Euclid Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EUCLID MEDICAL GROUP PC

Practice address

4175 N Euclid Ave
Suite 3
Bay City, MI 48706-2483

Phone

(989) 667-0491

Fax

(989) 667-0493

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William E Berner

Title

Clinic Administrator

Phone

(989) 892-7722

Specialties & licenses 2

Addresses

Other identifiers 9

Other names 1

• RediMed Other name

Locations

Practitioners 5

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

• John A Emond, PA

  • Physician Assistant
  • Essexville, MI
  • NPI 1356452098
  NPD (past)
• Lacey Caroline Gardner, PA-C

  • Physician Assistant
  • Mount Pleasant, MI
  • NPI 1679758254
  NPD (past)
• Jan Michael Goldberger, D.O.

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1881759868
  NPD (past)
• Lawrence Kammer, PA-C

  • Physician Assistant
  • Bay City, MI
  • NPI 1841223120
  NPD (past)
• Ronald Koehler, DO

  • Family Medicine Physician
  • Bay City, MI
  • NPI 1104857978
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1366488728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 N EUCLID AVE",
            "address_2": "SUITE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062483",
            "telephone_number": "989-667-0491",
            "fax_number": "989-667-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N EUCLID AVE",
            "address_2": "SUITE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062483",
            "telephone_number": "989-667-0491",
            "fax_number": "989-667-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "989-892-7722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114601967",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH5156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115189275",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1007493",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0Z96017",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0Z96017",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112791147",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113512728",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "700Z910470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RediMed",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "RediMed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Lynn Espinoza, LLMSW, CAADC
• Katie Suzanne Estelle, LMSW
• Venkata Sai Sheshu Kumar Etha
• Euclid Dental Clinic PLC
• Euclid Medial Group PC
• Euclid Pharmacy LLC
• Arlene Eugenio
• Eunoia Therapy Collective PLLC
• Emma Michelle Evans
• Julie Evans

• Family Medicine Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.