Northern Michigan Heart Center, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301086730 Issued in MI

Legal business name

NORTHERN MICHIGAN HEART CENTER, PLLC

Practice address

2079 US Highway 23 S
Alpena, MI 49707-4524

Phone

(989) 340-2550

Fax

(989) 340-2551

NPI assigned

Jan 29, 2018

Last updated

May 24, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Marie Mulholland

Title

Office Manager

Phone

(989) 340-2550

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: rondadickinson@nmhc.allscriptsdirect.net
• Direct secure messaging: ulysseswalls@nmhc.allscriptsdirect.net

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary B. Rose Clifton, MD

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1255493086
  Medicare reassignment NPD
• Roberto A Corpus Jr., M.D.

  • Cardiovascular Disease Physician
  • Traverse City, MI
  • NPI 1417995432
  Medicare reassignment NPD
• Ronda Dickinson, DNP

  • Adult Health Nurse Practitioner
  • Alpena, MI
  • NPI 1902453814
  Medicare reassignment NPD
• Ulysses C Walls, MD

  • Cardiovascular Disease Physician
  • Alpena, MI
  • NPI 1932101789
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1053819623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074524",
            "telephone_number": "989-340-2550",
            "fax_number": "989-340-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074524",
            "telephone_number": "989-340-2550",
            "fax_number": "989-340-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN HEART CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MULHOLLAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-340-2550"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301086730",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Michigan Home Health Care
• Northeastern Michigan Cancer Center
• Northeastern Michigan Cancer Center
• Northern Foot & Ankle Centers P.C.
• Northern Health & Wellness Inc
• Northern Sky Therapeutic Services, PLLC
• Northern Waters Counseling Group
• Northmed Compounding Pharmacy
• Amy Dawn Northrup
• Amy Jane Nowak

• Cardiovascular Disease Physician in Alpena, MI
• Providers in Alpena, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.