NORTHERN MICHIGAN MEDICAL MANAGEMENT
NPI 1881727956
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Petoskey, MI

Active since March 14, 2007
416 CONNABLE AVE, PETOSKEY, MI 49770(231) 487-4000 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Thoracic Surgery (Cardiothoracic Vascula...
  • Accepts Insurance

About NORTHERN MICHIGAN MEDICAL MANAGEMENT

This page provides the complete NPI Profile along with additional information for Northern Michigan Medical Management, a provider established in Petoskey, Michigan operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1881727956 assigned on March 2007. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Northern Michigan Medical Management operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Catherine R. Devet (C.e.o.)

NPI
1881727956 Verify this NPI
Provider Name
NORTHERN MICHIGAN MEDICAL MANAGEMENT
Entity Type
Organization
Location Address
416 CONNABLE AVE PETOSKEY, MI 49770
Location Phone
(231) 487-4000
Mailing Address
416 CONNABLE AVE PETOSKEY, MI 49770
Mailing Phone
(231) 487-4000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
10-05-2010
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Location Map

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
3207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
4207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
5363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
6363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

CATHERINE R. DEVET

Authorized Official Title
C.E.O.
Authorized Official Phone
(231) 487-4009

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
70-0-B411200OTHER (01)MIBCBSM
900036710OTHER (01)MIPRIORITY HEALTH
0P52980MEDICARE PIN (08)MI 

Reviews for NORTHERN MICHIGAN MEDICAL MANAGEMENT

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Radiology (Diagnostic Radiology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Radiology (Diagnostic Radiology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Pathology (Anatomic Pathology & Clinical Pathology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Specialist
416 CONNABLE AVE
PETOSKEY, MI 49770
Emergency Medicine (Emergency Medical Services)
416 CONNABLE AVE, ER DEPARTMENT
PETOSKEY, MI 49770
Internal Medicine (Hematology & Oncology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Pediatrics
416 CONNABLE AVE
PETOSKEY, MI 49770
Anesthesiology
416 CONNABLE AVE
PETOSKEY, MI 49770
Physical Medicine & Rehabilitation
416 CONNABLE AVE, ACUTE REHABILITATION UNIT
PETOSKEY, MI 49770
Physician Assistant
416 CONNABLE AVE
PETOSKEY, MI 49770
Radiology (Radiation Oncology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Radiology (Radiation Oncology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Pharmacist
416 CONNABLE AVE
PETOSKEY, MI 49770
Pharmacist (Geriatric)
416 CONNABLE AVE, PHARMACY DEPARTMENT
PETOSKEY, MI 49770
Dietitian, Registered
416 CONNABLE AVE
PETOSKEY, MI 49770
Radiology Practitioner Assistant
416 CONNABLE AVE
PETOSKEY, MI 49770
Physician Assistant (Surgical)
416 CONNABLE AVE
PETOSKEY, MI 49770
Nurse Anesthetist, Certified Registered
416 CONNABLE AVE
PETOSKEY, MI 49770
Nurse Anesthetist, Certified Registered
416 CONNABLE AVE
PETOSKEY, MI 49770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881727956, enumerated as an "organization" on March 14, 2007.

The provider is located at 416 CONNABLE AVE PETOSKEY, MI 49770 and the phone number is (231) 487-4000.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.