| Mackinac Straits Hospital And Health Center | |
|
1140 N State St Saint Ignace MI 49781-1048 | |
| (906) 643-8585 | |
| (906) 643-0373 |
| Full Name | Mackinac Straits Hospital And Health Center |
|---|---|
| Speciality | General Practice |
| Location | 1140 N State St, Saint Ignace, Michigan |
| Authorized Official Name and Position | Sonja Sprague (CREDENTIALING) |
| Authorized Official Contact | 9066430451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackinac Straits Hospital And Health Center 1140 N State St Saint Ignace MI 49781-1048 Ph: (906) 643-8585 | Mackinac Straits Hospital And Health Center 1140 N State St Saint Ignace MI 49781-1048 Ph: (906) 643-8585 |
| NPI Number | 1659536035 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 05/03/2021 |
| Medicare PECOS PAC ID | 1456420876 |
|---|---|
| Medicare Enrollment ID | O20080930000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659536035 | NPI | - | NPPES |
| 700D90255 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Loretta M Leja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831122324 PECOS PAC ID: 5890682355 Enrollment ID: I20040301000784 |
| Provider Name | Thomas Tietjen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861553026 PECOS PAC ID: 7113918616 Enrollment ID: I20040522000288 |
| Provider Name | Gregory T Hammons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790725711 PECOS PAC ID: 9032191846 Enrollment ID: I20040604000647 |
| Provider Name | Darrin J Benzing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447293618 PECOS PAC ID: 3577549914 Enrollment ID: I20040626000427 |
| Provider Name | Melanie S Krohn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346206802 PECOS PAC ID: 4587644018 Enrollment ID: I20040723000820 |
| Provider Name | Mark William Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750484879 PECOS PAC ID: 3870563331 Enrollment ID: I20040730000591 |
| Provider Name | Catherine T Loniewski Girdler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275575250 PECOS PAC ID: 0446233142 Enrollment ID: I20041202000937 |
| Provider Name | Elizabeth A Mackey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912923814 PECOS PAC ID: 5294793360 Enrollment ID: I20041221000962 |
| Provider Name | Matthew Alan Bowes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275589210 PECOS PAC ID: 9739127655 Enrollment ID: I20050421000367 |
| Provider Name | Agron S Ismaili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922093707 PECOS PAC ID: 9638106057 Enrollment ID: I20050718000682 |
| Provider Name | Joseph Marvyn Neri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023022902 PECOS PAC ID: 3971530650 Enrollment ID: I20050802000562 |
| Provider Name | Lene A Heinlen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841267762 PECOS PAC ID: 6305869447 Enrollment ID: I20060104000547 |
| Provider Name | Angela Desantis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881704682 PECOS PAC ID: 7315960986 Enrollment ID: I20060120000468 |
| Provider Name | Katrina Ann Sulitis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578694097 PECOS PAC ID: 2062427131 Enrollment ID: I20060210000018 |
| Provider Name | Catherine H Nowka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902988777 PECOS PAC ID: 5597766519 Enrollment ID: I20070118000101 |
| Provider Name | Edward F Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174542781 PECOS PAC ID: 6901807163 Enrollment ID: I20070131000110 |
| Provider Name | Susan H Strich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326026501 PECOS PAC ID: 0941304604 Enrollment ID: I20070406000050 |
| Provider Name | John D Moffat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053373118 PECOS PAC ID: 4385684257 Enrollment ID: I20070927000713 |
| Provider Name | Frank M Smolinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841201381 PECOS PAC ID: 9638266786 Enrollment ID: I20071106000474 |
| Provider Name | Carl Walter Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154345114 PECOS PAC ID: 5294803458 Enrollment ID: I20081001000640 |
| Provider Name | John L Stephenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841213428 PECOS PAC ID: 9537237797 Enrollment ID: I20081001000661 |
| Provider Name | Peter E Levanovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124049358 PECOS PAC ID: 1254303647 Enrollment ID: I20081029000748 |
| Provider Name | Amy G Bolmer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366494270 PECOS PAC ID: 3072661594 Enrollment ID: I20090511000167 |
| Provider Name | Gregory H Hessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326156928 PECOS PAC ID: 4981754009 Enrollment ID: I20090611000534 |
| Provider Name | Cynthia L Jensen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871553255 PECOS PAC ID: 6901835461 Enrollment ID: I20091111000528 |
| Provider Name | Deborah A Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922174309 PECOS PAC ID: 7911049754 Enrollment ID: I20100116000380 |
| Provider Name | Marc E Lame |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902833163 PECOS PAC ID: 7416841267 Enrollment ID: I20100308000025 |
| Provider Name | Roderick Jay Baltzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760564041 PECOS PAC ID: 8628965167 Enrollment ID: I20100428000077 |
| Provider Name | Richard E Hodgman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275561474 PECOS PAC ID: 1456348283 Enrollment ID: I20100813000105 |
| Provider Name | Robert Alan Sharon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932189420 PECOS PAC ID: 3577544360 Enrollment ID: I20100902000620 |
| Provider Name | Richard Scharp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578607917 PECOS PAC ID: 6204818073 Enrollment ID: I20101022001265 |
| Provider Name | Mark R Mcmurray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013926948 PECOS PAC ID: 6002922176 Enrollment ID: I20101025001247 |
| Provider Name | Michael Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114000668 PECOS PAC ID: 3072700186 Enrollment ID: I20101214001253 |
| Provider Name | Kenneth A Forrester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780772459 PECOS PAC ID: 6608063714 Enrollment ID: I20101214001264 |
| Provider Name | Felix Winkler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124127980 PECOS PAC ID: 5991993974 Enrollment ID: I20101216000844 |
| Provider Name | Howard M Topley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669586871 PECOS PAC ID: 9234155623 Enrollment ID: I20110215000152 |
| Provider Name | Daniel K Wilcox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386653103 PECOS PAC ID: 9032309133 Enrollment ID: I20110802000162 |
| Provider Name | Juan J Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851672166 PECOS PAC ID: 0042482622 Enrollment ID: I20111003000545 |
| Provider Name | Megan D Bonanni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043466592 PECOS PAC ID: 2860664059 Enrollment ID: I20120106000814 |
| Provider Name | Jeffery E Sloniker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225137953 PECOS PAC ID: 1557522166 Enrollment ID: I20120409000040 |
| Provider Name | Rebecca R Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992956817 PECOS PAC ID: 0143475046 Enrollment ID: I20130226000385 |
| Provider Name | Christopher R Faber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417243973 PECOS PAC ID: 7113169251 Enrollment ID: I20130820000270 |
| Provider Name | Tracy Irish Texter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073940896 PECOS PAC ID: 2466683677 Enrollment ID: I20140331002047 |
| Provider Name | Nathanael T Egger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598040677 PECOS PAC ID: 2961626411 Enrollment ID: I20140624001386 |
| Provider Name | Kyle P Raycraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780939298 PECOS PAC ID: 3375855786 Enrollment ID: I20150626001097 |
| Provider Name | Michael S Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881931756 PECOS PAC ID: 4789975038 Enrollment ID: I20161018002217 |
| Provider Name | Robert J Benkendorf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558434217 PECOS PAC ID: 8224122684 Enrollment ID: I20170214000080 |
| Provider Name | Akachi Azubuike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467867762 PECOS PAC ID: 0941511471 Enrollment ID: I20170227001094 |
| Provider Name | Anthony Edward Bozzio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558652727 PECOS PAC ID: 6800189960 Enrollment ID: I20170612000444 |
| Provider Name | John P Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689082539 PECOS PAC ID: 1850669300 Enrollment ID: I20170626000120 |
| Provider Name | David A Moody |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295194280 PECOS PAC ID: 0840556874 Enrollment ID: I20171108001056 |
| Provider Name | Brandon M Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275092561 PECOS PAC ID: 9133461130 Enrollment ID: I20190423001033 |
| Provider Name | Andrew Nicholas Hollenbeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790028207 PECOS PAC ID: 0648571752 Enrollment ID: I20190424001740 |
| Provider Name | Jamil Meloelain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538262076 PECOS PAC ID: 0749206977 Enrollment ID: I20200206002659 |
| Provider Name | Jacob Scott Wellnitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700418712 PECOS PAC ID: 9133556178 Enrollment ID: I20200303002394 |
| Provider Name | Ruba F. Barakat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104894880 PECOS PAC ID: 3577573039 Enrollment ID: I20200318001176 |
| Provider Name | David Bouslough |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407870330 PECOS PAC ID: 4789649179 Enrollment ID: I20200728003809 |
| Provider Name | Shannon Louise Slocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295350429 PECOS PAC ID: 7911322961 Enrollment ID: I20200807000474 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20201228002226 |
| Provider Name | Tymon J Horn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104311786 PECOS PAC ID: 1658784939 Enrollment ID: I20210623001526 |
| Provider Name | Cara L Haapapuro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174194377 PECOS PAC ID: 4789088477 Enrollment ID: I20210803000489 |
| Provider Name | Monica Amona Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20220126000954 |
| Provider Name | Trysha Joann Henige |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508437526 PECOS PAC ID: 7517353188 Enrollment ID: I20220407000624 |
| Provider Name | Joshua Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316300486 PECOS PAC ID: 5799051223 Enrollment ID: I20220718002332 |
| Provider Name | Lauren K Buhr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548821010 PECOS PAC ID: 8123401098 Enrollment ID: I20220810003125 |
| Provider Name | Andrea R Parsons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518493329 PECOS PAC ID: 7517237308 Enrollment ID: I20220826001506 |
| Provider Name | Hitesh Avaiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916415 PECOS PAC ID: 6406028893 Enrollment ID: I20221103001831 |
| Provider Name | Eric David Strother |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396450383 PECOS PAC ID: 1355714189 Enrollment ID: I20230227001318 |
| Provider Name | Jennifer Kiel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841786753 PECOS PAC ID: 0840549432 Enrollment ID: I20230628002467 |
| Provider Name | Keely Elizabeth Fischbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407155666 PECOS PAC ID: 9436375409 Enrollment ID: I20230630000227 |
| Provider Name | Jaskeerat Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487035945 PECOS PAC ID: 4981915600 Enrollment ID: I20230630000511 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20230714003297 |
| Provider Name | Olatunji Sarafadeen Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20230801001412 |
| Provider Name | Rose Tress Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184944373 PECOS PAC ID: 4880838994 Enrollment ID: I20230801002203 |
| Provider Name | Emily Felzenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20230801002923 |
| Provider Name | Dana Marjorie Paape |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174157192 PECOS PAC ID: 3274955745 Enrollment ID: I20230807002488 |
| Provider Name | Justine Elodia Henao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808645 PECOS PAC ID: 2769458561 Enrollment ID: I20231023001478 |
| Provider Name | Danial A Soleja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770970451 PECOS PAC ID: 6002163631 Enrollment ID: I20240305000846 |
Mackinac Straits Hospital And Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1140 N State St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-0373 | |
Pickford Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Burdette St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-0373 | |
Mackinac Straits Hospital And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Burdette St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-0373 | |
St. Ignace Medical Clinic, Annex Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1140 N State St, Saint Ignace, MI 49781 Phone: 906-643-0400 | |
Mackinac Straits Hospital And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Burdette St, Saint Ignace, MI 49781 Phone: 906-643-8585 Fax: 906-643-6188 | |
St. Ignace Tribal Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 N State St, Saint Ignace, MI 49781 Phone: 906-643-8689 Fax: 906-643-6716 |