GRATIOT MEDICAL CENTER (NPI# 1679506851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679506851 |
| Entity Type | Organization |
| Organization Name | GRATIOT MEDICAL CENTER |
| Practice Address |
820 N Pine River St Ithaca MI 48847-1118 |
| Mailing Address |
1475 Mary Ct Alma MI 48801-1053 |
| Practice Telephone | 9898753722 |
| Practice Fax Number | 9898758903 |
| Mailing Telephone | 9894630104 |
| Mailing Fax Number | 9894630663 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | PAULA L CHERMSIDE (VICE PRESIDENT) |
| Authorized Official Telephone | 9894663260 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRATIOT MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP | 0B91006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407938590 | Gratiot Medical Center | Family Medicine | 8776 E Howard City Edmore Rd, Vestaburg, MI 48891-9406 | 2006-10-19 |
| 1225009962 | Gratiot Medical Center | Home Health | 175 E Warwick Dr, Suite C, Alma, MI 48801-1025 | 2006-01-31 |
| 1457547770 | Gratiot Medical Center | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2007-09-20 |
| 1558443994 | Gratiot Medical Center | Obstetrics & Gynecology | 1970 Ashland Dr, Mt Pleasant, MI 48858-1219 | 2006-10-19 |
| 1477654234 | Gratiot Medical Center | General Practice | 224 N Mill St, Saint Louis, MI 48880-1523 | 2006-09-26 |
| 1336157783 | Gratiot Medical Center | Psychiatry & Neurology | 317 E Warwick Dr, Suite B, Alma, MI 48801-1085 | 2006-08-03 |
| 1225042005 | Gratiot Medical Center | Internal Medicine | 315 E Warwick Dr, Suite E, Alma, MI 48801-1083 | 2006-07-28 |
| 1770538050 | Gratiot Medical Center | Internal Medicine | 211 S Crapo St, Suite J, Mount Pleasant, MI 48858-2961 | 2006-05-24 |
| 1013981695 | Gratiot Medical Center | Hospice Care, Community Based | 175 E Warwick Dr, Suite C, Alma, MI 48801-1025 | 2006-02-13 |
| 1780658393 | Gratiot Medical Center | Home Health | 175 E Warwick Dr, Alma, MI 48801-1025 | 2006-02-13 |
| Street Address |
820 N PINE RIVER ST |
| City | ITHACA |
| State | MI |
| Zip Code | 48847-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508896523 | Catherine Marie Chimo | Physician Assistant | 820 N Pine River St, Ithaca, MI 48847-1118 | 2006-07-04 |
| 1386930956 | Midmichigan Medical Center - Gratiot | Clinic/Center | 820 N Pine River St, Ithaca, MI 48847-1118 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055380 | Palmer's Place Inc | Custodial Care Facility | 1009 S. St. Johns Rd, Ithaca, MI 48847 | 2020-02-17 |
| 1851656326 | Kalpesh P Lad | Pharmacist | 1010 East Center St, Ithaca, MI 48847 | 2012-07-10 |
| 1609139302 | Brian Joseph Putman | Dentist | 610 N. Pine River St., Ithaca, MI 48847 | 2012-06-19 |
| 1265544423 | John N Allen | Optometrist | 531 E Center, Ithaca, MI 48847 | 2006-08-31 |
| 1386688604 | Darren M Riopelle Dds | Dentist | 108 South Main Street, Ithaca, MI 48847 | 2006-06-16 |
| 1518933100 | Hal A Williams | Family Medicine | 114 North Main St, Ithaca, MI 48847 | 2006-02-24 |
| 1841541844 | Jenna Putman | Dentist | 610 N Pine River St, Ithaca, MI 48847 | 2012-10-01 |
| 1083903991 | Beth M Johnson | Pharmacist | 1010 East Center Street, Ithaca, MI 48847 | 2011-03-31 |
| 1972578862 | Russell J Anderson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| 1003881053 | Hallie J Wilson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| Find all providers in zip 48847 | ||||
| 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 |
|---|---|---|---|---|
| 1790339406 | Isabella Citizens for Health, Inc. | Family Medicine | 400 Webster St, Ithaca, MI 48847-1818 | 2019-07-31 |
| 1548814510 | Isabella Citizens for Health, Inc. | Family Medicine | 710 N Union St, Ithaca, MI 48847-1314 | 2019-07-29 |
| 1891104899 | Nine Rivers Osteopathy PC | Family Medicine | 200 Pleasant Grove Rd Ste 6, Ithaca, NY 14850-2664 | 2014-08-05 |
| 1568742914 | Carol Thuytien Berlin | Family Medicine | 209 West State Street, Ithaca, NY 14850 | 2011-08-17 |
| 1700036654 | Susan Beith Soboroff | Family Medicine | 220 S Fulton St, Ithaca, NY 14850-3306 | 2008-09-29 |
| 1467621797 | Progressive Medicine of Ithaca, PC | Family Medicine | 402 3rd Street, Suite 2, Ithaca, NY 14850 | 2008-02-20 |
| 1619001641 | Dorothy P Ambis | Family Medicine | 208 Texas Ln, Ithaca, NY 14850-1757 | 2007-03-14 |
| 1801922919 | Marne Oshae | Family Medicine | 4 Sanctuary Dr # 2, Ithaca, NY 14850-1976 | 2007-02-25 |
| 1801981402 | Christine Vivian Lorenzo | Family Medicine | 953 Danby Road, Hammond Health Center - Ithaca College, Ithaca, NY 14850 | 2006-10-03 |
| 1487694469 | Mary Jane Welch | Family Medicine | 840 Hanshaw Road, Asthmas & Allergy Associates P.C., Ithaca, NY 14850 | 2006-06-07 |
| Find all providers in ITHACA | ||||
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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.