WILLIAM M SHORT (NPI# 1720079569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720079569 |
| Entity Type | Individual |
| Full Name | WILLIAM M SHORT |
| Credential | MD |
| Practice Address |
1414 W Fair Ave Ste 36 Marquette MI 49855-2675 |
| Mailing Address |
4602 Dept Carol Stream IL 60122-0021 |
| Practice Telephone | 9062253864 |
| Practice Fax Number | 9062253851 |
| Mailing Telephone | 9062253864 |
| Mailing Fax Number | 9062253851 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2009-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301046367 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1804821 | 05 | |
| MI | RAILROAD MEDICARE | 080036036 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685308 | William Frederick Short | Obstetrics & Gynecology | 634 S Owl Dr, Sarasota, FL 34236-1908 | 2014-03-03 |
| 1487765293 | William Joseph Short | Family Medicine | 2340 Carter Ave, Ashland, KY 41101-7826 | 2006-08-31 |
| 1669414827 | William R Short | Internal Medicine | 3910 N Powelton Ave, 2nd Flr, Philadelphia, PA 19104-2640 | 2006-06-12 |
| 1235608167 | William Charles Short | Orthopaedic Surgery | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920-1543 | 2018-11-20 |
| 1194114751 | William David Short | Dentist | 1619 Live Oak St, Beaufort, NC 28516-1520 | 2015-01-20 |
| 1780928580 | William Joseph Short | Physician Assistant | 1031 W Sanetta St, Nampa, ID 83651 | 2012-11-16 |
| 1720251036 | William L Short | Counselor | 1319 Saul Rd, Sunnyside, WA 98944-2300 | 2008-04-08 |
| 1841300340 | William L Short | Family Medicine | 1111 N Brady St, Abilene, KS 67410-1804 | 2006-08-30 |
| 1033190939 | William Joseph Short | Pathology | 2601 Veterans Dr, Harlingen, TX 78550-8942 | 2005-11-08 |
| Street Address |
1414 W FAIR AVE STE 36 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090994 | John P Bartlett | Internal Medicine | 1414 W Fair Ave, Ste 201, Marquette, MI 49855-5406 | 2005-06-02 |
| 1255995726 | Jennifer Helen Johnson | Pharmacist | 1414 W Fair Ave, Ste 133, Marquette, MI 49855-5408 | 2019-04-30 |
| 1205336260 | Adfinitas Health At Up Marquette, Pllc | Hospitalist | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2018-02-16 |
| 1770091381 | Adfinitas Health At Marquette, LLC | Hospitalist | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2018-01-17 |
| 1982139929 | Jeffrey Sweers | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-27 |
| 1598290991 | Rebecca Reinertsen | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
| 1265967665 | Dexter D Clark | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
| 1972956860 | William Barker | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-07-15 |
| 1093165763 | Kathryn Lerche | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-06-14 |
| 1699125377 | Riley Torreano | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1427678978 | Evan Loukusa | Family Medicine | 1414 W Fair Ave Ste 24, Marquette, MI 49855-2675 | 2020-04-24 |
| 1992167241 | Superior Walk-in Center, PC | Family Medicine | 2382 Us Highway 41 W, Marquette, MI 49855-2456 | 2016-03-25 |
| 1871851766 | Patrick A Huffer | Family Medicine | 1414 W Fair Ave Ste 36, Marquette, MI 49855-2675 | 2012-04-27 |
| 1366710816 | Jonathan Robertson | Family Medicine | 2250 Us Highway 41 S, Ste B, Marquette, MI 49855-9119 | 2011-12-12 |
| 1285851840 | Emily Frances Godec | Family Medicine | 5087 Us 41 S, Marquette, MI 49855-9001 | 2007-04-18 |
| 1457578049 | Mary Lee Tobin-anderson | Family Medicine | 5089 Us Highway 41 South, Marquette, MI 49855 | 2007-04-18 |
| 1356402762 | Jeffrey Karr | Family Medicine | 3045 Wright St, Marquette, MI 49855-2675 | 2006-12-12 |
| 1518929579 | Gregory Sulik | Family Medicine | 607 N 3rd St, Marquette, MI 49855-3519 | 2006-04-05 |
| 1245221076 | David Michael Luoma | Family Medicine | 1401 Presque Isle Avenue, Northern Michigan University Vielmetti Health Center, Marquette, MI 49855 | 2005-11-01 |
| 1811988959 | Michelle R Storms | Family Medicine | 1401 Presque Isle Ave, Attn: Health Center, Marquette, MI 49855-2818 | 2005-10-28 |
| Find all providers in MARQUETTE | ||||
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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.