MCLAREN NORTHERN MICHIGAN (NPI# 1992812580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992812580 |
| 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 | 2006-08-23 |
| 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 |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 1060000053 | MI | Hospitals |
| 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 |
| 1942370754 | Mclaren Northern Michigan | General Acute Care Hospital | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-11-09 |
| 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 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942370754 | Mclaren Northern Michigan | General Acute Care Hospital | 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899194 | Ascension Michigan Employer Solutions LLC | General Acute Care Hospital | 5555 Conner St Ste 2818, Detroit, MI 48213-3448 | 2020-07-30 |
| 1295246106 | Henry Ford Health Sytems | General Acute Care Hospital | 18800 Hubbard Dr, Dearborn, MI 48126-4305 | 2017-10-18 |
| 1972043081 | Melissa Kovaleski | General Acute Care Hospital | 1029 Chestnut Ln, South Lyon, MI 48178-1896 | 2017-03-08 |
| 1699125922 | Sarah Finlay | General Acute Care Hospital | 5333 Mcauley Dr Ste 40001, Ypsilanti, MI 48197-1014 | 2016-06-17 |
| 1528412517 | Bess Marie Connors | General Acute Care Hospital | 1506 Pontiac Trl, Ann Arbor, MI 48105-1719 | 2016-04-16 |
| 1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
| 1326428285 | Ipc Hospitalist Company | General Acute Care Hospital | 1628 Huntwood Park Ct, West Bloomfield, MI 48324-3998 | 2015-06-05 |
| 1689088304 | Florida Hospital | General Acute Care Hospital | 7922 Barrie, Dearborn, MI 48126 | 2014-06-20 |
| 1720491954 | University of Michigan | General Acute Care Hospital | 1515 E. Hospital Drive, Towsley Center, 1218, Spc 5222, Ann Arbor, MI 48109-5222 | 2014-06-05 |
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
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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.