MIDMICHIGAN MEDICAL CENTER MIDLAND (NPI# 1730353723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730353723 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER MIDLAND |
| Practice Address |
4005 Orchard Dr Midland MI 48670-0001 |
| Practice Telephone | 9898393000 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | RICK REYNOLDS (PRESIDENT/CEO) |
| Authorized Official Telephone | 9898393000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194265389 | Midmichigan Medical Center Midland | Pharmacy | 4851 E Pickard St, Mount Pleasant, MI 48858-2029 | 2017-03-07 |
| 1326580143 | Midmichigan Medical Center Midland | Nurse Practitioner | 4000 Wellness Dr, Midland, MI 48670-0001 | 2016-11-10 |
| 1316325954 | Midmichigan Medical Center Midland | Clinic/Center | 3009 N Saginaw Rd, Midland, MI 48640-4555 | 2015-05-15 |
| 1376973149 | Midmichigan Medical Center Midland | Clinic/Center | 4009 Orchard Dr, Midland, MI 48640-6122 | 2013-11-15 |
| 1700227410 | Midmichigan Medical Center Midland | Clinic/Center | 4000 Wellness Dr, Midland, MI 48670-0001 | 2013-07-10 |
| Street Address |
4005 ORCHARD DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168907 | Juanita M Rivera | Anesthesiology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-01-16 |
| 1235646308 | Sarah Ann Schumacher | Physician Assistant | 4005 Orchard Dr, Midland, MI 48670-2001 | 2018-01-10 |
| 1124485727 | Heidi Smithingell | Specialist/Technologist | 4005 Orchard Dr, Midland, MI 48670-0001 | 2016-01-27 |
| 1356624324 | Heather Christine Wood | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2011-09-26 |
| 1215219928 | Midmichigan Visiting Nurse Assoc | Durable Medical Equipment & Medical Supplies | 4005 Orchard Dr, Suite Level B, Midland, MI 48670-0001 | 2011-09-20 |
| 1205120045 | Jesse Myers | Internal Medicine | 4005 Orchard Dr, Midland, MI 48670-2001 | 2011-06-08 |
| 1497055438 | Debbie J Jensen | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2010-10-25 |
| 1982914149 | Courtney R Hills | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2010-10-20 |
| 1598091134 | Nusrat Qayyum | Physician Assistant | 4005 Orchard Dr, Midland, MI 48670-0001 | 2009-11-01 |
| 1730414079 | Kristin Michelle Short | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2009-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1366096828 | Christine Marie Pasko | Nurse Anesthetist, Certified Registered | 4000 Wellness Dr, Midland, MI 48670 | 2019-08-01 |
| 1942702493 | Joebelle Dela Cruz Ingalla | Physical Therapist | 4000 Wellness Dr, Midland, MI 48670 | 2018-03-01 |
| 1215386552 | Monica Tadros | Internal Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2016-06-07 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1487074175 | Tiffany Thalappillil Philip | Family Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2014-04-21 |
| 1730526393 | Erica Ann Waddle | Internal Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2013-05-22 |
| 1871882365 | Foaz Kayali | Radiology | 4000 Wellness Dr, Midland, MI 48670 | 2011-04-05 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013977107 | Jess J Dalehite | Radiology | 1004 N Big Spg, Suite 620, Midland, TX 79701-3354 | 2006-03-24 |
| 1396710554 | Diagnostic Imaging Associates | Radiology | 200 Andrews Hwy, Midland, TX 79701-6375 | 2006-02-21 |
| 1962477125 | Scott E Sheward | Radiology | 1004 N Big Spring St, Suite 620, Midland, TX 79701-3354 | 2006-02-21 |
| 1386900173 | Viet Nguyen | Radiology | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-6499 | 2012-04-05 |
| 1841587920 | John William Fox Jr. | Radiology | 4000 Wellness Dr, Midland, MI 48670-2000 | 2011-07-08 |
| 1861682700 | Will E Close | Radiology | 400 Rosalind Redfern Grover Pkwy, Radiology Dept, Midland, TX 79701-5846 | 2007-07-26 |
| 1972704807 | Luke A Carlson | Radiology | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-6499 | 2007-05-29 |
| 1952321986 | Jeffrey Herman | Radiology | 4000 Wellness Dr, Midland, MI 48670-0001 | 2006-07-20 |
| 1174543110 | Richard Montpetit | Radiology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-07-20 |
| 1124048160 | Stephen Pavlock | Radiology | 4000 Wellness Dr, Midland, MI 48670-0001 | 2006-07-20 |
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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.