MARCUS K FREE MD PLLC (NPI# 1679091540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679091540 |
| Entity Type | Organization |
| Organization Name | MARCUS K FREE MD PLLC |
| Other Organization Name | HARBOR SHORES MEDICAL, PLLC |
| Practice Address |
59057 Gratiot Ave New Haven MI 48048-2057 |
| Mailing Address |
2143 Derfla Dr Saint Joseph MI 49085-9661 |
| Practice Telephone | 8104042521 |
| Practice Fax Number | 8884144545 |
| Mailing Telephone | 8104042521 |
| Mailing Fax Number | 8884144545 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. MARCUS KYLE FREE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8104042521 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4301093347 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| A Better Doc | Doing Business As Name - Organization |
| Harbor Shores Medical, PLLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 313 Main St, Saint Joseph, MI 490852184 | 8104042521 | 8884144545 |
| Street Address |
59057 GRATIOT AVE |
| City | NEW HAVEN |
| State | MI |
| Zip Code | 48048-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255847893 | Heather Fonville | Licensed Practical Nurse | 3201 E. Cranston, New Haven, MI 48048 | 2017-12-19 |
| 1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
| 1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
| 1588761506 | Charles Joseph Sobers | Dentist | 58144 Gratiot, Suite #316, New Haven, MI 48048 | 2006-09-20 |
| 1659352409 | Kimberly H Thompson | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2005-11-09 |
| 1679571392 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Avenue, New Haven, MI 48048 | 2005-07-08 |
| 1770138398 | Corey Soper | Social Worker | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-08-09 |
| 1285293837 | Rachael Vernon | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-06-07 |
| 1386135879 | Alisa Puvalowski | Dental Hygienist | 58144 Gratiot Ave, New Haven, MI 48048 | 2018-05-21 |
| 1013448067 | Aaron William Cloutier | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2017-03-22 |
| Find all providers in zip 48048 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043522360 | Luis R. Cruz, M.d., P.C. | Clinic/Center | 1552 Chapel St, New Haven, CT 06511-4251 | 2010-07-02 |
| 1063532596 | New Haven Public Schools | Clinic/Center | 54 Meadow St, New Haven, CT 06519-1783 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252458 | Midland Express Urgent and Family Care | Clinic/Center | 600 Cambridge St Ste 1, Midland, MI 48642-4508 | 2020-10-13 |
| 1841805306 | Alex Wagner, LLC | Clinic/Center | 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 | 2020-09-11 |
| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1588295463 | Scheurer Hospital | Clinic/Center | 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 | 2020-01-30 |
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARCUS K FREE MD PLLC.
| 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.