Active NPI
William Michael Plaza Mellana Jr., M.D.
- Clinical Cardiac Electrophysiology Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 4301109020
- Practice address
- 4201 Campus Ridge Dr Ste 3100
Midland, MI 48670 - Phone
- (989) 488-5470
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 258180 | MA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 4301109020 | MI | Primary |
Addresses
Primary practice location
4201 Campus Ridge Dr Ste 3100
Midland, MI 48670
Mailing address
4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 633-8018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 E Warwick Dr
Alma, MI 48801-1092
Phone (989) 466-3621
170 N Caseville Rd
Pigeion, MI 48755-9704
Phone (989) 839-3538
2431 S M
30 Suite 216
West Branch, MI 48661-9388
Phone (989) 343-1130
2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660
2660 W Sugnet Rd
Midland, MI 48640-2647
3051 Kiesel Rd
Bay City, MI 48706-2449
Phone (989) 778-2890
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018
4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250
602 Beech St
Clare, MI 48617-1466
Phone (989) 488-5420
609 Quarter St
Gladwin, MI 48624-1941
Hospital & facility affiliations
- Mymichigan Medical Center Midland
- Mymichigan Medical Center West Branch
- Mymichigan Medical Center Clare
- Mymichigan Medical Center Alma
- Mymichigan Medical Center Gladwin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301109020 | MI | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Branch Regional Medical Center | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Cardiovascular Disease | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients |
Locations
3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888
609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
1414 W Fair Ave
Ste 342
Marquette, MI 49855
Phone (906) 225-3870
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450
4201 Campus Ridge Dr
Ste 3100
Midland, MI 48670
Phone (989) 488-5470
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
2431 S M 30
Ste 216
West Branch, MI 48661
Phone (989) 343-1134
Interoperability endpoints
- williammichael.mellana@mghvi.directbygreenway.com
- wmellana75129@mymichiganhealth.midirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Cardiovascular Disease
-
- Rural Acute Care Hospital
- West Branch, MI
- NPI 1396732103
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1710210679",
"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": "486700001",
"telephone_number": "989-633-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGE DR STE 3100",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48670",
"telephone_number": "989-488-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLANA",
"first_name": "WILLIAM MICHAEL",
"middle_name": "PLAZA",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "258180",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "4301109020",
"primary": true
}
],
"identifiers": [],
"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 Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.