| Age Management Of West Michigan Pc | |
|
1959 E Paris Ave Se Grand Rapids MI 49546-6272 | |
| (616) 808-2695 | |
| Not Available |
| Full Name | Age Management Of West Michigan Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1959 E Paris Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Piyush Bhatnagar (CLINICAL MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 6168082695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Age Management Of West Michigan Pc 1959 E Paris Ave Se Grand Rapids MI 49546-6272 Ph: (616) 808-2695 | Age Management Of West Michigan Pc 1959 E Paris Ave Se Grand Rapids MI 49546-6272 Ph: (616) 808-2695 |
| NPI Number | 1558700625 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 06/21/2013 |
| Medicare PECOS PAC ID | 2466686290 |
|---|---|
| Medicare Enrollment ID | O20131010001662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558700625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael W Borgeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073614251 PECOS PAC ID: 4082690417 Enrollment ID: I20040626000387 |
| Provider Name | Larry Rivera Lazaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568449007 PECOS PAC ID: 9133105471 Enrollment ID: I20040628000007 |
| Provider Name | Piyush Bhatnagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811961907 PECOS PAC ID: 7618944067 Enrollment ID: I20040914001245 |
| Provider Name | Kimberly A Gonyea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700994860 PECOS PAC ID: 5193793974 Enrollment ID: I20040920000705 |
| Provider Name | Shahnaz Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922020478 PECOS PAC ID: 1153389697 Enrollment ID: I20041229000962 |
| Provider Name | Jayaseeli Bastin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437365897 PECOS PAC ID: 4981791878 Enrollment ID: I20071024000239 |
| Provider Name | Richard Hodgson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932108354 PECOS PAC ID: 4587705041 Enrollment ID: I20100105000765 |
| Provider Name | Khushpal Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386994234 PECOS PAC ID: 4385896125 Enrollment ID: I20121130000439 |
| Provider Name | Andrea P Sylvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942608005 PECOS PAC ID: 2062736036 Enrollment ID: I20150122000297 |
| Provider Name | Ingrid E Berdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790169829 PECOS PAC ID: 6204140700 Enrollment ID: I20150728005278 |
| Provider Name | Koren Jean Gebben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134690761 PECOS PAC ID: 6507102696 Enrollment ID: I20190110001380 |
| Provider Name | Vanessa Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376075515 PECOS PAC ID: 4688901200 Enrollment ID: I20190806000231 |
| Provider Name | Rebecca L Veneklase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245882703 PECOS PAC ID: 1456785013 Enrollment ID: I20200107002720 |
| Provider Name | Emily Lauren Malvar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629673280 PECOS PAC ID: 8921411851 Enrollment ID: I20210113001699 |
| Provider Name | Laura Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588055321 PECOS PAC ID: 7810204005 Enrollment ID: I20210712000828 |
| Provider Name | Mya Renee Franzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356917124 PECOS PAC ID: 5092110221 Enrollment ID: I20210825002823 |
| Provider Name | Amber Marva Lindeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689347932 PECOS PAC ID: 0941606461 Enrollment ID: I20210909000752 |
| Provider Name | John Rizik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790245538 PECOS PAC ID: 0345674883 Enrollment ID: I20211015001446 |
| Provider Name | Katherine Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720676117 PECOS PAC ID: 1052705621 Enrollment ID: I20220224000477 |
| Provider Name | Kyle M Sproull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417577933 PECOS PAC ID: 3476977448 Enrollment ID: I20220915000459 |
| Provider Name | Andrea Oster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174207765 PECOS PAC ID: 3274989181 Enrollment ID: I20231030001897 |
| Provider Name | Julianne A Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063636116 PECOS PAC ID: 0042666869 Enrollment ID: I20231030002529 |
| Provider Name | Jessica Marie Staton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972215226 PECOS PAC ID: 2860840915 Enrollment ID: I20231129003134 |
| Provider Name | Binita Baniya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588446355 PECOS PAC ID: 8426408386 Enrollment ID: I20231219002509 |
| Provider Name | Lauren Perun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821865338 PECOS PAC ID: 3971945411 Enrollment ID: I20240529002139 |
| Provider Name | Erica Warrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215743570 PECOS PAC ID: 5597293829 Enrollment ID: I20250114001418 |
| Provider Name | Maureen Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598579625 PECOS PAC ID: 7416470489 Enrollment ID: I20250331002362 |
Gastroenterology Specialist Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 | |
American Current Care Of Michigan Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544 Phone: 616-785-2619 Fax: 616-785-2623 | |
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Elite Health, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Fulton St E, Suite A, Grand Rapids, MI 49503 Phone: 616-644-1423 Fax: 616-773-1291 | |
Cherry Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 | |
Digestive Diseases Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546 Phone: 616-942-6230 Fax: 616-942-6270 | |
Grand Valley Medical Specialists Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-459-3158 Fax: 616-742-6758 |