McLaren Northern Michigan

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

MCLAREN NORTHERN MICHIGAN

Practice address

416 Connable Ave
Petoskey, MI 49770-2212

Phone

(231) 487-7129

NPI assigned

Dec 11, 2006

Last updated

Oct 1, 2020By 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

Steven Thompson

Title

VP/Cfo

Phone

(231) 487-4094

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• McLaren Northern Michigan

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1760736094

  O20040415001193

  Same enrollment

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1881754554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-487-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-487-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN NORTHERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "231-487-4094"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BILLING GROUP NUMBER",
            "identifier": "0B41031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McLaren Health Management Group (McLaren Home Care and Hospice)
• McLaren Health Management Group (McLaren CareNow)
• McLaren Northern Michigan
• McLaren Northern Michigan
• McLaren Northern Michigan
• McLaren Northern Michigan
• McLaren Northern Michigan
• Mara McMurray
• Mark R McMurray, M.D.
• Missy Marie McNeil, LMSW

• Hospitalist Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Hospitalist Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.