McLaren Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MCLAREN MEDICAL GROUP

Practice address

611 Court St
West Branch, MI 48661-8820

Phone

(989) 345-7000

Fax

(989) 345-7479

NPI assigned

Sep 4, 2015

Last updated

May 26, 2017By 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

William Hardimon

Title

Ceo

Phone

(810) 342-1040

Specialties & licenses 1

Addresses

Practitioners 6

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.

• Hatem M Ataya, MD

  • Internal Medicine Physician
  • West Branch, MI
  • NPI 1881664829
  NPD (past)
• Marilyn Elizabeth Buckley, MSN, CFNP

  • Nurse Practitioner
  • West Branch, MI
  • NPI 1871676049
  NPD (past)
• Richard Wayne Macauley, MD

  • General Practice Physician
  • West Branch, MI
  • NPI 1992777296
  NPD (past)
• Sarah M Somerfield, FNP-BC

  • Family Nurse Practitioner
  • West Branch, MI
  • NPI 1134378532
  NPD (past)
• Edwin F Etcubanez, MD

  • Family Medicine Physician
  • Hilo, HI
  • NPI 1679555866
  NPD (past)
• Maria C Manalo, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1730121096
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1104294354",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618820",
            "telephone_number": "989-345-7000",
            "fax_number": "989-345-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2017-05-26",
        "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"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Bay Region
• McLaren Bay Region
• McLaren Bay Region
• McLaren Bay Region
• McLaren Central Michigan (McLaren Bay West Branch RHC)
• McLaren Primary Care
• McLaren Primary Care
• McLaren Primary Care
• McLaren Primary Care
• McLaren Primary Care

• General Practice Physician in West Branch, MI
• Providers in West Branch, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.