PROMEDICA CORPORATION OF MICHIGAN (NPI# 1982731204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982731204 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CORPORATION OF MICHIGAN |
| Other Organization Name | MICHAEL SAMMARCO, M.D. |
| Practice Address |
501 E Cummins St Tecumseh MI 49286-2070 |
| Practice Telephone | 5174243200 |
| Practice Fax Number | 5174243441 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | KIMBERLY GOVAN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4198247221 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ========= | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS MI | 160D61066 | 01 |
| MI | RRMC | CD9268 | 01 |
| OH | 2002924 | 05 |
| Other Name | Type Code |
|---|---|
| Michael Sammarco, M.D. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518094721 | Promedica Corporation of Michigan | Internal Medicine | 13101 Sims Hwy, Morenci, MI 49256-1030 | 2007-02-27 |
| 1316073703 | Promedica Corporation of Michigan | Family Medicine | 9205 East Us Highway 23, Blissfield, MI 49228 | 2007-02-27 |
| 1689945172 | Promedica Corporation of Michigan | Otolaryngology | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2012-01-16 |
| 1083981302 | Promedica Corporation of Michigan | Internal Medicine | 157 W Brooke Ln, Blissfield, MI 49228-8601 | 2011-12-01 |
| 1154548592 | Promedica Corporation of Michigan | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-04-19 |
| 1790812907 | Promedica Corporation of Michigan | Family Medicine | 777 Kimole Ln, Suite 230, Adrian, MI 49221-1478 | 2007-02-27 |
| 1477689859 | Promedica Corporation of Michigan | Family Medicine | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2007-02-27 |
| 1780711002 | Promedica Corporation of Michigan | Internal Medicine | 1671 W Michigan Ave, Suite A, Clinton, MI 49236-8702 | 2007-02-27 |
| 1942336326 | Promedica Corporation of Michigan | Surgery | 10 Cairns St, Tecumseh, MI 49286-1202 | 2007-02-27 |
| 1588791925 | Promedica Corporation of Michigan | Internal Medicine | 818 Riverside Ave, 5th Floor Cardiology, Adrian, MI 49221-1446 | 2007-02-27 |
| Street Address |
501 E CUMMINS ST |
| City | TECUMSEH |
| State | MI |
| Zip Code | 49286-2070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134114754 | Stephen James Bachmeyer | Family Medicine | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2005-09-20 |
| 1629321492 | Linda M. Killian | Nurse Practitioner | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2012-10-18 |
| 1740548635 | Kelsey Lynn Perry | Physician Assistant | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2012-04-27 |
| 1659559110 | Tecumseh Family Practice P.C. | Family Medicine | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2008-02-07 |
| 1619914900 | Rebecca Grace Poetschke | Psychiatry & Neurology | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2006-06-02 |
| 1851344022 | Cheryl Marie Arnold | Registered Nurse | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2006-05-18 |
| 1447209648 | Alan Herbert Snider | Orthopaedic Surgery | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2006-05-08 |
| 1194712471 | Daniel Robert Doman | Family Medicine | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649706276 | Shivaay 1 Pllc | Pharmacy | 6869 S Occidental Highway, Tecumseh, MI 49286 | 2017-05-02 |
| 1386073658 | Leslie Ann Kovalski | Counselor | 2698 Burwyn Hills Drive, Tecumseh, MI 49286 | 2013-11-06 |
| 1629347364 | Carol A. Drayton | Social Worker | 308 South Maumee, Tecumseh, MI 49286 | 2011-12-27 |
| 1487931812 | Luann M Hurd | Counselor | 808 E. Chicago Blvd., Suite 14, Tecumseh, MI 49286 | 2011-11-14 |
| 1043596760 | Shawn R Gerrity | Physician Assistant | 501 E. Cummins St, Tecumseh, MI 49286 | 2011-10-26 |
| 1932331386 | Heidi Cunningham Herman | Social Worker | 2558 Dinius Rd, Tecumseh, MI 49286 | 2009-08-19 |
| 1417105560 | Nancy Grace Hornsby | Pharmacist | 2655 W. Chicago Blvd, Tecumseh, MI 49286 | 2008-09-03 |
| 1487822524 | James A Hinesly | Dentist | 126 Herrick Park Dr, Tecumseh, MI 49286 | 2008-02-12 |
| 1548442676 | Tecumseh Chiropractic Center, Incorporated | Chiropractor | 402 East Chicago Blvd., Tecumseh, MI 49286 | 2007-11-30 |
| 1740470509 | Todd Eduard Vonhofe | Chiropractor | 120 North Evans St., Tecumseh, MI 49286 | 2007-07-27 |
| Find all providers in zip 49286 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
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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.