| Gerber Internal Medicine | |
|
212 S Sullivan Ave Fremont MI 49412-1548 | |
| (231) 924-3300 | |
| (231) 924-1320 |
| Full Name | Gerber Internal Medicine |
|---|---|
| Speciality | Hospitalist |
| Location | 212 S Sullivan Ave, Fremont, Michigan |
| Authorized Official Name and Position | Ryan Catignani (VP, PROVIDER SERVICES) |
| Authorized Official Contact | 9475220008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerber Internal Medicine 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Gerber Internal Medicine 212 S Sullivan Ave Fremont MI 49412-1548 Ph: (231) 924-3300 |
| NPI Number | 1750404927 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 4880503051 |
|---|---|
| Medicare Enrollment ID | O20040423001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750404927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Timothy M Bont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821040106 PECOS PAC ID: 3971592643 Enrollment ID: I20040520000910 |
| Provider Name | Max S Rizer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275513079 PECOS PAC ID: 3173594942 Enrollment ID: I20040805000077 |
| Provider Name | Rafael Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487745980 PECOS PAC ID: 7416923305 Enrollment ID: I20040902000359 |
| Provider Name | Stephen Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609829951 PECOS PAC ID: 1850367897 Enrollment ID: I20040909001183 |
| Provider Name | Erica R Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679525414 PECOS PAC ID: 6507834512 Enrollment ID: I20040917000816 |
| Provider Name | Jeane Marie Casselberry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649233883 PECOS PAC ID: 8628046992 Enrollment ID: I20040923000919 |
| Provider Name | Nancy Lynn Herta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578519823 PECOS PAC ID: 7012973506 Enrollment ID: I20041207000199 |
| Provider Name | Elizabeth J Welsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366493900 PECOS PAC ID: 8628028479 Enrollment ID: I20050128000583 |
| Provider Name | Susan K Strickfaden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851310361 PECOS PAC ID: 3072566645 Enrollment ID: I20050223000386 |
| Provider Name | Jusith Anas Amparo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790869329 PECOS PAC ID: 7315990405 Enrollment ID: I20050301000602 |
| Provider Name | Jonathan P Windeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306890850 PECOS PAC ID: 7719931583 Enrollment ID: I20050304000644 |
| Provider Name | Jin B Jyung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780636852 PECOS PAC ID: 6608816202 Enrollment ID: I20050503000997 |
| Provider Name | Randall J Ceton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801846316 PECOS PAC ID: 4688619455 Enrollment ID: I20050622000645 |
| Provider Name | Michael D Tanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427155308 PECOS PAC ID: 9537197835 Enrollment ID: I20050728000550 |
| Provider Name | Ian H Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295743920 PECOS PAC ID: 8921021999 Enrollment ID: I20060105000651 |
| Provider Name | Leigh G Seamon |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1821147422 PECOS PAC ID: 8123035789 Enrollment ID: I20060307000773 |
| Provider Name | Anas Aljanadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790727360 PECOS PAC ID: 3577572171 Enrollment ID: I20060410000509 |
| Provider Name | Kathleen J Yost |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780685149 PECOS PAC ID: 6406866987 Enrollment ID: I20060427000632 |
| Provider Name | Brian S Hood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023009453 PECOS PAC ID: 9133131998 Enrollment ID: I20060615000347 |
| Provider Name | Christopher J Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568414860 PECOS PAC ID: 8022004936 Enrollment ID: I20060718000273 |
| Provider Name | Heather Marie Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083692255 PECOS PAC ID: 7012911050 Enrollment ID: I20060906000499 |
| Provider Name | Andrew M Parsons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649295031 PECOS PAC ID: 4789680042 Enrollment ID: I20061010000051 |
| Provider Name | Brett W Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588674188 PECOS PAC ID: 0042217960 Enrollment ID: I20061106000542 |
| Provider Name | Tami Joy Michele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053525733 PECOS PAC ID: 9032210067 Enrollment ID: I20070720000599 |
| Provider Name | Arthur C Drenth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619021961 PECOS PAC ID: 3577655802 Enrollment ID: I20070816000415 |
| Provider Name | Rebecca A Collaer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275592750 PECOS PAC ID: 1759474430 Enrollment ID: I20070911000852 |
| Provider Name | Osman Abdulkadir Ahmedfiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790983443 PECOS PAC ID: 3072607969 Enrollment ID: I20070924000064 |
| Provider Name | Lana K Gagin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669693487 PECOS PAC ID: 6305931353 Enrollment ID: I20071005000024 |
| Provider Name | Julie A Norris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508080458 PECOS PAC ID: 5698862738 Enrollment ID: I20071106000408 |
| Provider Name | Kenneth D Minks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235129875 PECOS PAC ID: 5890751556 Enrollment ID: I20080620000096 |
| Provider Name | Raul Rene Andino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033121652 PECOS PAC ID: 3274436449 Enrollment ID: I20080707000620 |
| Provider Name | Eric R Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023231008 PECOS PAC ID: 6305905381 Enrollment ID: I20081105000564 |
| Provider Name | John J Machuta |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1952447567 PECOS PAC ID: 9931264181 Enrollment ID: I20090309000170 |
| Provider Name | Philip E Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225032709 PECOS PAC ID: 9032244751 Enrollment ID: I20100319000847 |
| Provider Name | Rhonda S Little |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467618546 PECOS PAC ID: 9739213042 Enrollment ID: I20100820001119 |
| Provider Name | Carol L Deweerd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285685461 PECOS PAC ID: 4880710938 Enrollment ID: I20100925000237 |
| Provider Name | Michael J Deweerd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942252440 PECOS PAC ID: 5991869661 Enrollment ID: I20100925000250 |
| Provider Name | Michelle L Lenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932150216 PECOS PAC ID: 4385836279 Enrollment ID: I20101011000690 |
| Provider Name | James J Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265484067 PECOS PAC ID: 3577757343 Enrollment ID: I20101105000355 |
| Provider Name | Kristina B Mcclish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659595452 PECOS PAC ID: 0941495055 Enrollment ID: I20101115001314 |
| Provider Name | Alina M Mcdermed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902024714 PECOS PAC ID: 9133316417 Enrollment ID: I20101213000644 |
| Provider Name | Dawn O Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174778575 PECOS PAC ID: 2264405067 Enrollment ID: I20110114000575 |
| Provider Name | Melissa S Bayne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821216607 PECOS PAC ID: 3375722531 Enrollment ID: I20110120000835 |
| Provider Name | Lindsay Leigh Oliveira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942427935 PECOS PAC ID: 9931267101 Enrollment ID: I20110121000649 |
| Provider Name | Suzanne M West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013965052 PECOS PAC ID: 9032125802 Enrollment ID: I20110412000703 |
| Provider Name | Patricia D Koning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144274002 PECOS PAC ID: 4981876513 Enrollment ID: I20111004000409 |
| Provider Name | Emilie Klop |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649554056 PECOS PAC ID: 1951574680 Enrollment ID: I20111025000731 |
| Provider Name | Kelly A Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013294222 PECOS PAC ID: 8628238268 Enrollment ID: I20120320000156 |
| Provider Name | Joni L Erlewein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073888459 PECOS PAC ID: 1951565704 Enrollment ID: I20120607000507 |
| Provider Name | Ruth Ann Bruce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134397466 PECOS PAC ID: 4082863246 Enrollment ID: I20121003000159 |
| Provider Name | Ruel R Lirio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679561211 PECOS PAC ID: 9638346646 Enrollment ID: I20121212000537 |
| Provider Name | Judy A Taber-tanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905360 PECOS PAC ID: 0042455388 Enrollment ID: I20130314000449 |
| Provider Name | Angela Kay Tallon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245460807 PECOS PAC ID: 6800036864 Enrollment ID: I20130722000249 |
| Provider Name | Paul J Spilotro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982823159 PECOS PAC ID: 9133363567 Enrollment ID: I20130924000933 |
| Provider Name | Timothy Allen Sparling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124451927 PECOS PAC ID: 9830325919 Enrollment ID: I20131119001653 |
| Provider Name | Stacie D Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679869143 PECOS PAC ID: 1355578782 Enrollment ID: I20131210002193 |
| Provider Name | Daniel S Tismal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477867174 PECOS PAC ID: 4587893300 Enrollment ID: I20140127001148 |
| Provider Name | Diana Okuniewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184831547 PECOS PAC ID: 8729245915 Enrollment ID: I20140131001431 |
| Provider Name | Darrell Jack Potter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265412605 PECOS PAC ID: 9739078478 Enrollment ID: I20140312001954 |
| Provider Name | Dawn E Gebhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275974628 PECOS PAC ID: 0446481279 Enrollment ID: I20140320001054 |
| Provider Name | Kelly J Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356423933 PECOS PAC ID: 3577608231 Enrollment ID: I20140328001530 |
| Provider Name | Natasha Peoples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757173 PECOS PAC ID: 8022234988 Enrollment ID: I20140729002558 |
| Provider Name | Rebecca Welborn Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790814762 PECOS PAC ID: 4789814682 Enrollment ID: I20140903000685 |
| Provider Name | Rhonda Sue Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295979037 PECOS PAC ID: 2466671698 Enrollment ID: I20140919001329 |
| Provider Name | Danielle Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114147006 PECOS PAC ID: 7618020611 Enrollment ID: I20141008000863 |
| Provider Name | Gretchen Lynn Chase-rey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750789715 PECOS PAC ID: 7911223375 Enrollment ID: I20150302000626 |
| Provider Name | Amy Banks-venegoni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235367715 PECOS PAC ID: 8628207149 Enrollment ID: I20150709001314 |
| Provider Name | Jeremy Kuiper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710207535 PECOS PAC ID: 5395050009 Enrollment ID: I20150810002349 |
| Provider Name | Katie Vanheck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124491964 PECOS PAC ID: 9335443688 Enrollment ID: I20160205001351 |
| Provider Name | Jonathan Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245686161 PECOS PAC ID: 6709177553 Enrollment ID: I20160624001599 |
| Provider Name | Mae Zakhour |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1427342294 PECOS PAC ID: 4688816630 Enrollment ID: I20160707000602 |
| Provider Name | Theresa Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063863827 PECOS PAC ID: 8729372552 Enrollment ID: I20160802001889 |
| Provider Name | Manish Kumar Thakur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093022386 PECOS PAC ID: 5799925640 Enrollment ID: I20160803000223 |
| Provider Name | Rueben Adekunle Adegoke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134380470 PECOS PAC ID: 5799972592 Enrollment ID: I20170119000259 |
| Provider Name | Sarah Elizabeth Raden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659807469 PECOS PAC ID: 4486923802 Enrollment ID: I20170628001510 |
| Provider Name | Katherine Mccormick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093147241 PECOS PAC ID: 6901035872 Enrollment ID: I20170720000836 |
| Provider Name | Lindsay Ann Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124462791 PECOS PAC ID: 7113297235 Enrollment ID: I20170724001143 |
| Provider Name | Jennifer Lynn Hudson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154617017 PECOS PAC ID: 5496077257 Enrollment ID: I20170822003400 |
| Provider Name | Natalie Debernardi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144484049 PECOS PAC ID: 8628205374 Enrollment ID: I20170911000427 |
| Provider Name | Kelli Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409303 PECOS PAC ID: 1052677234 Enrollment ID: I20171102003621 |
| Provider Name | Meagan N Viel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811415136 PECOS PAC ID: 2365708575 Enrollment ID: I20171103001223 |
| Provider Name | Jamie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692932 PECOS PAC ID: 6507151537 Enrollment ID: I20171207000762 |
| Provider Name | Lori Sue Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982110367 PECOS PAC ID: 7517226004 Enrollment ID: I20180108002128 |
| Provider Name | Erich Schafer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427499029 PECOS PAC ID: 9638396815 Enrollment ID: I20180727000457 |
| Provider Name | Khalil Mehdi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376958306 PECOS PAC ID: 9032467188 Enrollment ID: I20180806001684 |
| Provider Name | Mohamed Attia El Nemr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619160553 PECOS PAC ID: 9537285259 Enrollment ID: I20180824001335 |
| Provider Name | Jennifer C Cannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487996930 PECOS PAC ID: 7719116326 Enrollment ID: I20180824002824 |
| Provider Name | Stanley F Gould |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518906502 PECOS PAC ID: 5799677365 Enrollment ID: I20180906001865 |
| Provider Name | Carrie Elizabeth Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861988180 PECOS PAC ID: 4981955481 Enrollment ID: I20180921002925 |
| Provider Name | Emily Thrower |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164994976 PECOS PAC ID: 7719224971 Enrollment ID: I20190125000193 |
| Provider Name | Charisse D Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134399025 PECOS PAC ID: 2860516440 Enrollment ID: I20190417002005 |
| Provider Name | Jc Ransom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760694996 PECOS PAC ID: 7618219411 Enrollment ID: I20190426001087 |
| Provider Name | Jehanna Erho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225415151 PECOS PAC ID: 9638473739 Enrollment ID: I20190723001890 |
| Provider Name | Wendy A Hunting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205486156 PECOS PAC ID: 2264762590 Enrollment ID: I20190928000144 |
| Provider Name | Cymber B Stroven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972153104 PECOS PAC ID: 0840521761 Enrollment ID: I20191008000856 |
| Provider Name | Susan R Littler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790342509 PECOS PAC ID: 4789916826 Enrollment ID: I20191023000870 |
| Provider Name | Kelsey Nicole Kloosterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720621709 PECOS PAC ID: 9436581493 Enrollment ID: I20191112002369 |
| Provider Name | Cindy Fine Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144395492 PECOS PAC ID: 7315194255 Enrollment ID: I20200129000439 |
| Provider Name | Christopher E Hummel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396985206 PECOS PAC ID: 0143468587 Enrollment ID: I20200212002292 |
| Provider Name | Jeanette Marie Arrendondo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285276519 PECOS PAC ID: 0446689996 Enrollment ID: I20200403000623 |
| Provider Name | Emily R Bromley Castaneda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558712232 PECOS PAC ID: 1658664453 Enrollment ID: I20200609002857 |
| Provider Name | Kegan M Rummel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407239205 PECOS PAC ID: 0446563738 Enrollment ID: I20200624003365 |
| Provider Name | Cory Minier Schmidt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003336595 PECOS PAC ID: 4486924990 Enrollment ID: I20200720003649 |
| Provider Name | Geoffrey L Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275952905 PECOS PAC ID: 4981906153 Enrollment ID: I20200721001908 |
| Provider Name | Lindsay Schmiedeknecht |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558712240 PECOS PAC ID: 7315230158 Enrollment ID: I20200722002586 |
| Provider Name | Mohammad Mahmoud Hasan Alhyari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346554912 PECOS PAC ID: 7113150111 Enrollment ID: I20201013002066 |
| Provider Name | Gregory Matthew Gressel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972895092 PECOS PAC ID: 0941564512 Enrollment ID: I20210224001050 |
| Provider Name | Lori A Gore-green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578658654 PECOS PAC ID: 7618974585 Enrollment ID: I20210319000802 |
| Provider Name | Jennifer M Senita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639747926 PECOS PAC ID: 0648673863 Enrollment ID: I20210726003734 |
| Provider Name | Sarah Hop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003303546 PECOS PAC ID: 1951706746 Enrollment ID: I20210817001473 |
| Provider Name | Natasha Victoria Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245803568 PECOS PAC ID: 8426453226 Enrollment ID: I20210817001871 |
| Provider Name | Mary E Gilchrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073275228 PECOS PAC ID: 2264821735 Enrollment ID: I20211123001056 |
| Provider Name | Kelsee Danae Tharp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265199384 PECOS PAC ID: 3779973318 Enrollment ID: I20211214001213 |
| Provider Name | Emerson Albert Lim |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407030307 PECOS PAC ID: 4082895883 Enrollment ID: I20211229002017 |
| Provider Name | Jennifer Lyn Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962992958 PECOS PAC ID: 8527459494 Enrollment ID: I20220104000260 |
| Provider Name | Annelise Claerr Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740933886 PECOS PAC ID: 4688067663 Enrollment ID: I20220216000183 |
| Provider Name | George T Contos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376075770 PECOS PAC ID: 5698043974 Enrollment ID: I20220218001780 |
| Provider Name | Roxanne Affholter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518457100 PECOS PAC ID: 8820483860 Enrollment ID: I20220309003065 |
| Provider Name | Lauren Beghtol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932694320 PECOS PAC ID: 5193074284 Enrollment ID: I20220611000324 |
| Provider Name | Zeyad Sako |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588016448 PECOS PAC ID: 9931495165 Enrollment ID: I20220728001953 |
| Provider Name | Suzanne Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457083420 PECOS PAC ID: 1759763022 Enrollment ID: I20220803000672 |
| Provider Name | Ariell Kolibas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528658440 PECOS PAC ID: 7911389044 Enrollment ID: I20220805000220 |
| Provider Name | Stacy Lynn Hansen-goodell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394660 PECOS PAC ID: 5890164230 Enrollment ID: I20221207001926 |
| Provider Name | Angela Marie Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588372437 PECOS PAC ID: 0648640763 Enrollment ID: I20230106001723 |
| Provider Name | Lama Kholoud Khalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063112324 PECOS PAC ID: 1850766791 Enrollment ID: I20230407000320 |
| Provider Name | Hank Ng |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790179745 PECOS PAC ID: 4183927411 Enrollment ID: I20230518002746 |
| Provider Name | Michelle Renae Nicewander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407545049 PECOS PAC ID: 6608234778 Enrollment ID: I20230621003349 |
| Provider Name | Gregory Dane Fritz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437644655 PECOS PAC ID: 6305190737 Enrollment ID: I20230725001463 |
| Provider Name | Zachary Aaron Pounders |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1841726965 PECOS PAC ID: 5890063887 Enrollment ID: I20230808000549 |
| Provider Name | Jamie Molesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841864451 PECOS PAC ID: 1658735147 Enrollment ID: I20230918000772 |
| Provider Name | Yahya A Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225562606 PECOS PAC ID: 6103194881 Enrollment ID: I20231027000937 |
| Provider Name | Abigail Jean Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093596819 PECOS PAC ID: 3678920261 Enrollment ID: I20231102003418 |
Mobile Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Main St, Fremont, MI 49412 Phone: 231-924-0244 Fax: 231-924-4882 | |
Pine Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2027 | |
Corewell Health Gerber Hospital Multispecialty Clinic - Fremont Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 | |
Spectrum Health Hospitals Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 616-267-9823 | |
Corewell Health Gerber Hospital Pediatrics & Walk-in Clinic - Fremont Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 W Main St, Fremont, MI 49412 Phone: 231-924-1800 Fax: 231-924-1810 | |
Pine Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2027 |