NPIMap

Organization Active NPI

Midland Internal Medicine Associates P.C.

  • Clinic/Center
  • Midland, MI
National Provider Identifier
1245270685
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIDLAND INTERNAL MEDICINE ASSOCIATES P.C.
Practice address
5912 Eastman Ave
Midland, MI 48640-6839
Phone
(989) 832-6400
Fax
(989) 832-3663
NPI assigned
Jun 7, 2006
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. David Leonard Nadolski, M.D.NPI 1982641098
Title
President
Phone
(989) 832-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5912 Eastman Ave
Midland, MI 48640-6839

Mailing address

5912 Eastman Ave
Midland, MI 48640-6839
Phone (989) 832-6400

Other identifiers 9

IdentifierTypeStateIssuer
602960800OtherUS DOL
110042864OtherPALMETTO GBA
1155613410OtherMIBLUE CROSS ROBERT WINTERMYER
1105610371OtherMIBLUE CROSS
1105610371OtherMIBLUE CARE NETWORK
0P07460OtherMIROBERT WINTERMYER
101483761MedicaidMI
0988691OtherHEALTH PLUS
5008704100OtherMIBLUE CROSS SARA CRAWFORD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1245270685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406839",
            "telephone_number": "989-832-6400",
            "fax_number": "989-832-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406839",
            "telephone_number": "989-832-6400",
            "fax_number": "989-832-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND INTERNAL MEDICINE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "NADOLSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-832-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL",
            "identifier": "602960800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110042864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ROBERT WINTERMYER",
            "identifier": "1155613410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1105610371",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1105610371",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT WINTERMYER",
            "identifier": "0P07460",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101483761",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0988691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SARA CRAWFORD",
            "identifier": "5008704100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.