MYMICHIGAN MEDICAL GROUP
NPI 1477503852
Obstetrics & Gynecology in Midland, MI

NPI Status: Active since May 10, 2006

Contact Information

4401 N CAMPUS RDG
MIDLAND, MI
ZIP 48640
Phone: (989) 837-9400
Fax: (989) 837-9420

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  • Organization
  • Obstetrics & Gynecology
  • CLIA Number: 23D2286982
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-06-2025

About MYMICHIGAN MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Mymichigan Medical Group, a women's health care provider established in Midland, Michigan operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1477503852 assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Mymichigan Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Sarah James (Provider Enrollment Coordinator)

NPI
1477503852
Provider Name
MYMICHIGAN MEDICAL GROUP
Entity Type
Organization
Location Address
4401 N CAMPUS RDG MIDLAND, MI 48640
Location Phone
(989) 837-9400
Location Fax
(989) 837-9420
Mailing Address
4000 WELLNESS DR MIDLAND, MI 48670
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2006
Last Update Date
09-27-2022
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Women's health care providers like Mymichigan Medical Group treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARAH JAMES

Authorized Official Title
PROVIDER ENROLLMENT COORDINATOR
Authorized Official Phone
(989) 701-4734

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2286982
Facility Type
Physician Office
Certificate Effective Date
August 07, 2023
Certificate Expiration Date
August 06, 2025
Laboratory Director
JOHN HAGAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mymichigan Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MYMICHIGAN MEDICAL GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477503852
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471006810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 0 + 0 + 6 + 8 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1477503852 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780613117 DENISE M STADELMAIER DO
Individual
Orthopaedic Surgery4401 N CAMPUS RDG SUITE D2000
MIDLAND, MI 48640
(989) 837-9280
1891740130MYMICHIGAN MEDICAL GROUP
Organization
Physician Assistant (Surgical)4401 N CAMPUS RDG
MIDLAND, MI 48640
(989) 837-9280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477503852, enumerated in the NPI registry as an "organization" on May 10, 2006

The provider is located at 4401 N Campus Rdg Midland, Mi 48640 and the phone number is (989) 837-9400

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X

The provider's CLIA number is 23D2286982 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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