| Family Health Center Inc | |
|
117 W Paterson Street Kalamazoo MI 49007-2557 | |
| (269) 349-2641 | |
| (269) 488-8101 |
| Full Name | Family Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 W Paterson Street, Kalamazoo, Michigan |
| Authorized Official Name and Position | Denise R Crawford (PRESIDENT AND CEO) |
| Authorized Official Contact | 2693494257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Inc 117 W Paterson Street Kalamazoo MI 49007-2557 Ph: (269) 349-2641 | Family Health Center Inc 117 W Paterson Street Kalamazoo MI 49007-2557 Ph: (269) 349-2641 |
| NPI Number | 1811065576 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 1759370216 |
|---|---|
| Medicare Enrollment ID | O20040510000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811065576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Sally Johanna Van Sweden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053394551 PECOS PAC ID: 2567352198 Enrollment ID: I20040322000293 |
| Provider Name | Carolyn M Whatley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487750022 PECOS PAC ID: 9335030154 Enrollment ID: I20040322001655 |
| Provider Name | Debra S Schauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275614208 PECOS PAC ID: 8325039399 Enrollment ID: I20040519000651 |
| Provider Name | Kathy J Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306914296 PECOS PAC ID: 8527041722 Enrollment ID: I20040609000885 |
| Provider Name | Megan G Deibel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457466955 PECOS PAC ID: 8325013287 Enrollment ID: I20040902000045 |
| Provider Name | Janie B Allgor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629050950 PECOS PAC ID: 2466421037 Enrollment ID: I20040930000036 |
| Provider Name | Theresa R Newberry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679683601 PECOS PAC ID: 1355310715 Enrollment ID: I20041001000378 |
| Provider Name | Dennis E Means |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568625952 PECOS PAC ID: 9436111085 Enrollment ID: I20041027000541 |
| Provider Name | Elizabeth J Salvatore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558433813 PECOS PAC ID: 7810950920 Enrollment ID: I20041110000113 |
| Provider Name | Jane Hanneken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780652834 PECOS PAC ID: 9830155092 Enrollment ID: I20041208001197 |
| Provider Name | Joel M Phillips |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023052412 PECOS PAC ID: 3274583588 Enrollment ID: I20050125000458 |
| Provider Name | Jerrold Steven Falk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063469989 PECOS PAC ID: 3173563608 Enrollment ID: I20050504000683 |
| Provider Name | Mary H Hoekstra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932276037 PECOS PAC ID: 2769418474 Enrollment ID: I20050714000130 |
| Provider Name | Ruth A Westfall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558438689 PECOS PAC ID: 4486680105 Enrollment ID: I20050714000228 |
| Provider Name | Edward W Haughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093819732 PECOS PAC ID: 4486679495 Enrollment ID: I20051010000243 |
| Provider Name | Lauren Sloan Piper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073552279 PECOS PAC ID: 3173540192 Enrollment ID: I20051028000905 |
| Provider Name | Peter J Ziemkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174582134 PECOS PAC ID: 6901825462 Enrollment ID: I20051115000279 |
| Provider Name | Steven M Pollens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790755270 PECOS PAC ID: 5799704151 Enrollment ID: I20051115000316 |
| Provider Name | Kenneth A Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235186438 PECOS PAC ID: 0840187282 Enrollment ID: I20060104000527 |
| Provider Name | Pamela L Dasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952378358 PECOS PAC ID: 2961417233 Enrollment ID: I20060208000598 |
| Provider Name | Eric S Blackwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114970373 PECOS PAC ID: 0345326880 Enrollment ID: I20080325000355 |
| Provider Name | Raquel L Deanda-ring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245491760 PECOS PAC ID: 1850463282 Enrollment ID: I20080630000672 |
| Provider Name | Timothy L Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639332612 PECOS PAC ID: 7618042227 Enrollment ID: I20080815000687 |
| Provider Name | Michael S Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730303470 PECOS PAC ID: 1658446992 Enrollment ID: I20080820000610 |
| Provider Name | Kirsten M Johantgen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285736371 PECOS PAC ID: 4880742303 Enrollment ID: I20090511000177 |
| Provider Name | Jennifer L Frink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306067434 PECOS PAC ID: 6305983032 Enrollment ID: I20091028000522 |
| Provider Name | Vihangi R Singh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508196163 PECOS PAC ID: 5799815213 Enrollment ID: I20100610000242 |
| Provider Name | Alessandra R Chatson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427253368 PECOS PAC ID: 8224122734 Enrollment ID: I20100902001107 |
| Provider Name | Kenneth J. Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548261720 PECOS PAC ID: 7618035700 Enrollment ID: I20100924001208 |
| Provider Name | Susan Marie Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013163047 PECOS PAC ID: 2264625904 Enrollment ID: I20101026000668 |
| Provider Name | Shanthini A Daniel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255313508 PECOS PAC ID: 3779779798 Enrollment ID: I20101201001349 |
| Provider Name | Joseph M Salvatore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073680559 PECOS PAC ID: 9931382579 Enrollment ID: I20110321000155 |
| Provider Name | Uyen Thai Budzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245425388 PECOS PAC ID: 2961688437 Enrollment ID: I20110517000873 |
| Provider Name | Robert E Dempsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942271390 PECOS PAC ID: 0648356337 Enrollment ID: I20111206000748 |
| Provider Name | Susan L Mastenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205194248 PECOS PAC ID: 3476715376 Enrollment ID: I20120509000543 |
| Provider Name | Kania G Mcghee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801058912 PECOS PAC ID: 9931355237 Enrollment ID: I20120801000700 |
| Provider Name | Allan J Wilke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366404097 PECOS PAC ID: 9133025596 Enrollment ID: I20120820000607 |
| Provider Name | Casey T Ashby |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003055971 PECOS PAC ID: 6002064862 Enrollment ID: I20120919000819 |
| Provider Name | Jocelyn Deleon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992934327 PECOS PAC ID: 4486808961 Enrollment ID: I20130209000007 |
| Provider Name | Kristi L Vanderkolk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245469428 PECOS PAC ID: 3971758186 Enrollment ID: I20130219000164 |
| Provider Name | Glenn V Dregansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134128093 PECOS PAC ID: 7618049826 Enrollment ID: I20140331000363 |
| Provider Name | Barbara D Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932516515 PECOS PAC ID: 7315192184 Enrollment ID: I20140801001225 |
| Provider Name | Andrew S Luciano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467766907 PECOS PAC ID: 3173765237 Enrollment ID: I20140806000240 |
| Provider Name | David J Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679989370 PECOS PAC ID: 7719105246 Enrollment ID: I20140826000728 |
| Provider Name | Marie G Bell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770983744 PECOS PAC ID: 9537388244 Enrollment ID: I20140911000839 |
| Provider Name | Elisia J Grewe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679978431 PECOS PAC ID: 9739406927 Enrollment ID: I20150327000858 |
| Provider Name | Deanna F Omoniyi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982945101 PECOS PAC ID: 0941515290 Enrollment ID: I20150814013505 |
| Provider Name | Imran Shafqat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336404540 PECOS PAC ID: 4981836103 Enrollment ID: I20150903001056 |
| Provider Name | Daniel Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023484235 PECOS PAC ID: 8022325497 Enrollment ID: I20150917000291 |
| Provider Name | Janice Frazier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942548896 PECOS PAC ID: 9436469566 Enrollment ID: I20151102002161 |
| Provider Name | Julie Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467824284 PECOS PAC ID: 7911217468 Enrollment ID: I20151112001379 |
| Provider Name | Liesel M K Tower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881053320 PECOS PAC ID: 7618274598 Enrollment ID: I20160318002190 |
| Provider Name | Lisa Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851748933 PECOS PAC ID: 6103116355 Enrollment ID: I20160601000696 |
| Provider Name | Molly B Klutts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043685670 PECOS PAC ID: 1759677040 Enrollment ID: I20160913001776 |
| Provider Name | Holli Neiman-hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790781508 PECOS PAC ID: 4789711896 Enrollment ID: I20160915001676 |
| Provider Name | Wael Khouli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639131394 PECOS PAC ID: 5698738706 Enrollment ID: I20161004000216 |
| Provider Name | William D. Nettleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801154562 PECOS PAC ID: 7719112937 Enrollment ID: I20161115002153 |
| Provider Name | Amanda R Ezekiel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437606670 PECOS PAC ID: 0547540569 Enrollment ID: I20161209000718 |
| Provider Name | Kimberly Girolami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578001400 PECOS PAC ID: 3173808409 Enrollment ID: I20170328001794 |
| Provider Name | Katheryn E Clark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417489931 PECOS PAC ID: 1557648995 Enrollment ID: I20170511002198 |
| Provider Name | Ebazare Ayewah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083950661 PECOS PAC ID: 7810139813 Enrollment ID: I20170605002301 |
| Provider Name | Dorcas Musili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376080523 PECOS PAC ID: 0749553600 Enrollment ID: I20170829002423 |
| Provider Name | Heidi Joshi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003047283 PECOS PAC ID: 9335273853 Enrollment ID: I20170830002635 |
| Provider Name | Autumn Mcdaniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346765492 PECOS PAC ID: 3971877192 Enrollment ID: I20170926003193 |
| Provider Name | Kristen J Hamlin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871012773 PECOS PAC ID: 8527332774 Enrollment ID: I20170927000113 |
| Provider Name | Rebecca K Busk Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255757985 PECOS PAC ID: 0143445387 Enrollment ID: I20171030000839 |
| Provider Name | Bethany Eriksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881108207 PECOS PAC ID: 1850658931 Enrollment ID: I20171128000517 |
| Provider Name | Elizabeth N Amaya |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881105385 PECOS PAC ID: 7911265699 Enrollment ID: I20180102000234 |
| Provider Name | Amanda L Bergan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063922466 PECOS PAC ID: 4688933021 Enrollment ID: I20180110003404 |
| Provider Name | Imran Ahmed Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861649907 PECOS PAC ID: 5890963110 Enrollment ID: I20180424000564 |
| Provider Name | Lyndsey R. Becker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366949810 PECOS PAC ID: 9931464161 Enrollment ID: I20180517001366 |
| Provider Name | Roxana Alcaraz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316399843 PECOS PAC ID: 0840534145 Enrollment ID: I20181127001918 |
| Provider Name | Maureen M Thomas |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902334006 PECOS PAC ID: 2264702323 Enrollment ID: I20181203000783 |
| Provider Name | Andrew Michael Gasior |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750874863 PECOS PAC ID: 0345584355 Enrollment ID: I20181203001061 |
| Provider Name | Kimberly Joy Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497273577 PECOS PAC ID: 6507100518 Enrollment ID: I20181203001146 |
| Provider Name | Brittany N Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568958304 PECOS PAC ID: 5193069136 Enrollment ID: I20181203002280 |
| Provider Name | Branden M Welch |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154897353 PECOS PAC ID: 7810231602 Enrollment ID: I20181205001656 |
| Provider Name | Jordan T Wroblewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144648551 PECOS PAC ID: 6709122765 Enrollment ID: I20190111000980 |
| Provider Name | Jacob Weintraub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508815689 PECOS PAC ID: 1052652021 Enrollment ID: I20190402000073 |
| Provider Name | Colleen E Tillema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720503329 PECOS PAC ID: 9335412790 Enrollment ID: I20190424000702 |
| Provider Name | Angela Marie Henry-delapaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114264603 PECOS PAC ID: 6305189135 Enrollment ID: I20190520001220 |
| Provider Name | Savahna Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093369571 PECOS PAC ID: 3375871585 Enrollment ID: I20190827000848 |
| Provider Name | Mandeep Brar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457808644 PECOS PAC ID: 6305133539 Enrollment ID: I20190906000671 |
| Provider Name | Katie Mae Manuel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013207828 PECOS PAC ID: 2769712736 Enrollment ID: I20190918002049 |
| Provider Name | Stephanie Ann Kotsiris Ellwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477934024 PECOS PAC ID: 6608185434 Enrollment ID: I20191003002433 |
| Provider Name | Tara Ann Stolnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679039762 PECOS PAC ID: 7214166610 Enrollment ID: I20191004000260 |
| Provider Name | Sheng Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073615712 PECOS PAC ID: 3375678279 Enrollment ID: I20191015002754 |
| Provider Name | Lawrence D Bacon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831390376 PECOS PAC ID: 1557679404 Enrollment ID: I20191203000106 |
| Provider Name | Andre Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144318510 PECOS PAC ID: 8729302419 Enrollment ID: I20191203003006 |
| Provider Name | Kawaljit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720629074 PECOS PAC ID: 2961835814 Enrollment ID: I20191206000189 |
| Provider Name | Prabhjot S Grewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578105334 PECOS PAC ID: 8729411319 Enrollment ID: I20191212002408 |
| Provider Name | Angela K Schutte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013447168 PECOS PAC ID: 3375979867 Enrollment ID: I20200131000363 |
| Provider Name | Bruce Mirvis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568434835 PECOS PAC ID: 4688911571 Enrollment ID: I20200203001414 |
| Provider Name | Erika Schleis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760015085 PECOS PAC ID: 9638508567 Enrollment ID: I20200328000054 |
| Provider Name | Cinthya G. Melendez Contreras |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083134795 PECOS PAC ID: 9638448806 Enrollment ID: I20200702001565 |
| Provider Name | Ankita Tiwari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447878707 PECOS PAC ID: 1153749940 Enrollment ID: I20200915000894 |
| Provider Name | Amanda E Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679175293 PECOS PAC ID: 6204240914 Enrollment ID: I20210120002266 |
| Provider Name | Karen Ann Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376965202 PECOS PAC ID: 7012134265 Enrollment ID: I20210217000885 |
| Provider Name | Garrick A Priebe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336630466 PECOS PAC ID: 2062777436 Enrollment ID: I20210330001331 |
| Provider Name | Sara Alison Hotrum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033519509 PECOS PAC ID: 4880094051 Enrollment ID: I20210609000988 |
| Provider Name | Mckenna Paige Duffy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821675414 PECOS PAC ID: 2961803382 Enrollment ID: I20210623001364 |
| Provider Name | Dana M. Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609374073 PECOS PAC ID: 5092117226 Enrollment ID: I20210712001226 |
| Provider Name | Kari Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043693831 PECOS PAC ID: 0244543056 Enrollment ID: I20210715002206 |
| Provider Name | Ambareen Javeedhusain Saiyed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669959920 PECOS PAC ID: 6406190776 Enrollment ID: I20210810002956 |
| Provider Name | Syeda Salvia Asad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669834453 PECOS PAC ID: 5395031454 Enrollment ID: I20210915000891 |
| Provider Name | Lori Kur |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124611850 PECOS PAC ID: 2769889369 Enrollment ID: I20210924000203 |
| Provider Name | Sravani Alluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912496621 PECOS PAC ID: 0749545705 Enrollment ID: I20211019000882 |
| Provider Name | Karen Hopkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063583573 PECOS PAC ID: 5395818660 Enrollment ID: I20211202001091 |
| Provider Name | Rachael Catherine Holbert-sing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073172987 PECOS PAC ID: 2961894126 Enrollment ID: I20220120000126 |
| Provider Name | Tamara Shafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356420707 PECOS PAC ID: 7618997701 Enrollment ID: I20220414001508 |
| Provider Name | Nicholas Leigh Vaden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346995693 PECOS PAC ID: 2860889631 Enrollment ID: I20220426000215 |
| Provider Name | Ellen Mbungu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265076798 PECOS PAC ID: 5294113510 Enrollment ID: I20220527000629 |
| Provider Name | Jemila A Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417626771 PECOS PAC ID: 1254719958 Enrollment ID: I20220609000215 |
| Provider Name | Gervine Lavina Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669118857 PECOS PAC ID: 8820479967 Enrollment ID: I20220720001665 |
| Provider Name | Jerome Pomeranz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497318703 PECOS PAC ID: 2860734407 Enrollment ID: I20220720002634 |
| Provider Name | Faryal Tahir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780173492 PECOS PAC ID: 1456616820 Enrollment ID: I20220912002114 |
| Provider Name | Michelle Sue Pyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346907730 PECOS PAC ID: 2365827938 Enrollment ID: I20220917000180 |
| Provider Name | Charlene Janssen Cuarto Erickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235854779 PECOS PAC ID: 7911373634 Enrollment ID: I20221021000742 |
| Provider Name | Lindsey R Thelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588219166 PECOS PAC ID: 6406185156 Enrollment ID: I20221206002687 |
| Provider Name | William Ryan Blackburn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982137394 PECOS PAC ID: 7416282637 Enrollment ID: I20221212000242 |
| Provider Name | Brandie Ann Fridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124738596 PECOS PAC ID: 8628448073 Enrollment ID: I20221230000946 |
| Provider Name | Sandin Kekic |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376254458 PECOS PAC ID: 4880066356 Enrollment ID: I20230209000859 |
| Provider Name | Chelsie Ann Krotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376243535 PECOS PAC ID: 1456705219 Enrollment ID: I20230927002040 |
| Provider Name | James Dominic Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780460287 PECOS PAC ID: 3072967538 Enrollment ID: I20231002003562 |
| Provider Name | Johnathan S Rachac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922888643 PECOS PAC ID: 6103272893 Enrollment ID: I20231101002159 |
| Provider Name | Sarah Abdulrazzaq Darweesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225650229 PECOS PAC ID: 4587086319 Enrollment ID: I20231121003461 |
| Provider Name | Mindie Adele Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073014916 PECOS PAC ID: 1951759612 Enrollment ID: I20231208001444 |
| Provider Name | Melissa Portia Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023668076 PECOS PAC ID: 3173972684 Enrollment ID: I20231208003338 |
| Provider Name | Justina Marie Crow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760908255 PECOS PAC ID: 0446602569 Enrollment ID: I20240113000735 |
| Provider Name | Kenneth Blair Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831823665 PECOS PAC ID: 5193177301 Enrollment ID: I20240123003002 |
Ensure Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3408 Miller Rd, Suite 301, Kalamazoo, MI 49001 Phone: 269-720-9702 Fax: 269-350-5030 | |
Select Hospitalists, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-7100 Fax: 269-341-7174 | |
Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 E Alcott St, Kalamazoo, MI 49001 Phone: 269-349-2641 Fax: 269-349-2898 | |
Health Care Associates P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 Hudson Ave, Suite 102, Kalamazoo, MI 49008 Phone: 269-226-0163 Fax: 269-226-0171 | |
Lifetime Wellness In Internal Medicine & Pediatrics A Division Of Heal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4613 W Main St, Suite A, Kalamazoo, MI 49006 Phone: 269-488-8672 Fax: 269-488-8673 | |
Sound Inpatient Physicians-michigan, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Gull Rd, Kalamazoo, MI 49048 Phone: 269-226-7000 | |
Bronson Practice Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Box 42, Kalamazoo, MI 49007 Phone: 269-341-6000 |