CHARLENE J SWEENEY (NPI# 1700866415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700866415 |
| Entity Type | Individual |
| Full Name | CHARLENE J SWEENEY |
| Credential | M.D. |
| Practice Address |
1140 N State St Saint Ignace MI 49781-1048 |
| Practice Telephone | 9066430466 |
| Mailing Telephone | 9066430466 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2016-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301081266 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4514692 | 05 | |
| MI | BCBS | MI43081266 | 01 |
| Street Address |
1140 N STATE ST |
| City | SAINT IGNACE |
| State | MI |
| Zip Code | 49781-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846163 | Nicole Kushner | Student in an Organized Health Care Education/Training Program | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-25 |
| 1295350429 | Shannon Louise Slocum | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-12 |
| 1750937546 | Thomas Robert Bahra | Pharmacist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-08-16 |
| 1275092561 | Brandon Vincent | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-03-15 |
| 1871074724 | Rebeckah Zaragoza | Social Worker | 1140 N State St, Saint Ignace, MI 49781 | 2018-08-28 |
| 1659868206 | Mackinac Straits Health System Inc | Clinic/Center | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-19 |
| 1447757208 | Christina Burlak | Social Worker | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-09 |
| 1104322270 | James John Mattson | Physical Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-05 |
| 1356845663 | Stefanie Mattson | Occupational Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-03-21 |
| 1285137356 | Joan Marie Smith | Occupational Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207658 | Stephanie Vaughn | Occupational Therapist | 783 W Lant Rd, Saint Ignace, MI 49781 | 2018-03-08 |
| 1124548292 | Straits Area Pharamcy Inc | Pharmacy | 1140 North State Street Suite 1500, Saint Ignace, MI 49781 | 2017-06-21 |
| 1265712442 | Elizabeth Ann Fischer | Nurse's Aide | W1037 Hwy 2, Apt 1, St. Ignace, MI 49781 | 2011-08-19 |
| 1902131733 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 396 N. State Street, 4th Floor, St. Ignace, MI 49781 | 2009-10-13 |
| 1952569378 | Kathryn E Mizzi | Social Worker | 720 W Us-2 Suite D, Saint Ignace, MI 49781 | 2008-06-02 |
| 1174542781 | Edward F Smith | Specialist | 1140 N. State Street, St. Ignace, MI 49781 | 2006-07-18 |
| 1548295959 | David James Thurston | Chiropractor | 135 Bertrand Street, St Ignace, MI 49781 | 2006-07-12 |
| 1326026501 | Susan Herderich Strich | Internal Medicine | 1140 North State Street, Saint Ignace, MI 49781 | 2006-01-06 |
| 1790327518 | Lucas James Thurston | Chiropractor | 135 Bertrand Street, Saint Ignace, MI 49781 | 2019-10-14 |
| 1619419033 | Deborah Narrin | Counselor | 799 Hombach St, Saint Ignace, MI 49781 | 2016-11-16 |
| Find all providers in zip 49781 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT IGNACE |
| Zip Code | 49781 |
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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.