PROGRESSIVE CARE MEDICAL GROUP OF MI, PLLC


Address: 734 Starkweather Drive, Lansing, MI 48917-1128
Phone: 5173239133

PROGRESSIVE CARE MEDICAL GROUP OF MI, PLLC (NPI# 1861966244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861966244
Entity Type Organization
Organization Name PROGRESSIVE CARE MEDICAL GROUP OF MI, PLLC
Other Organization Name PROGRESSIVE CARE MEDICAL GROUP OF MI, PLLC
Practice Address 734 Starkweather Drive
Lansing
MI 48917-1128
Mailing Address 150 Eileen Way Unit 1
Syosset
NY 11791-5313
Practice Telephone 5173239133
Practice Fax Number 5173230092
Mailing Telephone 5168555255
Mailing Fax Number 5169212451
Enumeration Date 2019-01-18
Last Update Date 2019-05-07
Authorized Official Name CHRISTOPHER BEAL (OWNER/PRESIDENT)
Authorized Official Telephone 5168555255
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Progressive Care Medical Group of MI, PLLC Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
150 Eileen Way Unit 1, Syosset, NY 117915313 5168555255 5169212451

Office Location

Street Address 734 STARKWEATHER DRIVE
City LANSING
State MI
Zip Code 48917-1128

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1376197830 Cheryl Ann Day Physical Therapist 7107 Treasure Isle, Lansing, MI 48917 2019-08-01
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1154768596 Casey Stokes Physical Therapist 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 2013-05-24
1164774659 Bona Birki Gada Pharmacist 2410 W. Willow St, Apt A203, Lansing, MI 48917 2012-10-08
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548643455 Care Free Medical Clinic Clinic/Center 5315 S Pennsylvania Ave, Lansing, MI 48911-4002 2015-07-09
1215561329 Jenifer Noel Sleight Clinic/Center 1627 Lake Lansing Rd Ste 200, Lansing, MI 48912-3788 2020-02-27

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NPI Name Taxonomy Address Enumeration
1487252458 Midland Express Urgent and Family Care Clinic/Center 600 Cambridge St Ste 1, Midland, MI 48642-4508 2020-10-13
1841805306 Alex Wagner, LLC Clinic/Center 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 2020-09-11
1760013262 Tranquility Wellness Center Clinic/Center 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 2020-02-03
1588295463 Scheurer Hospital Clinic/Center 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 2020-01-30
1639718539 Scheurer Hospital Clinic/Center 75 Buschlen Rd, Bad Axe, MI 48413 2019-12-26
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1821649948 Hope Primary Care of Birch Run Pllc Clinic/Center 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 2019-09-20
1609425180 Wafa A Elhassan Md Pllc Clinic/Center 1905 S Haggerty Rd, Canton, MI 48188-2025 2019-09-08
1972006047 Genise Kerner Md PC Clinic/Center 37675 Pembrooke Ave, Livonia, MI 48152 2018-03-14
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Competitor

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City LANSING
Zip Code 48917

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Dataset Information

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.

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