MIDMICHIGAN PHYSICIANS GROUP (NPI# 1891740130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891740130 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN PHYSICIANS GROUP |
| Practice Address |
4401 N Campus Rdg Midland MI 48640-6112 |
| Mailing Address |
2618 W Sugnet Rd Midland MI 48640-2647 |
| Practice Telephone | 9898379280 |
| Mailing Telephone | 9898393314 |
| Mailing Fax Number | 9898391563 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | ADELBERTO J ADAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 9898393387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386956316 | Midmichigan Physicians Group | Dermatology | 2522 W Wackerly St, Midland, MI 48640-6921 | 2010-07-07 |
| 1740230127 | Midmichigan Physicians Group | Family Medicine | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-10 |
| 1568412948 | Midmichigan Physicians Group | Psychiatry & Neurology | 4201 Campus Ridge Dr Ste 2700, Midland, MI 48640-6128 | 2006-05-10 |
| 1144722604 | Midmichigan Physicians Group | Clinic/Center | 211 Long Rapids Rd, Alpena, MI 49707-1315 | 2018-03-01 |
| 1235685629 | Midmichigan Physicians Group | Clinic/Center | 211 Long Rapids Rd, Alpena, MI 49707-1315 | 2016-08-26 |
| 1831510890 | Midmichigan Physicians Group | Clinic/Center | 3009 N Saginaw Rd, Midland, MI 48640-4555 | 2013-12-18 |
| 1780833053 | Midmichigan Physicians Group | Nurse Practitioner | 2618 W Sugnet Rd, Midland, MI 48640-2647 | 2008-09-11 |
| 1801008735 | Midmichigan Physicians Group | Clinic/Center | 815 N Clare Ave, Harrison, MI 48625-9194 | 2007-05-04 |
| 1649224684 | Midmichigan Physicians Group | Nurse Practitioner | 4007 Orchard Dr, Midland, MI 48640-6187 | 2006-05-22 |
| 1477503852 | Midmichigan Physicians Group | Obstetrics & Gynecology | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-10 |
| Street Address |
4401 N CAMPUS RDG |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740230127 | Midmichigan Physicians Group | Family Medicine | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-10 |
| 1780613117 | Denise M Stadelmaier | Orthopaedic Surgery | 4401 N Campus Rdg, Suite D2000, Midland, MI 48640-6112 | 2006-06-30 |
| 1477503852 | Midmichigan Physicians Group | Obstetrics & Gynecology | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-10 |
| 1912957390 | Midmichigan Physicians Group | Pediatrics | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366454274 | Casey Lynn Angell | Physician Assistant | 5117 Sunmore Cir, Midland, TX 79707 | 2006-08-12 |
| 1407227820 | Lisa Van Dorp | Physician Assistant | 4000 Wellness Dr, Midland, MI 48670-2000 | 2015-10-12 |
| 1437533445 | Cara Callan | Physician Assistant | 4201 Campus Ridge Dr, Midland, MI 48640-6128 | 2015-07-20 |
| 1174846364 | Rebecca Annette Sanchez | Physician Assistant | 5615 Deauville Ste 240, Midland, TX 79706-2709 | 2010-03-02 |
| 1942308846 | Ray Steen | Physician Assistant | 2000 W Ohio Ave, Midland, TX 79701-5946 | 2006-09-21 |
| 1285675843 | Laura M Scott | Physician Assistant | 4007 Orchard Dr, Sutie 2003, Midland, MI 48640-6187 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
| Find all providers with the same taxonomy | ||||
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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.