MIDMICHIGAN MEDICAL CENTER-ALPENA (NPI# 1942302302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942302302 |
| Entity Type | Organization |
| Organization Name | MIDMICHIGAN MEDICAL CENTER-ALPENA |
| Other Organization Name | ALPENA REGIONAL MEDICAL CENTER |
| Practice Address |
1501 West Chisholm Street Alpena MI 49707 |
| Mailing Address |
1501 West Chisholm Street Alpena MI 49707-1401 |
| Practice Telephone | 9893567390 |
| Practice Fax Number | 9893568013 |
| Mailing Telephone | 9893567390 |
| Mailing Fax Number | 9893568013 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | CHARLES SHERWIN (PRESIDENT) |
| Authorized Official Telephone | 9893567390 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDMICHIGAN HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 700Z410060 | 01 |
| Other Name | Type Code |
|---|---|
| Alpena Regional Medical Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225269152 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 109 Evergreen, Oscoda, MI 48750 | 2009-07-27 |
| 1043441975 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 12674 Jerome St., Atlanta, MI 49709 | 2009-07-27 |
| 1417997578 | Midmichigan Medical Center-alpena | Home Health | 1521 W. Chisholm Street, Alpena, MI 49707-1401 | 2006-06-07 |
| 1114903366 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 232 River St, Alpena, MI 49707 | 2005-12-20 |
| 1427282011 | Midmichigan Medical Center-alpena | Surgery | 346 Long Rapids Plz, Alpena, MI 49707 | 2009-05-11 |
| 1952514218 | Midmichigan Medical Center-alpena | Psychiatric Unit | 1501 W Chisholm St, Alpena, MI 49707 | 2007-05-07 |
| 1497968754 | Midmichigan Medical Center-alpena | Rehabilitation, Substance Use Disorder Unit | 1501 W Chisholm St, Alpena, MI 49707 | 2007-05-07 |
| 1629146691 | Midmichigan Medical Center-alpena | Orthopaedic Surgery | 401 Long Rapids Plz, Alpena, MI 49707 | 2006-11-30 |
| 1467529404 | Midmichigan Medical Center-alpena | Anesthesiology | 1501 W Chisholm St, Alpena, MI 49707 | 2006-11-28 |
| 1891862835 | Midmichigan Medical Center-alpena | Psychologist | 1501 W Chisholm St, Alpena, MI 49707 | 2006-11-28 |
| Street Address |
1501 WEST CHISHOLM STREET |
| City | ALPENA |
| State | MI |
| Zip Code | 49707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689199804 | Anna Krueger | Social Worker | 1501 West Chisholm Street, Alpena, MI 49707 | 2017-08-09 |
| 1396019485 | Northeastern Michigan Cancer Center | Radiology | 1501 West Chisholm Street, Suite 100, Alpena, MI 49707-1401 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969261 | Alisha Allen | Counselor | Charis Counseling Services of Northeast Michigan, Pllc, 311 N. 2nd Ave, Alpena, MI 49707 | 2019-08-30 |
| 1376015032 | Rachel Marie Vercnocke | Physical Therapist | Midmichigan Home Care, 1521 W. Chisholm Street, Alpena, MI 49707 | 2018-12-19 |
| 1245731405 | Alcona Citizens for Health, Inc. | Clinic/Center | 3036 French Rd, Alpena, MI 49707 | 2018-02-23 |
| 1750775417 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1251 M32w W. Washington Ave., Alpena, MI 49707 | 2015-03-20 |
| 1962895136 | Florencio Cusip Agustin IIi | Physical Therapist | 437 W. Washington Ave, Alpena, MI 49707 | 2015-03-12 |
| 1659762110 | James L Counsellor | Counselor | 115 N First Ave Ste 101, Alpena, MI 49707 | 2015-02-05 |
| 1093002099 | Geraldine Zachos Williams | Chiropractor | 525 S. State Ave, Alpena, MI 49707 | 2011-06-29 |
| 1023310224 | Steven A Machulis | Specialist/Technologist, Other | 225 Long Lake Ave, Alpena, MI 49707 | 2010-11-22 |
| 1578727335 | Allan Paul Frank | Internal Medicine | 2079 South State, Alpena, MI 49707 | 2008-07-10 |
| 1215116025 | Rong Lawson | Family Medicine | Alpena Medical Arts, PC, 211 Long Rapids Road, Alpena, MI 49707 | 2007-10-29 |
| Find all providers in zip 49707 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578727335 | Allan Paul Frank | Internal Medicine | 2079 South State, Alpena, MI 49707 | 2008-07-10 |
| 1740289750 | Henry Stibitz | Internal Medicine | 105 Arbor Ln, Alpena, MI 49707-1301 | 2005-07-20 |
| 1952726606 | Northern Health & Wellness Inc | Internal Medicine | 2079 South State, Alpena, MI 49707 | 2014-03-04 |
| 1457655912 | Donald Miller | Internal Medicine | 301 Long Rapids Rd, Alpena, MI 49707-1317 | 2010-12-27 |
| 1144534744 | Rohit Mahajan | Internal Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2010-08-06 |
| 1174792923 | Mohammad Kamal Shah | Internal Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2008-02-26 |
| 1356451942 | Keith J. Moody | Internal Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2006-08-30 |
| 1245251586 | Marvin Roger Keeling Et Al Ptrs Phoenix Medical | Internal Medicine | 1185 Us Highway 23 N, Suite C, Alpena, MI 49707-8018 | 2006-07-22 |
| 1164441861 | Christopher F Gerling | Internal Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2006-07-19 |
| 1982620829 | Hassan Sam Sheikho | Internal Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2006-07-14 |
| Find all providers in ALPENA | ||||
Please comment or provide details below to improve the information on MIDMICHIGAN MEDICAL CENTER-ALPENA.
| 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.