TERRY J SAMUELS (NPI# 1881615391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881615391 |
| Entity Type | Individual |
| Full Name | TERRY J SAMUELS |
| Credential | M.D. |
| Practice Address |
1250 Lears Rd Petoskey MI 49770-8774 |
| Mailing Address |
1250 Lears Rd Petoskey MI 49770-9252 |
| Practice Telephone | 2312421700 |
| Practice Fax Number | 2312421717 |
| Mailing Telephone | 2312421700 |
| Mailing Fax Number | 2312421717 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301072270 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104385906 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649720913 | Terry Samuels | Counselor | 107 Enterprise Path Ste 301, Hiram, GA 30141-2690 | 2016-10-10 |
| Street Address |
1250 LEARS RD |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962427401 | Thomas Lee Sandison | Pharmacist | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2006-07-13 |
| 1588108260 | Little Traverse Bay Bands of Odawa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2016-12-14 |
| 1174544696 | Carianne Jeffers-wcisel | Physician Assistant | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2006-07-21 |
| 1649226853 | Russell J Wood | Social Worker | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801364005 | Northern Family Medicine, Pllc | Family Medicine | 2810 Charlevoix Rd Ste 104, Petoskey, MI 49770-8421 | 2018-11-06 |
| 1861811382 | Petoskey Urgent Care Billing PC | Family Medicine | 1890 S Us Highway 131 Unit 4, Petoskey, MI 49770-8344 | 2014-04-11 |
| 1235301201 | Jane K. Harris | Family Medicine | 424 Petoskey St, Petoskey, MI 49770-2618 | 2008-03-30 |
| 1023192564 | Suzanne Wehrenberg | Family Medicine | 4048 Cedar Bluff Drive, Suite 5, Petoskey, MI 49770-8895 | 2006-10-24 |
| 1184682924 | Carin L. Nielsen | Family Medicine | 107 Howard Street, Suite A, Petoskey, MI 49770 | 2006-05-02 |
| 1518922988 | Richard W Mansfield | Family Medicine | 1937 M 119, Petoskey, MI 49770-8913 | 2006-04-19 |
| 1093703548 | Petoskey Family Medicine P.C. | Family Medicine | 1890 S Us 131, Suite 3, Petoskey, MI 49770-8344 | 2005-10-10 |
| 1548266158 | Shawn M Pertunen | Family Medicine | 2390 Mitchell Park Dr, Petoskey, MI 49770-8965 | 2005-06-28 |
| 1326459116 | Boyne Country Urgent Care | Family Medicine | 1937 M 119, Petoskey, MI 49770-8913 | 2014-05-14 |
| 1578995775 | Indigo Hospital Medicine - Petoskey, Plc | Family Medicine | 416 Connable Ave, Petoskey, MI 49770-2212 | 2013-07-30 |
| Find all providers in PETOSKEY | ||||
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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.