MCLAREN NORTHERN MICHIGAN (NPI# 1942370754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942370754 |
| Entity Type | Organization |
| Organization Name | MCLAREN NORTHERN MICHIGAN |
| Practice Address |
416 Connable Ave Petoskey MI 49770-2212 |
| Practice Telephone | 2314874000 |
| Practice Fax Number | 2314874552 |
| Mailing Telephone | 2314877684 |
| Mailing Fax Number | 2314877721 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | STEVEN THOMPSON (VP/CFO) |
| Authorized Official Telephone | 2314874094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | MI | Hospitals | |
| Y | 273Y00000X | Rehabilitation Unit | MI | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760736094 | Mclaren Northern Michigan | Family Medicine | 416 Connable Ave, Petoskey, MI 49770-2212 | 2012-11-08 |
| 1083771364 | Mclaren Northern Michigan | Pharmacy | 416 Connable Ave, Petoskey, MI 49770-2212 | 2007-01-03 |
| 1881754554 | Mclaren Northern Michigan | Hospitalist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-12-11 |
| 1033289848 | Mclaren Northern Michigan | Psychiatric Unit | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-11-09 |
| 1386722924 | Mclaren Northern Michigan | General Acute Care Hospital | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2006-11-01 |
| 1992812580 | Mclaren Northern Michigan | General Acute Care Hospital | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-08-23 |
| Street Address |
416 CONNABLE AVE |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512687 | Michael A Angileri | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2005-07-15 |
| 1023619483 | Bay Radiation Oncology, Pllc | Radiology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-11-03 |
| 1972116895 | Cameron P Burns | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-08-29 |
| 1447878566 | Tiffany Hornbeck | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-07-07 |
| 1083231963 | Cory Mills | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-06-26 |
| 1508417031 | Alexander Joseph Perry | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2019-09-25 |
| 1699332668 | Murphy Gillespie | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2019-05-24 |
| 1407322985 | Shanna Macclaren | Nurse Practitioner | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-10-22 |
| 1730664186 | Emily Powell | Occupational Therapist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-10-02 |
| 1831673458 | Mary Ford | Occupational Therapist | 416 Connable Ave, Petoskey, MI 49770-2212 | 2018-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902175805 | Martial Arts Therapy | Rehabilitation Unit | 7800 W Sharpe Rd, Fowlerville, MI 48836-8750 | 2011-12-21 |
| 1295965911 | Theracare Rehab,llc | Rehabilitation Unit | 42456 Cherry Hill Road, Canton, MI 48187-3401 | 2009-07-15 |
| 1063551281 | Universal Rehabilitation Services Inc | Rehabilitation Unit | 26250 Northwestern Hwy, Southfield, MI 48076-3903 | 2007-02-05 |
| 1023107877 | Henry Ford Health System | Rehabilitation Unit | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2006-10-12 |
| 1336235498 | Henry Ford Health System | Rehabilitation Unit | 44800 Delco Blvd, Sterling Heights, MI 48313-1026 | 2006-10-05 |
| 1801844220 | Complete Care Rehab LLC | Rehabilitation Unit | 31370 Harper Ave, Saint Clair Shores, MI 48082-2450 | 2006-05-05 |
| 1477512424 | Edward W. Sparrow Hospital Association | Rehabilitation Unit | 1215 E. Michigan Avenue, Lansing, MI 48909-7980 | 2006-03-20 |
| 1801860218 | Mclaren Bay Region | Rehabilitation Unit | 3250 E Midland Rd, Bay City, MI 48706-2835 | 2006-02-14 |
| 1801866942 | St. John Hospital and Medical Center | Rehabilitation Unit | 26755 Ballard St, Harrison Twp, MI 48045-2419 | 2006-01-23 |
| 1598763385 | Tri-county Therapy Center, LLC Dba Valley Hill Therapy Center | Rehabilitation Unit | 43456 Mound Rd, Suite 500, Sterling Heights, MI 48314-2080 | 2005-07-14 |
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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.