David Richard Theurer, PAC
Individual provider Active NPI Physician Assistant · Marlette, MI
NPI 1891806337 · NPPES record last updated Dec 4, 2012
Key facts
- NPI
- 1891806337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601001581 (MI)
- Practice address
- 2770 Main St
Acute Care
Marlette, MI 48453-1141 - Phone
- (989) 635-4100
- Fax
- (939) 635-4035
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060327000534 | MI | Practitioner - Physician Assistant | 6608884093 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601001581 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marlette Regional Hospital | Current |
Accepting new patients | |
| Marlette Regional Hospital | Current |
Accepting new patients | |
| Deckerville Community Hospital, Inc. | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current |
Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Deckerville Community Hospital, Inc | Current |
Accepting new patients | |
| Marlette Regional Hospital | Past | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients |
Locations
1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835
2770 Main St
Marlette, MI 48453
Phone (989) 635-4000
2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/i-zcCbJ35X2O5bJkqEF8dvUIAeQf3o9y/
- dtheurer6981@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001581 | MI | Yes |
Addresses
Primary practice location
2770 Main St
Acute Care
Marlette, MI 48453-1141
Mailing address
2770 Main St
Acute Care
Marlette, MI 48453-1141
Phone (989) 635-4100
Other providers in Marlette, MI
- Hayley Stamps
- Straight Imaging, PC
- Samantha Strickler
- Shannon Lee Swanson
- TDS Pharmacy Inc
- Thumb Radiology PC
- TK Imaging PC
- Andrea Unsel
- Scott Curtis Upright
- Joseph N Valentin
All providers in Marlette, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.