THE DOCTORS GROUP P.C. (NPI# 1710939954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710939954 |
| Entity Type | Organization |
| Organization Name | THE DOCTORS GROUP P.C. |
| Other Organization Name | SOUTH CENTRAL ENT |
| Practice Address |
215 E Mansion St Suite 2d Marshall MI 49068-1559 |
| Practice Telephone | 2697890015 |
| Practice Fax Number | 2697891551 |
| Mailing Telephone | 2697890015 |
| Mailing Fax Number | 2697891551 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | DR. ANDREW GORDON (PHYSICIAN PARTNER) |
| Authorized Official Telephone | 2697814267 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK | G00000001424 | 01 |
| MI | BCBSM | 0A31055 | 01 |
| Other Name | Type Code |
|---|---|
| South Central ENT | Doing Business As Name - Organization |
| Street Address |
215 E MANSION ST SUITE 2D |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856046 | Suzanne E Vandenbrink-webb | Obstetrics & Gynecology | 215 E Mansion St, Suite 3d, Marshall, MI 49068-1559 | 2006-01-20 |
| 1841740289 | Sundos Fadel | Physician Assistant | 215 E Mansion St, Marshall, MI 49068-1559 | 2016-10-10 |
| 1346624921 | Karissa Hawley | Advanced Practice Midwife | 215 E Mansion St, Suite 3d, Marshall, MI 49068-1559 | 2015-07-14 |
| 1801297940 | Michael Thompson | Audiologist | 215 E Mansion St, Suite 2d, Marshall, MI 49068-1559 | 2014-09-09 |
| 1598102824 | Desiree Cook | Physician Assistant | 215 E Mansion St, Suite 1g, Marshall, MI 49068-1559 | 2013-05-28 |
| 1164733887 | Catherine A Burtrum | Surgery | 215 E Mansion St, Suite 3e, Marshall, MI 49068-1559 | 2010-06-28 |
| 1952537912 | South Central Ear Nose and Throat Associates PC | Otolaryngology | 215 E Mansion St, Suite 2d, Marshall, MI 49068-1559 | 2009-06-04 |
| 1770770216 | Subhash Thakur | Surgery | 215 E Mansion St, Suite 2f, Marshall, MI 49068-1559 | 2007-09-28 |
| 1396931937 | Vincent Shen Md Plc | Internal Medicine | 215 E Mansion St, Suite 2e, Marshall, MI 49068-1559 | 2007-09-18 |
| 1356479810 | Jonathan Michael Ross | Internal Medicine | 215 E Mansion St, Suite 3a, Marshall, MI 49068-1559 | 2007-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
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| 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 |
|---|---|---|---|---|
| 1093927329 | Jairo Ivan Torres | Otolaryngology | 8452 Renalds Ave, Marshall, VA 20115-3755 | 2007-05-07 |
| 1952537912 | South Central Ear Nose and Throat Associates PC | Otolaryngology | 215 E Mansion St, Suite 2d, Marshall, MI 49068-1559 | 2009-06-04 |
| 1235183039 | Michael J Sterrett | Otolaryngology | 215 E Mansion St, Suite 2d, Marshall, MI 49068 | 2006-05-19 |
| 1629022348 | Martin A Goins IIi | Otolaryngology | 215 E Mansion St, Suite 2d, Marshall, MI 49068-1167 | 2006-05-19 |
| 1649254749 | Luis Balbuena Jr. | Otolaryngology | 703 S Washington Ave, Marshall, TX 75670-5337 | 2005-12-01 |
| 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 |
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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.