CENTRAL MICHIGAN UNIVERSITY (NPI# 1790058386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790058386 |
| Entity Type | Organization |
| Organization Name | CENTRAL MICHIGAN UNIVERSITY |
| Practice Address |
2981 Health Pkwy Suite B Mount Pleasant MI 48858-9347 |
| Practice Telephone | 9897726880 |
| Practice Fax Number | 9897726817 |
| Mailing Telephone | 9897726880 |
| Mailing Fax Number | 9897726817 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | MR. KELLY J GRONDA (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 9897743334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4337963 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508307273 | Central Michigan University | Point of Service | 203 E Broomfield, Rose 145, Mt Pleasant, MI 48859-0001 | 2017-03-15 |
| 1255888558 | Central Michigan University | Behavioral Analyst | 600 E Preston, Mount Pleasant, MI 48859 | 2016-09-02 |
| 1447606801 | Central Michigan University | Family Medicine | Cmu Sports Medicine, Rose 100, Mt Pleasant, MI 48859-0001 | 2016-05-04 |
| 1487686754 | Central Michigan University | Family Medicine | 202 Foust Hall, Central Michigan University Health Services, Mt Pleasant, MI 48859-0001 | 2006-07-07 |
| 1073987616 | Central Michigan University | Psychologist | 1101 Health Professions Bldg, Ste 2105, Mt Pleasant, MI 48859-0001 | 2015-11-19 |
| 1083088611 | Central Michigan University | Speech-Language Pathologist | 1101 Health Professions Building, Ste 2186, Mt Pleasant, MI 48859-0001 | 2015-11-19 |
| 1497138788 | Central Michigan University | General Acute Care Hospital | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2015-07-03 |
| 1285043760 | Central Michigan University | Psychologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2014-08-08 |
| 1669896197 | Central Michigan University | Physical Therapist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2014-02-04 |
| 1659711760 | Central Michigan University | Pediatrics | 1201 South Dr, Ste. 341, Mt Pleasant, MI 48858-3256 | 2013-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL MICHIGAN UNIVERSITY | 300 E Preston, Mount Pleasant, MI 48858-4261 |
| Virginia Business Entities | Central Michigan University | Warriner Hall 106, Mount Pleasant, Michigan 48859 |
| System for Award Management (SAM) Entities | CENTRAL MICHIGAN UNIVERSITY RESEARCH CORP | 2625 Denison Dr, Mount Pleasant, MI 48858-5596 |
| Street Address |
2981 HEALTH PKWY SUITE B |
| City | MOUNT PLEASANT |
| State | MI |
| Zip Code | 48858-9347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558709493 | Central Michigan University | Internal Medicine | 2981 Health Pkwy, Suite A, Mount Pleasant, MI 48858-9347 | 2013-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467871855 | Nathan Boren | Surgery | 3811 Spring St # 201, Mount Pleasant, WI 53405-1667 | 2014-04-14 |
| 1801970207 | Morris J Washington IIi | Surgery | 1280 Hospital Dr Unit 302, Mount Pleasant, SC 29464-1901 | 2006-10-24 |
| 1538273222 | Anne Evelyn Missavage | Surgery | 4641 E Pickard St, Suite A, Mount Pleasant, MI 48858-2007 | 2006-08-18 |
| 1518991868 | Sandra L. Howell, M.d., P.l.c. | Surgery | 2981 Health Parkway, Suite B, Mount Pleasant, MI 48858 | 2006-07-11 |
| 1205384807 | William H. Stroud, Jr., M.d, LLC | Surgery | 1240 Hospital Dr, Mount Pleasant, SC 29464-3251 | 2016-09-13 |
| 1700263621 | Northeast Texas Surgical Specialists Pllc | Surgery | 2001 N Jefferson Ave, Suite 211, Mount Pleasant, TX 75455-2338 | 2015-04-29 |
| 1780718767 | Edgar Humberto Zambrano | Surgery | 2015 Mulberry Ave, Suite 210, Mount Pleasant, TX 75455-2312 | 2007-03-14 |
| 1144361486 | Douglas R Elliott | Surgery | 407 S White St, Suite 103, Mount Pleasant, IA 52641-2262 | 2007-02-09 |
| 1295844330 | William H Stroud Jr. | Surgery | 1240 Hospital Dr, Mount Pleasant, SC 29464-3251 | 2006-08-30 |
| 1760591812 | Norman P Khoury | Surgery | 1240 Hospital Dr, Mount Pleasant, SC 29464-3251 | 2006-08-30 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on CENTRAL MICHIGAN UNIVERSITY.
| 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.