PAUL DAVID MINNICK (NPI# 1700982485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700982485 |
| Entity Type | Individual |
| Full Name | PAUL DAVID MINNICK |
| Credential | DO |
| Practice Address |
71 Bevier St Shelby MI 49455-1209 |
| Practice Telephone | 2318612172 |
| Practice Fax Number | 2318615100 |
| Mailing Telephone | 2318612172 |
| Mailing Fax Number | 2318615100 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101010846 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 114135476 | 05 | |
| MI | BCBS OF MICHIGAN | 0851903535 | 01 |
| Street Address |
71 BEVIER ST |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1184264327 | Daniel James Erickson | Physician Assistant | 71 Bevier St, Shelby, MI 49455-1209 | 2020-01-15 |
| 1982134482 | Christopher Charles Wagner | Family Medicine | 71 Bevier St, Shelby, MI 49455-1209 | 2017-06-16 |
| 1083160246 | Melvin Michael Vallette | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2016-08-28 |
| 1174904429 | Melissa J Wiegand | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2015-06-12 |
| 1588080030 | Mercy Health Partners | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2014-03-07 |
| 1700201712 | Mercy Health Partners | Surgery | 71 Bevier St, Shelby, MI 49455-1209 | 2014-02-27 |
| 1093144123 | Ann Marie Nienhuis | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2013-11-08 |
| 1770863839 | Lakeshore Community Hospital Inc | Family Medicine | 71 Bevier St, Shelby, MI 49455-1209 | 2011-08-22 |
| 1467732537 | Lakeshore Community Hospital, Inc. | Family Medicine | 71 Bevier St, Shelby, MI 49455-1239 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1356367783 | Oceana Home Medical Equipment Plus | Durable Medical Equipment & Medical Supplies | 169 N Michigan Ave, Shelby, MI 49455-1024 | 2006-07-15 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1912221771 | James W Pancy | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2010-03-23 |
| 1184840084 | Fred F Grice Jr. | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-18 |
| 1891818985 | Lori Ann Kleinjans | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-06 |
| 1598806242 | Rebecca Lynn Smith | Pharmacy Technician | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-02-08 |
| 1518020585 | Hpcn | Family Medicine | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-12-19 |
| Find all providers in zip 49455 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730393943 | Butler County Clinic, P.C. | Family Medicine | 150 N Walnut St, Shelby, NE 68662-5613 | 2007-05-09 |
| 1922158203 | Cmg- Family Medicine of Cleveland County LLC | Family Medicine | 807 Schenck St # 3, Shelby, NC 28150-3933 | 2007-01-11 |
| 1346286366 | Christian E Martin | Family Medicine | 520 N Dekalb St Ste B, Shelby, NC 28150-4191 | 2006-06-20 |
| 1699718916 | Marion C Demers | Family Medicine | 24 E Whitney Ave, Suite 1, Shelby, OH 44875-1246 | 2006-06-14 |
| 1689628927 | Kathy Rosema | Family Medicine | 119 S State St, Shelby, MI 49455-1243 | 2006-05-20 |
| 1376594424 | Rebecca J Love | Family Medicine | 210 W Dale St, Shelby, NC 28150 | 2006-05-13 |
| 1730130881 | Stephen W Jones | Family Medicine | 113 East Grover St, Shelby, NC 28150 | 2006-05-13 |
| 1306894985 | Family Medicine of Cleveland County, Pa | Family Medicine | 807 - 3 Schenck Street, Shelby, NC 28150 | 2006-05-05 |
| 1306805650 | Robert M Dorn | Family Medicine | 305 W College Ave # A, Shelby, NC 28152-8111 | 2006-03-23 |
| 1336114362 | Christopher Marshal Denning | Family Medicine | 520 N. Dekalb St, Shelby, NC 28150 | 2006-02-22 |
| Find all providers in SHELBY | ||||
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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.