VINCENTE D. CABANSAG JR. (NPI# 1932106622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932106622 |
Entity Type | Individual |
Full Name | VINCENTE D. CABANSAG JR. |
Credential | M.D. |
Practice Address |
68930 Vinewood Ave Sturgis MI 49091-8899 |
Practice Telephone | 2696519302 |
Practice Fax Number | 2696514809 |
Mailing Telephone | 2696519302 |
Mailing Fax Number | 2696514809 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2010-02-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 4301033706 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1074410 TYPE 10 | 05 | |
MI | BCBS | 020750206 | 01 |
Street Address |
68930 VINEWOOD AVE |
City | STURGIS |
State | MI |
Zip Code | 49091-8899 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457496952 | Vicente D Cabansag Jr Md PC | Surgery | 68930 Vinewood Ave, Sturgis, MI 49091-8899 | 2007-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922558329 | Reflections of Thurston Woods | Custodial Care Facility | 1946 S. Thurston Woods Drive, Sturgis, MI 49091 | 2016-10-10 |
1124258793 | Joan M Fox | Physical Therapist | 1717 E Chicago Road, Sturgis Hospital, Sturgis, MI 49091 | 2009-07-17 |
1538336110 | Dr R L Chorpenning | Chiropractor | 104 W Congress, Sturgis, MI 49091 | 2008-05-13 |
1710176151 | Guardiantrac LLC | In Home Supportive Care | 215 Broadus St, Sturgis, MI 49091 | 2007-10-22 |
1134320302 | Kelly Marie Amrein | Pharmacist | 1533 E Chicago Rd., Sturgis, MI 49091 | 2007-05-29 |
1417079633 | Mark Donald Henson Bohlen | Social Worker | 401 S Fourth Street, Sturgis, MI 49091 | 2007-04-06 |
1609995349 | Michael A Fine | Physical Therapist | 70420 S. Centerville Road, Suite C, Sturgis, MI 49091 | 2007-03-27 |
1437203973 | Robert J Mahoney | Counselor | 70050 M 66, Sturgis, MI 49091 | 2007-01-22 |
1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
1225196355 | James Hunter Raiford | Counselor | 103 S 4th Ave, Sturgis, MI 49091 | 2006-12-04 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346577988 | Sturgis Hospital, Inc. | General Practice | 1717 E Chicago Rd, Suite 2, Sturgis, MI 49091-8524 | 2009-11-03 |
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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.