GLENN CHARLES GRIFFITHS (NPI# 1932199965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932199965 |
| Entity Type | Individual |
| Full Name | GLENN CHARLES GRIFFITHS |
| Credential | M.D. |
| Practice Address |
8225 Lake St Bear Lake MI 49614-9612 |
| Mailing Address |
6227 Frankfort Hwy Benzonia MI 49616-8632 |
| Practice Telephone | 2318643314 |
| Mailing Telephone | 2318829661 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301091466 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 39606 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
8225 LAKE ST |
| City | BEAR LAKE |
| State | MI |
| Zip Code | 49614-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363494 | Maryann Marie Smith | Physician Assistant | 8225 Lake St, Bear Lake, MI 49614 | 2018-11-01 |
| 1427156512 | Jacqueline J Norton | Physician Assistant | 8225 Lake St, Bear Lake, MI 49614 | 2006-09-20 |
| 1316040645 | Ellen Marie Herring | Nurse Practitioner | 8225 Lake St, Bear Lake, MI 49614 | 2006-09-05 |
| 1902851777 | Crystal Lake Clinic, P.C. | Family Medicine | 8225 Lake St, Bear Lake, MI 49614-9688 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902903396 | Karen R Schneider | Registered Nurse | 7861 Main St., Bear Lake, MI 49614 | 2006-09-20 |
| 1144212812 | Richmond Drug Inc | Pharmacy | 7717 Lake St, Bear Lake, MI 49614 | 2005-08-18 |
| 1780758391 | Norman Dale Olson | Family Medicine | 12521 Russell St, Bear Lake, MI 49614-0098 | 2006-11-17 |
| 1891887816 | Bearlake United Methodist Church | Voluntary or Charitable | 7861 Main St., Bearlake, MI 49614-0157 | 2006-09-28 |
| 1265588685 | Craig Phillip Harless | Dentist | 7659 Lake St, Bear Lake, MI 49614-9238 | 2007-01-26 |
| 1124480108 | Northwest Michigan Health Services, Inc. | Clinic/Center | 6433 8 Mile Rd, Bear Lake, MI 49614-9797 | 2016-03-28 |
| 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 |
|---|---|---|---|---|
| 1780758391 | Norman Dale Olson | Family Medicine | 12521 Russell St, Bear Lake, MI 49614-0098 | 2006-11-17 |
| 1902851777 | Crystal Lake Clinic, P.C. | Family Medicine | 8225 Lake St, Bear Lake, MI 49614-9688 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
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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.