MICHIGAN MEDICAL PATIENT CARE (NPI# 1770750069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770750069 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Practice Address |
1005 W Green St Hastings MI 49058-1712 |
| Mailing Address |
4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 |
| Practice Telephone | 6163913759 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | SCOTT HARRING (CFO) |
| Authorized Official Telephone | 6169744889 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447586540 | Michigan Medical Patient Care | Internal Medicine | 6117 Charlevoix Woods Ct Se, Grand Rapids, MI 49546-8505 | 2009-10-23 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1598907693 | Michigan Medical Patient Care | Internal Medicine | 400 Parkside Dr, Rm 136, Zeeland, MI 49464-2087 | 2009-04-03 |
| 1467693838 | Michigan Medical Patient Care | Internal Medicine | 1049 East Paris Ave Se, Grand Rapids, MI 49546-8336 | 2009-03-16 |
| 1437390028 | Michigan Medical Patient Care | Internal Medicine | 65 Ida Red Ave, Sparta, MI 49345-1735 | 2009-03-12 |
| 1275774861 | Michigan Medical Patient Care | Internal Medicine | 5761 Jupiter Ave Ne, Belmont, MI 49306-8859 | 2009-03-12 |
| 1558528778 | Michigan Medical Patient Care | Pediatrics | 442 Century Ln, Holland, MI 49423-4294 | 2008-05-16 |
| 1508033283 | Michigan Medical Patient Care | Family Medicine | 302 S Beechtree St, Grand Haven, MI 49417-2004 | 2008-05-13 |
| 1043540818 | Michigan Medical Patient Care | Internal Medicine | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2009-12-30 |
| 1841527413 | Michigan Medical Patient Care | Durable Medical Equipment & Medical Supplies | 3152 Port Sheldon St, Hudsonville, MI 49426-9297 | 2009-11-03 |
| Street Address |
1005 W GREEN ST |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224700 | Steven George Wildern | Specialist | 1005 W Green St, Rm 301, Hastings, MI 49058-1729 | 2005-06-10 |
| 1235676651 | Tami Pettenger | Registered Nurse | 1005 W Green St, Ste 300, Hastings, MI 49058-1712 | 2017-01-24 |
| 1841644184 | Pennock Hospital | Clinic/Center | 1005 W Green St, Suite 301, Hastings, MI 49058-1712 | 2016-04-22 |
| 1124488812 | Pennock Hospital Board of Trustees | Surgery | 1005 W Green St, Hastings, MI 49058-1712 | 2016-02-24 |
| 1821497223 | Diane Hart | Registered Nurse | 1005 W Green St, Hastings, MI 49058-1712 | 2014-08-21 |
| 1215351317 | Roxanne R Gaiski | Advanced Practice Midwife | 1005 W Green St, Ste 301, Hastings, MI 49058-1712 | 2014-02-10 |
| 1437594991 | West Michigan Heart | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2013-05-09 |
| 1649566076 | Jimmie Daniel Woodall | Obstetrics & Gynecology | 1005 W Green St, Ste 301, Hastings, MI 49058-1712 | 2011-06-23 |
| 1215221353 | Pennock Hospital | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2011-06-07 |
| 1265732366 | Spectrum Health Primary Care Partners | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2010-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265732366 | Spectrum Health Primary Care Partners | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2010-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796913 | Internal Medicine Sleep Associates Pllc | Internal Medicine | 7300 Deep Run, Bloomfield Hills, MI 48301-3821 | 2018-10-19 |
| 1457739534 | Comprehensive Sleep Diagnostics | Internal Medicine | 3515 Coolidge Rd Ste A, East Lansing, MI 48823-8014 | 2015-05-11 |
| 1588078901 | Aairs Diagnostics PC | Internal Medicine | 1500 W. Big Beaver, Ste 107, Troy, MI 48084 | 2014-06-13 |
| 1184042723 | Harrison M Gimbel | Internal Medicine | 1500 E Medical Center Dr Spc 5316, Ann Arbor, MI 48109 | 2014-04-01 |
| 1295906741 | Great Lakes Sleep Medicine Institute Plc | Internal Medicine | 3058 Metropolitan Parkway, Suite 108, Sterling Heights, MI 48310 | 2008-03-12 |
| 1124220140 | Todd C Gould Do Oc | Internal Medicine | 305 Barclay Cir, Suite 1000, Rochester Hills, MI 48307-4572 | 2007-06-01 |
| 1306969944 | Ruth Darcel Barnett | Internal Medicine | 15121 W Mcnichols Rd, Detroit, MI 48235-3716 | 2007-04-09 |
| 1255455887 | Margaret Moen Md Pllc | Internal Medicine | 457 Munson Ave, Traverse City, MI 49686-3084 | 2007-03-19 |
| 1578634440 | Sleep Apnea Specialty Centers Of | Internal Medicine | 42180 Ford Rd, Suite 201, Canton, MI 48187-3673 | 2006-11-13 |
| 1801966080 | Sleep Apnea Specialty Center | Internal Medicine | 14031 Pennsylvania Rd, Suite A, Riverview, MI 48193-7508 | 2006-11-08 |
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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.