| Ascension Borgess Allegan Hospital | |
|
555 Linn St Allegan MI 49010-1524 | |
| (269) 673-8424 | |
| Not Available |
| Full Name | Ascension Borgess Allegan Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 Linn St, Allegan, Michigan |
| Authorized Official Name and Position | Marina Houghton (CFO) |
| Authorized Official Contact | 2692264800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Borgess Allegan Hospital 1717 Shaffer Street, Suite 002 Kalamazoo MI 49048 Ph: () - | Ascension Borgess Allegan Hospital 555 Linn St Allegan MI 49010-1524 Ph: (269) 673-8424 |
| NPI Number | 1144531252 |
|---|---|
| Provider Enumeration Date | 06/24/2010 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 5092750356 |
|---|---|
| Medicare Enrollment ID | O20100823000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144531252 | NPI | - | NPPES |
| 700Z300380 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Shaza Zayzafoon-mosier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255304358 PECOS PAC ID: 5496730723 Enrollment ID: I20040622000053 |
| Provider Name | Mustafa G Boxwala |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548260128 PECOS PAC ID: 2860394475 Enrollment ID: I20040628000643 |
| Provider Name | Tamim Salman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508846940 PECOS PAC ID: 3072572346 Enrollment ID: I20041004000874 |
| Provider Name | Marcia K Liepman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659348191 PECOS PAC ID: 1153381835 Enrollment ID: I20041018000100 |
| Provider Name | Kelly J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528035078 PECOS PAC ID: 5496715963 Enrollment ID: I20041019000345 |
| Provider Name | Linda Sue Wadsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861441115 PECOS PAC ID: 6800857038 Enrollment ID: I20041021000488 |
| Provider Name | Daniel F Barnas |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1962495614 PECOS PAC ID: 0941225247 Enrollment ID: I20051006000176 |
| Provider Name | Stuart R Verseman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275583304 PECOS PAC ID: 6709806961 Enrollment ID: I20051202000040 |
| Provider Name | Timothy K Dickinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316928161 PECOS PAC ID: 2860384393 Enrollment ID: I20060905000452 |
| Provider Name | Sonia D Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124037148 PECOS PAC ID: 4082618004 Enrollment ID: I20060906000364 |
| Provider Name | Aurora Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861590259 PECOS PAC ID: 7517963952 Enrollment ID: I20061009000196 |
| Provider Name | Kenneth P Forsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255312047 PECOS PAC ID: 7719879246 Enrollment ID: I20070111000539 |
| Provider Name | Marcus G Blass |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558342725 PECOS PAC ID: 0143112672 Enrollment ID: I20070115000228 |
| Provider Name | John F Walstrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679564975 PECOS PAC ID: 6608768130 Enrollment ID: I20070116000155 |
| Provider Name | Louis T Praamsma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720081458 PECOS PAC ID: 1153412184 Enrollment ID: I20070806000730 |
| Provider Name | William D Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629130703 PECOS PAC ID: 6406936673 Enrollment ID: I20071231000489 |
| Provider Name | Eriberto Carrion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780682237 PECOS PAC ID: 8628156205 Enrollment ID: I20080423000143 |
| Provider Name | Madiha Farhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427251701 PECOS PAC ID: 9638238082 Enrollment ID: I20081030000422 |
| Provider Name | Christian W Ertl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881691178 PECOS PAC ID: 8224197447 Enrollment ID: I20081103000653 |
| Provider Name | Raymond J Jaglowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538192935 PECOS PAC ID: 9537217260 Enrollment ID: I20090506000237 |
| Provider Name | Ahed Zayzafoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023340700 PECOS PAC ID: 0446446694 Enrollment ID: I20101130000519 |
| Provider Name | Jennifer A Dentler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073830428 PECOS PAC ID: 7113100462 Enrollment ID: I20110323000597 |
| Provider Name | Brenda Laninga Schloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295733061 PECOS PAC ID: 7911164827 Enrollment ID: I20120204000053 |
| Provider Name | Mark D Mayer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013124015 PECOS PAC ID: 0143482893 Enrollment ID: I20120425000833 |
| Provider Name | Rebecca A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144510777 PECOS PAC ID: 7517119001 Enrollment ID: I20121207000374 |
| Provider Name | Rachel A Vandenbrink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790096295 PECOS PAC ID: 2365677846 Enrollment ID: I20131109000608 |
| Provider Name | Alain R Elian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871750844 PECOS PAC ID: 9335379502 Enrollment ID: I20150708000678 |
| Provider Name | Lisa M Striegle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904229 PECOS PAC ID: 8325349939 Enrollment ID: I20151223000551 |
| Provider Name | Amanda A Wehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356709919 PECOS PAC ID: 6204134463 Enrollment ID: I20160421000604 |
| Provider Name | Hemasri Tokala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053630749 PECOS PAC ID: 1153612379 Enrollment ID: I20160620000771 |
| Provider Name | Manish Kumar Thakur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093022386 PECOS PAC ID: 5799925640 Enrollment ID: I20160803000223 |
| Provider Name | Stephanie D Markle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992937403 PECOS PAC ID: 9931326196 Enrollment ID: I20160818000182 |
| Provider Name | Mitchell Z Berger |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750321956 PECOS PAC ID: 7719981935 Enrollment ID: I20160906000130 |
| Provider Name | Christopher R Koziara |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659638047 PECOS PAC ID: 8820369853 Enrollment ID: I20170809000967 |
| Provider Name | Iman Essam Mohamed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942297270 PECOS PAC ID: 4284529140 Enrollment ID: I20180320003290 |
| Provider Name | Jamie Jeannette Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740797513 PECOS PAC ID: 5395009955 Enrollment ID: I20180507001583 |
| Provider Name | Muhammad Usman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881953925 PECOS PAC ID: 5597064626 Enrollment ID: I20180801001177 |
| Provider Name | Julia Miladore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386910263 PECOS PAC ID: 2264658111 Enrollment ID: I20190816002354 |
| Provider Name | Joshua J Natali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710220983 PECOS PAC ID: 2860721610 Enrollment ID: I20190904002407 |
| Provider Name | Kevin M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396394417 PECOS PAC ID: 3678906161 Enrollment ID: I20191216000641 |
| Provider Name | Laurie A Townsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487204020 PECOS PAC ID: 6901112101 Enrollment ID: I20200121002403 |
| Provider Name | Misty Rae Ledesma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154959591 PECOS PAC ID: 4587085329 Enrollment ID: I20200602002316 |
| Provider Name | Steven Z Lu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1598179202 PECOS PAC ID: 4183840432 Enrollment ID: I20200811000781 |
| Provider Name | Katelin Elizabeth Dekker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477187813 PECOS PAC ID: 4981024478 Enrollment ID: I20201022001851 |
| Provider Name | Joshua Veenstra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023498177 PECOS PAC ID: 7416262613 Enrollment ID: I20210803000163 |
| Provider Name | Saud Alsubait |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1518341494 PECOS PAC ID: 1557759586 Enrollment ID: I20211025002501 |
| Provider Name | Laurel Tangalakis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104205921 PECOS PAC ID: 3779881263 Enrollment ID: I20220812002273 |
| Provider Name | Rachel Zito |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245984749 PECOS PAC ID: 1658754114 Enrollment ID: I20220816001327 |
Allegan Professional Health Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 Linn St, Suite 150, Allegan, MI 49010 Phone: 269-686-5800 Fax: 269-686-5899 | |
Allegan Medical Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 551 Linn St, Allegan, MI 49010 Phone: 269-686-5800 Fax: 269-686-5896 | |
Ascension Borgess Allegan Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 Linn St, Allegan, MI 49010 Phone: 269-686-5800 Fax: 269-686-5899 | |
Optimum Health Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Thomas St, Suite B, Allegan, MI 49010 Phone: 269-673-2179 | |
Corlett & Mintek Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Chestnut St, Allegan, MI 49010 Phone: 269-686-0600 | |
West Michigan Visiting Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Thomas St, Allegan, MI 49010 Phone: 269-673-2179 Fax: 269-673-6992 |