Organization Active NPI

Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
National Provider Identifier
1649010455
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MYMICHIGAN MEDICAL CENTER MIDLAND
Practice address
4000 Wellness Dr
Midland, MI 48670-2000
Phone
(989) 839-3000
NPI assigned
May 29, 2024
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-2000

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240716002337 MI Part B Supplier - Clinic/Group Practice 2264323633 Receives reassigned benefits from 56 practitioners
Practice locations: Midland, MI

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Midmichigan Reg Med Ctr29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations (25 of 26)

363 Long RPDS Rd
Alpena, MI 49707
Phone (989) 839-3393

4040 N Euclid Ave
Bay City, MI 48706
Phone (989) 671-9153

214 N Main St
Freeland, MI 48623
Phone (989) 695-2466

609 Quarter St
Ste 6
Gladwin, MI 48624

1321 E Wackerly Rd
Midland, MI 48642
Phone (989) 839-3580

301 W Wackerly St
#C
Midland, MI 48640
Phone (989) 488-5850

32 S Homer Rd
Midland, MI 48640
Phone (989) 486-8351

337 Lemke St
Midland, MI 48642
Phone (989) 492-7766

4000 Wellness Dr
Ste H1344
Midland, MI 48670
Phone (989) 839-6256

4005 Orch Dr
Ste 3017
Midland, MI 48670
Phone (517) 839-3152

4201 Campus Ridge Dr
Ste 2000
Midland, MI 48640
Phone (989) 839-1795

4201 Campus Ridge Dr
Ste 3000
Midland, MI 48640
Phone (989) 488-5450

4201 Campus Ridge Dr
Ste 3100
Midland, MI 48640
Phone (989) 488-5410

4201 Campus Ridge Dr
Ste 3500
Midland, MI 48640
Phone (989) 794-5240

4201 Campus Ridge Dr
Ste 3700
Midland, MI 48640
Phone (888) 367-2778

4310 Campus Ridge Dr
Midland, MI 48640
Phone (989) 839-6201

4401 Campus Ridge Dr
Ste 2040
Midland, MI 48640
Phone (989) 839-3805

4401 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9280

4401 N Campus Ridge Dr
Ste D2000
Midland, MI 48640
Phone (989) 837-9250

4401 N Campus Ridge Dr
Ste LL110
Midland, MI 48640
Phone (989) 837-9400

4611 N Campus Ridge Dr
Midland, MI 48640
Phone (844) 832-1956

555 W Wackerly St
Ste 2660
Midland, MI 48640
Phone (989) 839-3060

7101 W Wackerly St
Midland, MI 48642
Phone (989) 832-0323

4851 E Pickard St
Ste 1700
Mount Pleasant, MI 48858
Phone (989) 775-1629

2597 S Meridian Rd
Mt Pleasant, MI 48858
Phone (989) 773-6137

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mymichigan Medical Center MidlandMidland, MI, CCN 230222 Hospital Operational/Managerial Control Jul 1, 2014

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 823

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.

View all 823

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1649010455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER MIDLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.