WEST BRANCH PULMONARY CLINIC PC (NPI# 1790894988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790894988 |
| Entity Type | Organization |
| Organization Name | WEST BRANCH PULMONARY CLINIC PC |
| Other Organization Name | WEST BRANCH PULMONARY & SLEEP CLINIC |
| Practice Address |
780 N Gavord Rd Sterling MI 48659-9703 |
| Practice Telephone | 9896542168 |
| Practice Fax Number | 9896542825 |
| Mailing Telephone | 9896542168 |
| Mailing Fax Number | 9896542825 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | MS. VICKI LYNN HERRICK (INSURANCE BILLER) |
| Authorized Official Telephone | 8105649270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 174400000X | Specialist | TM0009037 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK | 115651012 | 01 |
| MI | RR MEDICARE | 110216075 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1007603 | 01 |
| MI | 4261168 | 05 | |
| MI | BLUE CROSS BLUE SHIELD DM | 54 0 F5 10350 | 01 |
| MI | NPI | 1679561443 | 01 |
| MI | AETNA | 4509887 | 01 |
| MI | MCLAREN HEALTH PLAN | 1007603 | 01 |
| MI | PREFERRED CHOICE PPO | 122278 | 01 |
| MI | BLUE CROSS BLUE SHIELD M | 115651012 | 01 |
| Other Name | Type Code |
|---|---|
| West Branch Pulmonary & Sleep Clinic | Doing Business As Name - Organization |
| Street Address |
780 N GAVORD RD |
| City | STERLING |
| State | MI |
| Zip Code | 48659-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561443 | Timothy Donald Macon | Internal Medicine | 780 N Gavord Rd, Sterling, MI 48659-9703 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627182 | Linda Caren Runyon | Internal Medicine | 725 E State St, Sterling Area Health Center, Sterling, MI 48659-9548 | 2005-08-25 |
| 1104426162 | Sherry J Velasco | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2020-10-29 |
| 1124628912 | Caleb James Conner | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2020-10-29 |
| 1083251664 | Ashley Meirow Conyer | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-12-03 |
| 1164066452 | Elizabeth Mary Kitchen | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-10-30 |
| 1194280081 | Lynn Alene Meyers | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-02-05 |
| 1033691159 | Vivian Gallofin | Registered Nurse | 725 E State St, Sterling, MI 48659-9548 | 2018-09-05 |
| 1821407321 | Danyelle Wagner | Social Worker | 725 E State St, Sterling, MI 48659-9548 | 2014-08-08 |
| 1689913485 | Summer Elise Tambs | Social Worker | 725 E State St, Sterling, MI 48659-9548 | 2013-02-14 |
| 1558663955 | Hope Murphy | Pharmacist | 725 E State St, Sterling, MI 48659-9548 | 2010-11-17 |
| Find all providers in zip 48659 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1285821652 | Kaye Marie Lawson | Specialist | 37365 Foc'sle Drive, Sterling, AK 99672 | 2007-10-01 |
| 1407050719 | Women Physicians of Northern Virginia, PC | Specialist | 46179 Westlake Dr Ste 350, Sterling, VA 20165-5882 | 2007-06-12 |
| 1780894097 | Colorado Endoscopy Services, Inc | Specialist | 114 S 3rd Ave, Sterling, CO 80751-3616 | 2007-05-23 |
| 1083756605 | Sterling Eye Center,llp | Specialist | 220 S 3rd St, Suite 1, Sterling, CO 80751-4258 | 2007-02-12 |
| 1942355946 | Diane P Barrett | Specialist | 21475 Ridgetop Cir Ste 360, Sterling, VA 20166-6580 | 2007-01-23 |
| 1255492229 | Shaukat Jahan Md PC | Specialist | 21495 Ridgetop Cir Ste 203, Sterling, VA 20166-6512 | 2006-12-13 |
| 1699876292 | Gloria J. Ivey-crowe | Specialist | 46179 Westlake Dr, Ste 350, Sterling, VA 20165-5882 | 2006-09-26 |
| 1275631053 | Northern Virginia Imaging, LLC | Specialist | 4 Pidgeon Hill Dr, Sterling, VA 20165-6101 | 2006-09-20 |
| 1447298435 | Joseph E Bonelli | Specialist | 615 Fairhurst Street, Sterling, CO 80751-0000 | 2006-06-03 |
| Find all providers in STERLING | ||||
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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.