MIDMICHIGAN PHYSICIANS GROUP (NPI# 1912957390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912957390 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN PHYSICIANS GROUP |
| Practice Address |
4401 N Campus Rdg Midland MI 48640-6112 |
| Mailing Address |
2620 W Sugnet Rd Midland MI 48640-2647 |
| Practice Telephone | 9898379250 |
| Practice Fax Number | 9898379205 |
| Mailing Telephone | 9898393387 |
| Mailing Fax Number | 9898391563 |
| Enumeration Date | 2006-05-10 |
| 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| 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 |
| 1891740130 | Midmichigan Physicians Group | Physician Assistant | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-24 |
| 1649224684 | Midmichigan Physicians Group | Nurse Practitioner | 4007 Orchard Dr, Midland, MI 48640-6187 | 2006-05-22 |
| 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 |
| 1891740130 | Midmichigan Physicians Group | Physician Assistant | 4401 N Campus Rdg, Midland, MI 48640-6112 | 2006-05-24 |
| 1477503852 | Midmichigan Physicians Group | Obstetrics & Gynecology | 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315587 | Mia Centauri Marshall | Pediatrics | 4214 Andrews Hwy Fl 6, Midland, TX 79703-4822 | 2017-06-06 |
| 1548556228 | Celecia Byfield | Pediatrics | 2500 Delano Ave Fl 1, Midland, TX 79701-6357 | 2011-06-21 |
| 1841594165 | Sudhi Agrawal | Pediatrics | 4475 Hackberry Ct, Midland, TX 79707-1614 | 2010-12-29 |
| 1174783641 | Barbara Jean Wood | Pediatrics | 3415 Caldera Blvd, Midland, TX 79707-2825 | 2008-06-09 |
| 1346416542 | Wf Ballesteros Md | Pediatrics | 3901 Fairwood Ct, Midland, TX 79707-1428 | 2008-05-07 |
| 1043484934 | Adam John Hamilton | Pediatrics | 4401 Campus Ridge Dr Ste 2000, Midland, MI 48640-6125 | 2008-04-22 |
| 1427239078 | W Ballesteros Ltd LLP | Pediatrics | 5304 Castle Pine Rd, Midland, TX 79707-3204 | 2007-11-23 |
| 1124218847 | Premier Family Care I, Inc. | Pediatrics | 1900 W. Wall, Suite A, Midland, TX 79701-6534 | 2007-07-30 |
| 1093928913 | Chandan Mazumder | Pediatrics | 1900 W Wall St Ste C, Midland, TX 79701-6568 | 2007-05-07 |
| 1194813709 | Tareq Hulali | Pediatrics | 3421 Caldera Blvd, Midland, TX 79707-2825 | 2006-10-10 |
| Find all providers in MIDLAND | ||||
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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.