PROMEDICA CORPORATION OF MICHIGAN (NPI# 1689945172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689945172 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CORPORATION OF MICHIGAN |
| Other Organization Name | SAMANTHA M. MUCHA, MD |
| Practice Address |
240 W Carleton Rd Hillsdale MI 49242-5034 |
| Practice Telephone | 5174377191 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |
| Authorized Official Name | AMY L BAHNSEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Samantha M. Mucha, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518094721 | Promedica Corporation of Michigan | Internal Medicine | 13101 Sims Hwy, Morenci, MI 49256-1030 | 2007-02-27 |
| 1316073703 | Promedica Corporation of Michigan | Family Medicine | 9205 East Us Highway 23, Blissfield, MI 49228 | 2007-02-27 |
| 1083981302 | Promedica Corporation of Michigan | Internal Medicine | 157 W Brooke Ln, Blissfield, MI 49228-8601 | 2011-12-01 |
| 1154548592 | Promedica Corporation of Michigan | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-04-19 |
| 1790812907 | Promedica Corporation of Michigan | Family Medicine | 777 Kimole Ln, Suite 230, Adrian, MI 49221-1478 | 2007-02-27 |
| 1477689859 | Promedica Corporation of Michigan | Family Medicine | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2007-02-27 |
| 1780711002 | Promedica Corporation of Michigan | Internal Medicine | 1671 W Michigan Ave, Suite A, Clinton, MI 49236-8702 | 2007-02-27 |
| 1942336326 | Promedica Corporation of Michigan | Surgery | 10 Cairns St, Tecumseh, MI 49286-1202 | 2007-02-27 |
| 1588791925 | Promedica Corporation of Michigan | Internal Medicine | 818 Riverside Ave, 5th Floor Cardiology, Adrian, MI 49221-1446 | 2007-02-27 |
| 1982731204 | Promedica Corporation of Michigan | Obstetrics & Gynecology | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2007-02-27 |
| Street Address |
240 W CARLETON RD |
| City | HILLSDALE |
| State | MI |
| Zip Code | 49242-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366586711 | Crystal M Jones Md Mph Plc | Internal Medicine | 240 W Carleton Rd, Suite 1, Hillsdale, MI 49242-5034 | 2007-02-19 |
| 1760009971 | Laura Elizabeth Dunlevy Johnson | Nurse Practitioner | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2020-07-03 |
| 1952951014 | Hillsdale Community Health Center | Clinic/Center | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2019-09-19 |
| 1144634775 | Center for Family Health | Family Medicine | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2014-06-11 |
| 1578813812 | Kristin Carol Guise | Social Worker | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2012-09-13 |
| 1316202575 | Seth N J Mallay | Family Medicine | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2012-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131235 | Jai Chamunda Hillsdale Inc | Pharmacy | 3271 W Carleton Road, Hillsdale, MI 49242 | 2019-12-17 |
| 1952953069 | Rachel Mccormack | Registered Nurse | 451 Hidden Meadows Dr Ste 220, Hillsdale, MI 49242 | 2019-07-10 |
| 1205359585 | Sarah Elizabeth Engle | Specialist/Technologist | 40 Morry St., Hillsdale, MI 49242 | 2017-07-19 |
| 1306399613 | Hillsdale College | Registered Nurse | 33 E. College St, Hillsdale, MI 49242 | 2016-08-03 |
| 1609251289 | Shirley Marie Depew | Licensed Practical Nurse | 13th Cronk Rd, Hillsdale, MI 49242 | 2015-07-24 |
| 1194127183 | Drews Care Management | Assisted Living Facility | 101 Village Green Boulevard, Hillsdale, MI 49242 | 2014-09-22 |
| 1871917385 | James E. Hubbell | Pharmacist | 196 W. Carleton, Hillsdale, MI 49242 | 2014-02-05 |
| 1598100216 | Ashley Reanna-jeanine Earl | Physical Therapy Assistant | 168 Hallet St, Hillsdale, MI 49242 | 2013-05-08 |
| 1174868350 | Alliance Dme | Durable Medical Equipment & Medical Supplies | 67 E Saint Joe St, Hillsdale, MI 49242 | 2012-11-29 |
| 1265740948 | Melissa Ann Wirebaugh | Respite Care | 47 East Saint Joe St, Hillsdale, MI 49242 | 2010-09-16 |
| Find all providers in zip 49242 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
| 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.