THREE RIVERS HEALTH (NPI# 1912982554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912982554 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS HEALTH |
| Other Organization Name | THREE RIVERS HEALTH SURGICAL SERVICES |
| Practice Address |
715 S Health Pkwy Three Rivers MI 49093-8352 |
| Mailing Address |
711 S Health Pkwy Suite L-7 Three Rivers MI 49093-9387 |
| Practice Telephone | 2692738471 |
| Practice Fax Number | 2692739680 |
| Mailing Telephone | 2692739789 |
| Mailing Fax Number | 2692739611 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | WILLIAM RUSSELL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2692781145 |
| Is Organization Subpart | Y |
| Parent Organization Name | THREE RIVERS HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 750020 | MI | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 750020 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Three Rivers Health Surgical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902081631 | Three Rivers Health | Internal Medicine | 655 S Erie St, Three Rivers, MI 49093-2060 | 2007-12-31 |
| 1356696538 | Three Rivers Health | Clinic/Center | 711 S Health Pkwy, Suite 3, Three Rivers, MI 49093-9387 | 2012-07-13 |
| 1285991695 | Three Rivers Health | Internal Medicine | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2012-04-23 |
| 1558655522 | Three Rivers Health | Internal Medicine | 1021 Hill St, Suite 300, Three Rivers, MI 49093-2745 | 2011-06-07 |
| 1427368547 | Three Rivers Health | Podiatrist | 633 S Erie St, Three Rivers, MI 49093-2073 | 2010-10-08 |
| 1518288265 | Three Rivers Health | Clinic/Center | 711 S Health Pkwy, Suite 1, Three Rivers, MI 49093-9387 | 2010-06-17 |
| 1396720579 | Three Rivers Health | Family Medicine | 711 S Health Pkwy, Suite 4, Three Rivers, MI 49093-9387 | 2005-12-12 |
| 1316922909 | Three Rivers Health | Obstetrics & Gynecology | 711 S Health Pkwy, Suite 1, Three Rivers, MI 49093-9387 | 2005-12-07 |
| 1801871405 | Three Rivers Health | Pediatrics | 711 S Health Pkwy, Suite 1, Three Rivers, MI 49093-9387 | 2005-12-07 |
| 1346224367 | Three Rivers Health | Internal Medicine | 711 S Health Pkwy, Suite 3, Three Rivers, MI 49093-9387 | 2005-12-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THREE RIVERS HEALTH | 701 S Health Pkwy, Three Rivers, MI 49093-8352 |
| System for Award Management (SAM) Entities | THREE RIVERS HEALTH DEPARTMENT | 2400 N Lincoln Ave, Fremont, NE 68025-2457 |
| System for Award Management (SAM) Entities | THREE RIVERS HEALTHCARE CENTER | 7800 Jandaracres Dr, Cincinnati, OH 45248-2032 |
| Washington State Corporations | THREE RIVERS HEALTHCARE PLLC | 1020 Anderson Dr, Aberdeen, WA 98520-1055 |
| Street Address |
715 S HEALTH PKWY |
| City | THREE RIVERS |
| State | MI |
| Zip Code | 49093-8352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275515298 | Kenneth Carl Wiencek | Orthopaedic Surgery | 715 S Health Pkwy, Medical Office Building 3, Three Rivers, MI 49093-8352 | 2005-11-16 |
| 1346874070 | Three Rivers Health System, Inc | Internal Medicine | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2020-03-03 |
| 1689016354 | Samantha Luci Leonard | Surgery | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2013-07-23 |
| 1891054987 | Three Rivers Health System Inc | Internal Medicine | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2012-05-09 |
| 1063784247 | Three Rivers Health System, Inc | Orthopaedic Surgery | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2012-02-02 |
| 1700189982 | Michael Sandborn, Md | Physical Medicine & Rehabilitation | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2010-12-10 |
| 1336260645 | Manoj Mithal | Physical Medicine & Rehabilitation | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2007-04-03 |
| 1700978509 | Navin C Pancholy | Surgery | 715 S Health Pkwy, Three Rivers Health, Three Rivers, MI 49093-8352 | 2006-09-29 |
| 1225142284 | James Macdonald | Surgery | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2006-08-18 |
| 1366420366 | Tom G Shahwan | Orthopaedic Surgery | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2006-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833865 | Brandy Peterson | Technician/Technologist | 18511 South River Rd, Three Rivers, MI 49093 | 2015-02-05 |
| 1073933958 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 800 S Us Highway 131 Ste A, Three Rivers, MI 49093 | 2014-04-18 |
| 1184927865 | Autumn Brooke Walton | Counselor | 30 N. Main St., Three Rivers, MI 49093 | 2010-12-17 |
| 1972730877 | Peggy Cahue-kuipers | Counselor | 1020 Millard, Three Rivers, MI 49093 | 2009-06-18 |
| 1215101530 | Raelene Mckeon Kent | Pediatrics | 601 S. Us 131, Three Rivers, MI 49093 | 2008-04-17 |
| 1407043722 | Assisted Living Concepts Inc | Assisted Living Facility | 1215 Ne Elm Street, Three Rivers, MI 49093 | 2007-10-01 |
| 1205047552 | Judith Anderson | Psychologist | 131 Enterprise St, Three Rivers, MI 49093 | 2007-05-25 |
| 1619013240 | Michael Angelo Cucci | Dentist | 221 North Hooker Ave, Three Rivers, MI 49093 | 2007-01-30 |
| 1659421204 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 800 S Us 131, Three Rivers, MI 49093 | 2007-01-12 |
| 1679622401 | Gail Marjorie Woods | Dentist | 57175 North Main Street, Three Rivers, MI 49093 | 2007-01-10 |
| Find all providers in zip 49093 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689016354 | Samantha Luci Leonard | Surgery | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2013-07-23 |
| 1700978509 | Navin C Pancholy | Surgery | 715 S Health Pkwy, Three Rivers Health, Three Rivers, MI 49093-8352 | 2006-09-29 |
| 1225142284 | James Macdonald | Surgery | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2006-08-18 |
| 1053394528 | Akiyoshi Kido | Surgery | 715 S Health Pkwy, Medical Office Building 3, Three Rivers, MI 49093-8352 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475237 | Dr Dayhim Pllc | Surgery | 12203 Shearwater Cir, Commerce Township, MI 48390-4260 | 2020-07-28 |
| 1922624923 | Dr Anthony Joseph Md Pllc | Surgery | 2330 S Milford Rd Ste 120, Highland, MI 48357-4982 | 2020-06-25 |
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1922623081 | Joon B Kim | Surgery | 1200 Michigan Ave Ste 655, East Lansing, MI 48823-4099 | 2020-06-14 |
| 1932724101 | Alec Jerry Raniwsky | Surgery | 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 | 2020-06-12 |
| 1184245771 | Upper Michigan Associates LLC | Surgery | 1414 W Fair Ave Ste 235, Marquette, MI 49855-5406 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1487275509 | Erika C Michelin | Surgery | 28080 Grand River Ave Ste 208, Farmington Hills, MI 48336-5966 | 2020-04-29 |
| 1063047629 | Suzanne A. Law, D.o., P.C. | Surgery | G4007 W Court St Ste E, Flint, MI 48532-3560 | 2020-03-04 |
| 1801454871 | Dakita Mack | Surgery | 28050 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5919 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | THREE RIVERS |
| Zip Code | 49093 |
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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.