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| 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.