Midmichigan Cardiology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

NW065098 Issued in MI

Legal business name

MIDMICHIGAN CARDIOLOGY, PC

Practice address

609 Quarter St
Gladwin, MI 48624-1941

Phone

(989) 246-6461

Fax

(989) 246-9467

NPI assigned

Oct 23, 2007

Last updated

Oct 23, 2007By 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

Dr. Nathaniel Rohde Woodruff, M.D., PH.D.NPI 1275623191

Title

Owner

Phone

(989) 832-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Midmichigan Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midmichigan Cardiology

  • Specialist
  • Midland, MI
  • NPI 1356559041
  NPD tax ID

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.

• Nathaniel Rohde Woodruff, M.D., PHD, FACC

  • Cardiovascular Disease Physician
  • Grass Valley, CA
  • NPI 1275623191
  NPD Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1598954836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WACKERLY ST",
            "address_2": "SUITE D",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427043",
            "telephone_number": "989-832-0100",
            "fax_number": "989-923-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241941",
            "telephone_number": "989-246-6461",
            "fax_number": "989-246-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDMICHIGAN CARDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "ROHDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-832-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "NW065098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3423708",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Miceli-Sorensen, LMSW
• Michigan Emergency Physicians LLP
• Mid Michigan Diagnostic Corp
• Mid-Michigan Dental Associates PLC Gladwin
• Midland Radiology Associates PC
• Midmichigan Gladwin Pines
• Midmichigan Gladwin Pines
• Midmichigan Home Health Services (MidMichigan Visiting Nurse Support Services)
• Midmichigan Visiting Nurse Association
• April Elizabeth Miller, NP

• Specialist in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.