MIDMICHIGAN PHYSICIANS GROUP (NPI# 1689623506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689623506 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN PHYSICIANS GROUP |
| Practice Address |
4000 Wellness Dr Midland MI 48670 |
| Mailing Address |
4000 Wellness Dr Midland MI 48670-2000 |
| Practice Telephone | 8448321956 |
| Mailing Telephone | 8448321956 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | JOELLEN EYRE (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 9896338018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | OA81002 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 602 Beech St, Clare, MI 486171466 | 9898025020 | 9898025019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386956316 | Midmichigan Physicians Group | Dermatology | 2522 W Wackerly St, Midland, MI 48640-6921 | 2010-07-07 |
| 1740230127 | Midmichigan Physicians Group | Family Medicine | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-10 |
| 1568412948 | Midmichigan Physicians Group | Psychiatry & Neurology | 4201 Campus Ridge Dr Ste 2700, Midland, MI 48640-6128 | 2006-05-10 |
| 1144722604 | Midmichigan Physicians Group | Clinic/Center | 211 Long Rapids Rd, Alpena, MI 49707-1315 | 2018-03-01 |
| 1235685629 | Midmichigan Physicians Group | Clinic/Center | 211 Long Rapids Rd, Alpena, MI 49707-1315 | 2016-08-26 |
| 1831510890 | Midmichigan Physicians Group | Clinic/Center | 3009 N Saginaw Rd, Midland, MI 48640-4555 | 2013-12-18 |
| 1780833053 | Midmichigan Physicians Group | Nurse Practitioner | 2618 W Sugnet Rd, Midland, MI 48640-2647 | 2008-09-11 |
| 1801008735 | Midmichigan Physicians Group | Clinic/Center | 815 N Clare Ave, Harrison, MI 48625-9194 | 2007-05-04 |
| 1891740130 | Midmichigan Physicians Group | Physician Assistant | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-24 |
| 1649224684 | Midmichigan Physicians Group | Nurse Practitioner | 4007 Orchard Dr, Midland, MI 48640-6187 | 2006-05-22 |
| Street Address |
4000 WELLNESS DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663207 | Darcey G Cox | Anesthesiology | 4000 Wellness Dr, Midland, MI 48670-2000 | 2005-07-15 |
| 1396345575 | Graceson Caroline Kerr | Physician Assistant | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-10-28 |
| 1245840560 | Dorothy Wong | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-08-01 |
| 1861002206 | Logan Amanda Steffke | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1598375941 | Jonathon Skurya | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1063021673 | Jenna Ann Randolph | Speech-Language Pathologist | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-29 |
| 1134738099 | Natalie Hamilton | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-5024 | 2020-07-27 |
| 1306455266 | Lauren Stull | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-27 |
| 1043828353 | Shing Chao | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| 1477161784 | Jordan Killingsworth | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1265074991 | Kevin Gerard Przybylski | Pharmacist | 4000 Wellness Drive Inpatient Pharmacy, Midland, MI 48670-0001 | 2019-10-15 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1760569958 | Ximena Elizabeth Gumpel | Physician Assistant | Radiation Oncology, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-11-01 |
| 1326158072 | David Eric Newcomb II | Emergency Medicine | Emergency Department Mid-michigan Regional Med Ctr, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-08-30 |
| Find all providers in zip 48670 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1922513555 | Lorenzo Berlanga Md PC | Clinic/Center | 4800 N Saginaw Rd, Midland, MI 48640-2953 | 2017-12-05 |
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| 1164736039 | Midmichigan Medical Center Clare | Clinic/Center | 2618 W Sugnet Rd, Midland, MI 48640-2647 | 2010-08-03 |
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| 1104439033 | Otevwa Homes Inc | Clinic/Center | 6556 Rustic Ridge Trl, Grand Blanc, MI 48439-4956 | 2020-08-29 |
| 1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
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| 1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
| 1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
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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.