Mymichigan Medical Group

Organization Active NPI Multi-Specialty Clinic/Center · Midland, MI

NPI 1689623506 · NPPES record last updated Jan 15, 2026

Key facts

NPI
1689623506
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
MYMICHIGAN MEDICAL GROUP
Practice address
4000 Wellness Dr
Midland, MI 48670
Phone
(844) 832-1956
NPI assigned
May 8, 2006
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 3

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

Practitioners 228

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

View all 228

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060727000013 MI Part B Supplier - Clinic/Group Practice 4981501939 Receives reassigned benefits from 82 practitioners
1 other NPI on this enrollment
Practice locations: Midland, MI; Mount Pleasant, MI; Mt Pleasant, MI; Oscoda, MI; Rogers City, MI; Saginaw, MI; Standish, MI; Tawas City, MI…

National Provider Directory

Locations

420 W Wackerly St
Midland, MI 48640
Phone (517) 839-8850

621 Court St
Ste 104
West Branch, MI 48661
Phone (989) 701-2293

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207X00000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208800000X
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
OA81002OtherMIBCBS

Other providers in Midland, MI

All providers in Midland, MI · Multi-Specialty Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.