MICHIGAN MEDICAL PC (NPI# 1699929000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699929000 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL PC |
| Practice Address |
854 Washington Ave Suite 410, West B Bldg. Holland MI 49423-7144 |
| Mailing Address |
4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 |
| Practice Telephone | 6163962665 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | SCOTT HARRING (CFO) |
| Authorized Official Telephone | 6169744889 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN MEDICAL PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386664704 | Michigan Medical PC | Family Medicine | 3362 Lincoln Rd M40, Hamilton, MI 49419-0217 | 2006-07-20 |
| 1407011935 | Michigan Medical PC | Psychiatry & Neurology | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2008-07-24 |
| 1952565749 | Michigan Medical PC | Optometrist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2008-07-11 |
| 1164680294 | Michigan Medical PC | Durable Medical Equipment & Medical Supplies | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2008-05-27 |
| 1134395239 | Michigan Medical PC | Clinic/Center | 17691 174th Ave, Spring Lake, MI 49456-9750 | 2008-05-08 |
| 1700052230 | Michigan Medical PC | Surgery | 2093 Health Dr Sw, Grand Rapids, MI 49519-9691 | 2008-05-05 |
| 1598937716 | Michigan Medical PC | Pediatrics | 1003 N Lafayette St, Greenville, MI 48838-1168 | 2008-03-27 |
| Street Address |
854 WASHINGTON AVE SUITE 410, WEST B BLDG. |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487691358 | Criselda Bazan | Social Worker | 854 Washington Ave, Holland, MI 49423-7144 | 2006-06-01 |
| 1477166502 | Holland Hospital | Internal Medicine | 854 Washington Ave, Holland, MI 49423-7144 | 2020-08-28 |
| 1386295319 | Caitlin Elisabeth Shoemaker | Behavior Technician | 854 Washington Ave, Holland, MI 49423-7144 | 2019-09-20 |
| 1215418686 | Lanie M Nyboer | Behavior Technician | 854 Washington Ave, Holland, MI 49423-7144 | 2018-08-23 |
| 1851825012 | Benjamin Lowe | Behavioral Analyst | 854 Washington Ave, Holland, MI 49423-7144 | 2017-04-14 |
| 1689010936 | Aaron Bansen | Physical Therapist | 854 Washington Ave, Suite 200, Holland, MI 49423-7144 | 2013-05-14 |
| 1871802058 | Spectrum Health Primary Care Partners | Internal Medicine | 854 Washington Ave, Holland, MI 49423-7144 | 2010-10-05 |
| 1487881173 | Jennifer Lou Laux-ludwig | Psychologist | 854 Washington Ave, Suite #330, Holland, MI 49423-7144 | 2009-06-19 |
| 1801033477 | Teresa Marie Winebrenner | Physical Therapist | 854 Washington Ave, Holland, MI 49423-7144 | 2009-01-19 |
| 1760655195 | Lucien Tamer | Psychiatry & Neurology | 854 Washington Ave, Suite 330, Holland, MI 49423-7144 | 2008-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457391583 | Steven Kraker | Internal Medicine | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506684 | Night Hawk Sleep Systems, Inc. | Internal Medicine | 20836 Hall Rd Ste 232, Clinton Township, MI 48038-7227 | 2020-10-22 |
| 1598286262 | Younghwa Kwon | Internal Medicine | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2017-07-03 |
| 1679949150 | Morpheus International Sleep Solutions Pllc | Internal Medicine | 46472 Crystal Downs W, Northville, MI 48168-8483 | 2015-08-19 |
| 1972928513 | Gerald T Pruitt Do Pllc | Internal Medicine | 350 Whitehills Dr, East Lansing, MI 48823-2758 | 2014-02-19 |
| 1629408315 | Pulmonary & Critical Care One PC | Internal Medicine | 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 | 2013-11-18 |
| 1558630194 | Sue Killion Cammarata | Internal Medicine | 117 Clinton St, South Haven, MI 49090-1201 | 2011-12-28 |
| 1265712012 | Pulmonary Specialists of Michigan, PC | Internal Medicine | 23500 Park St., Suite #3, Dearborn, MI 48124 | 2011-08-25 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1275774531 | Integrated Geriatric Services Pllc | Internal Medicine | 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 | 2009-03-17 |
| 1487816419 | Advanced Pulmonary & Sleep Associates PC | Internal Medicine | 1110 N Telegraph Rd, Dearborn, MI 48124-1634 | 2008-07-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHIGAN MEDICAL PC.
| 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.