McLaren Medical Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MCLAREN MEDICAL GROUP

Practice address

2521 N Elms Rd
Flushing, MI 48433-9426

Phone

(810) 487-3640

Fax

(810) 487-3697

NPI assigned

Jan 31, 2007

Organization subpart

No

Name

Mr. William Hardimon

Title

Ceo

Phone

(810) 342-1040

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• McLaren Medical Group

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1073650750

  O20031106000025

  Same enrollment
• McLaren Medical Group

  • Advanced Practice Midwife
  • Burton, MI
  • NPI 1114066693

  O20031106000025

  Same enrollment
• McLaren Medical Group

  • Pediatrics Physician
  • Lapeer, MI
  • NPI 1306983176

  O20031106000025

  Same enrollment
• McLaren Medical Group

  • Family Medicine Physician
  • Lapeer, MI
  • NPI 1346396066

  O20031106000025

  Same enrollment
• McLaren Medical Group

  • Advanced Practice Midwife
  • Bay City, MI
  • NPI 1528100781

  O20031106000025

  Same enrollment
• McLaren Medical Group

  • Internal Medicine Physician
  • Burton, MI
  • NPI 1659418663

  O20031106000025

  Same enrollment
• McLaren Medical Group

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1780652206

  O20031106000025

  Same enrollment
• McLaren Medical Group

  • Internal Medicine Physician
  • Lapeer, MI
  • NPI 1922145606

  O20031106000025

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig A Duncan, D.O.

  • Surgery Physician
  • Cheboygan, MI
  • NPI 1275540544
  NPD
• Katherine A England, FNP-C

  • Nurse Practitioner
  • Okemos, MI
  • NPI 1699849752
  NPD
• Naheed Rizvi, MD

  • Internal Medicine Physician
  • Cooperstown, NY
  • NPI 1992817662
  NPD
• Carlos Lasmarias, MD

  • Obstetrics & Gynecology Physician
  • Burton, MI
  • NPI 1346223187

  Obstetrics & Gynecology

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

• McLaren Medical Managment, Inc. Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2016.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1053458091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 N ELMS RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339426",
            "telephone_number": "810-487-3640",
            "fax_number": "810-487-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "HARDIMON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-342-1040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "160D410050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Medical Managment, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mackenzie McIntyre
• Jerika Lynn McKay
• Michelle Marie McKeighan
• Jessica McKelvey
• Michael McKillip
• Lynn Margaret McPhee, LLMSW
• Leslie Shantel McWilliams Jr.
• Dominique Shayrae Mead
• Mediserv Inc
• Corey Douglas Meier, FNP-BC

• All providers in Flushing, MI
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.