MICHIGAN RADIATION MEDICINE PLLC (NPI# 1679984322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679984322 |
| Entity Type | Organization |
| Organization Name | MICHIGAN RADIATION MEDICINE PLLC |
| Practice Address |
315 E Warwick Dr Ste C Alma MI 48801-1083 |
| Mailing Address |
4440 Gladding Ct Midland MI 48640-3320 |
| Practice Telephone | 9894639300 |
| Practice Fax Number | 9894639305 |
| Mailing Telephone | 9894863522 |
| Mailing Fax Number | 9894639305 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |
| Authorized Official Name | MARK FIREMAN (OWNER) |
| Authorized Official Telephone | 9894639300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4301067042 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TYPE 1 NPI | 1376517987 | 01 |
| Street Address |
315 E WARWICK DR STE C |
| City | ALMA |
| State | MI |
| Zip Code | 48801-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197979 | Jeffrey F Smith | Surgery | 315 E Warwick Dr, Suite #3, Alma, MI 48801-1083 | 2005-07-12 |
| 1710299557 | Mohamed Wajih Akkad | Internal Medicine | 315 E Warwick Dr, Alma, MI 48801-1083 | 2010-07-09 |
| 1134380850 | Rojane Swanepoel | Physician Assistant | 315 E Warwick Dr, Suite 3, Alma, MI 48801-1083 | 2008-06-25 |
| 1699940122 | Ahsen Tatar | Obstetrics & Gynecology | 315 E Warwick Dr, Suite D, Alma, MI 48801-1083 | 2008-04-25 |
| 1568634442 | Gratiot-isabella Nephrology PC | Internal Medicine | 315 E Warwick Dr, Suite F-2, Alma, MI 48801-1083 | 2008-03-31 |
| 1457547770 | Gratiot Medical Center | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2007-09-20 |
| 1558575829 | Jeffrey Lawrence Bonacci | Surgery | 315 E Warwick Dr, Ste 3, Alma, MI 48801-1083 | 2007-05-09 |
| 1285758409 | Gratiot Medical Center An Affiliate of Midmichganhealth | Psychiatry & Neurology | 315 E Warwick Dr, Suite F-1, Alma, MI 48801-1083 | 2007-03-16 |
| 1821143546 | J. Patrick Finn | Physician Assistant | 315 E Warwick Dr, Suite A, Alma, MI 48801-1083 | 2007-01-24 |
| 1043389240 | Joseph R Yacisen Do PC | Orthopaedic Surgery | 315 E Warwick Dr, Suite B, Alma, MI 48801-1083 | 2006-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
| 1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
| 1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
| 1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
| 1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
| 1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
| 1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
| 1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
| 1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
| 1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
| Find all providers in zip 48801 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1811444235 | Gwendolyn Henderson Parker | Radiology | 48165 Liberty Dr, Shelby Twp, MI 48315-4061 | 2016-09-01 |
| 1376097733 | Munson Medical Center | Radiology | 217 S Madison Avenue, Traverse City, MI 49684-2320 | 2016-08-15 |
| 1972985737 | Andrew Thompson | Radiology | 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 | 2015-06-29 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1932533692 | Compass Healthcare, Plc | Radiology | 2175 Coolidge Rd, East Lansing, MI 48823-1379 | 2013-08-29 |
| 1083903256 | Omar Hesham Gayar | Radiology | 4100 Beecher Rd Ste A, Flint, MI 48532-3661 | 2011-03-28 |
| 1881906519 | Sanath Kumar | Radiology | 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 | 2010-07-10 |
| 1376772574 | Matthew W Packard | Radiology | 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 | 2009-07-08 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
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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.