Red Arrow Medical Clinic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L1470900 Issued in MI

Legal business name

RED ARROW MEDICAL CLINIC PC

Practice address

6572 Red Arrow Hwy
Coloma, MI 49038-8700

Phone

(269) 605-9453

Fax

(765) 964-4300

NPI assigned

Apr 16, 2009

Last updated

Jul 16, 2009By 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. Aurora B Madanguit, M.D.NPI 1619902855

Title

President

Phone

(765) 964-4100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Aurora B Madanguit, MD

  • Infectious Disease Physician
  • Coloma, MI
  • NPI 1619902855
  Medicare reassignment Authorized official
• Cassie Thiesse, FNP-C

  • Nurse Practitioner
  • Saint Joseph, MI
  • NPI 1316699119
  NPD
• Donald F. Brooks, M.D.

  • Cardiovascular Disease Physician
  • Watervliet, MI
  • NPI 1790733293
  NPD (past)
• Arlene Mae Saliba El Habre, N.P.

  • Family Nurse Practitioner
  • Buchanan, MI
  • NPI 1699885061
  NPD (past)

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1881837102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "UNION CITY",
            "state": "IN",
            "postal_code": "473900443",
            "telephone_number": "765-964-4100",
            "fax_number": "765-964-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 RED ARROW HWY",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388700",
            "telephone_number": "269-605-9453",
            "fax_number": "765-964-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ARROW MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "MADANGUIT",
        "authorized_official_first_name": "AURORA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-964-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L1470900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josefina Pena-Ogando, LCSW
• Jeffrey T Postma, DO
• Michelle Lynn Powell, NP
• Ruben S Ramdeo
• Red Arrow Family Practice
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04239)
• Shanna R Rodgers, MA
• Jaime Rodriguez, M.D.
• Ruth Lee Center for Healing and Growth
• Shafee Ahamad Shaik

• Internal Medicine Physician in Coloma, MI
• Providers in Coloma, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.