MIDMICHIGAN MEDICAL CENTER-MIDLAND (NPI# 1770668683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770668683 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Practice Address |
4000 Wellness Dr Midland MI 48670-0001 |
| Practice Telephone | 9898393000 |
| Mailing Telephone | 9898393000 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | GREGORY H ROGERS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9898393000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD GROUP | 430E660220 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1730631441 | Midmichigan Medical Center-midland | Nurse Practitioner | 4000 Wellness Dr, Midland, MI 48670-2000 | 2016-10-28 |
| 1386771053 | Midmichigan Medical Center-midland | Emergency Medicine | 4005 Orchard Dr, Midland, MI 48670-0001 | 2007-02-28 |
| 1184751851 | Midmichigan Medical Center-midland | Podiatrist | 4000 Wellness Dr, Midland, MI 48670-0001 | 2007-02-28 |
| 1639182421 | Midmichigan Medical Center-midland | Psychiatric Unit | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-08-14 |
| 1346253135 | Midmichigan Medical Center-midland | Rehabilitation Unit | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-08-14 |
| 1902841414 | Midmichigan Medical Center-midland | Ambulance | 4000 Wellness Dr, Midland, MI 48670-0001 | 2006-06-18 |
| Street Address |
4000 WELLNESS DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663207 | Darcey G Cox | Anesthesiology | 4000 Wellness Dr, Midland, MI 48670-2000 | 2005-07-15 |
| 1396345575 | Graceson Caroline Kerr | Physician Assistant | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-10-28 |
| 1245840560 | Dorothy Wong | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-08-01 |
| 1861002206 | Logan Amanda Steffke | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1598375941 | Jonathon Skurya | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1063021673 | Jenna Ann Randolph | Speech-Language Pathologist | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-29 |
| 1134738099 | Natalie Hamilton | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-5024 | 2020-07-27 |
| 1306455266 | Lauren Stull | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-27 |
| 1043828353 | Shing Chao | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| 1477161784 | Jordan Killingsworth | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
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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 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1265074991 | Kevin Gerard Przybylski | Pharmacist | 4000 Wellness Drive Inpatient Pharmacy, Midland, MI 48670-0001 | 2019-10-15 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1760569958 | Ximena Elizabeth Gumpel | Physician Assistant | Radiation Oncology, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-11-01 |
| 1326158072 | David Eric Newcomb II | Emergency Medicine | Emergency Department Mid-michigan Regional Med Ctr, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-08-30 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588072631 | Slumberland Sedation LLC | Nurse Anesthetist, Certified Registered | 5807 Llano Ct, Midland, TX 79707-3164 | 2014-07-31 |
| 1497087787 | Janice Kay Delarosa | Nurse Anesthetist, Certified Registered | 1702 W Kansas Ave, Midland, TX 79701 | 2010-02-11 |
| 1366688186 | Tamara L Vaught | Nurse Anesthetist, Certified Registered | 3702 Crestmont Dr, Midland, TX 79707-4237 | 2008-12-29 |
| 1730334319 | Adrian Maese Crna Pllc | Nurse Anesthetist, Certified Registered | 2706 West Cuthbert Avenue, Suite B100, Midland, TX 79701-3886 | 2008-11-24 |
| 1376514471 | Shari Pleasant Brooks | Nurse Anesthetist, Certified Registered | 4519 N Garfield St Ste 15, Midland, TX 79705-3400 | 2006-01-28 |
| 1851392146 | John James Zitzelberger II | Nurse Anesthetist, Certified Registered | 6534 Beaver Trl, Midland, GA 31820-4317 | 2005-08-09 |
| 1518599869 | Aruna Maharjan | Nurse Anesthetist, Certified Registered | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-02-05 |
| 1184270654 | Andrew James Leis | Nurse Anesthetist, Certified Registered | 4000 Wellness Dr, Midland, MI 48670-2000 | 2019-08-12 |
| 1366096828 | Christine Marie Pasko | Nurse Anesthetist, Certified Registered | 4000 Wellness Dr, Midland, MI 48670 | 2019-08-01 |
| 1699153908 | Zipparo Anesthesia Consultants, LLC | Nurse Anesthetist, Certified Registered | 4214 Andrews Hwy, Midland, TX 79703-4822 | 2015-05-07 |
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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.