| 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 | 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 |
| Certification 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 | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| Provider Name | Christine T Wade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083723647 PECOS PAC ID: 8123920923 Enrollment ID: I20040122000822 |
| 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 | 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 | Stacy Lynn Mccarron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649213133 PECOS PAC ID: 6002866498 Enrollment ID: I20050124000769 |
| 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 | Randall J Ceton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801846316 PECOS PAC ID: 4688619455 Enrollment ID: I20050622000645 |
| 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 | Wendy Rose Alvesteffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629099619 PECOS PAC ID: 4183632417 Enrollment ID: I20060329000215 |
| 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 | Julie J Gortsema |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811941800 PECOS PAC ID: 7911919816 Enrollment ID: I20060614000128 |
| 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 | Bret Autrey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316963374 PECOS PAC ID: 6608879192 Enrollment ID: I20060823000430 |
| 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 | Kortnie a Karp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700804234 PECOS PAC ID: 2466458518 Enrollment ID: I20061012000217 |
| Provider Name | Brett W Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588674188 PECOS PAC ID: 0042217960 Enrollment ID: I20061106000542 |
| Provider Name | Tracey Lynn Mccullough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528159910 PECOS PAC ID: 0446250146 Enrollment ID: I20070108000033 |
| Provider Name | David J Dargis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437130499 PECOS PAC ID: 2264324706 Enrollment ID: I20070115000239 |
| Provider Name | Tami Joy Michele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053525733 PECOS PAC ID: 9032210067 Enrollment ID: I20070720000599 |
| Provider Name | Rebecca a Collaer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275592750 PECOS PAC ID: 1759474430 Enrollment ID: I20070911000852 |
| 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 | Jenny K Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629222401 PECOS PAC ID: 8325101041 Enrollment ID: I20090107000179 |
| Provider Name | Jennifer T Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306812854 PECOS PAC ID: 2365469186 Enrollment ID: I20090325000571 |
| Provider Name | Philip E Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225032709 PECOS PAC ID: 9032244751 Enrollment ID: I20100319000847 |
| Provider Name | Rachelle Anne May |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366670101 PECOS PAC ID: 0143358721 Enrollment ID: I20100503000790 |
| Provider Name | Kira R Sieplinga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235346198 PECOS PAC ID: 0840366647 Enrollment ID: I20100817000311 |
| 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 | Patrick Bulinski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003813668 PECOS PAC ID: 1355445511 Enrollment ID: I20101015001130 |
| 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 | James William Vanfossen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720092943 PECOS PAC ID: 1153519624 Enrollment ID: I20101228000372 |
| 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 | Stephanie a Dublis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346443769 PECOS PAC ID: 8527168905 Enrollment ID: I20110921000768 |
| Provider Name | Patricia D Koning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144274002 PECOS PAC ID: 4981876513 Enrollment ID: I20111004000409 |
| 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 | Jennifer K Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942561667 PECOS PAC ID: 9830354620 Enrollment ID: I20120628000449 |
| 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 | Katherine R Elenbaas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326349671 PECOS PAC ID: 0749435196 Enrollment ID: I20130309000014 |
| Provider Name | Timothy Allen Sparling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124451927 PECOS PAC ID: 9830325919 Enrollment ID: I20131119001653 |
| Provider Name | Caylee Christina Bont |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942639844 PECOS PAC ID: 8628206356 Enrollment ID: I20140102000217 |
| Provider Name | Diana E 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 | Paige Kristine Barber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588088801 PECOS PAC ID: 4082845631 Enrollment ID: I20140324001066 |
| Provider Name | Brooke E Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316365687 PECOS PAC ID: 5395978613 Enrollment ID: I20140512000939 |
| 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 | Ann M Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699175471 PECOS PAC ID: 8325267321 Enrollment ID: I20140923001778 |
| Provider Name | Kayley Maureen Bruinsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689076317 PECOS PAC ID: 8729208038 Enrollment ID: I20141009001049 |
| Provider Name | Kilee R Aamodt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578964300 PECOS PAC ID: 6406076538 Enrollment ID: I20141013000895 |
| Provider Name | Benjamin James Newberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376944777 PECOS PAC ID: 2860613841 Enrollment ID: I20141015001961 |
| Provider Name | Dominique Rommel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285030536 PECOS PAC ID: 0143542720 Enrollment ID: I20141210001261 |
| Provider Name | Kerri Lyn Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699163196 PECOS PAC ID: 7113241357 Enrollment ID: I20150119000368 |
| Provider Name | Nicole M Tompkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003213786 PECOS PAC ID: 6002130242 Enrollment ID: I20150119000495 |
| 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 | Miranda L Hillard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942597729 PECOS PAC ID: 1658698394 Enrollment ID: I20150318000512 |
| Provider Name | Daniel Ryan Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720361645 PECOS PAC ID: 5294052148 Enrollment ID: I20150402001220 |
| 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 | Rebecca Sue Guenthardt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003299751 PECOS PAC ID: 5496063794 Enrollment ID: I20151007000535 |
| Provider Name | Katie Ann Vanheck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124491964 PECOS PAC ID: 9335443688 Enrollment ID: I20160205001351 |
| Provider Name | Sarah Marie Mokma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184080467 PECOS PAC ID: 3971807959 Enrollment ID: I20160211002151 |
| 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 | Mark Weismiller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205128816 PECOS PAC ID: 7810287968 Enrollment ID: I20160729000739 |
| 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 | Autumn Elizabeth Dittenber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013461581 PECOS PAC ID: 4486949682 Enrollment ID: I20160826002259 |
| Provider Name | Zebulun James Frazee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922415298 PECOS PAC ID: 9335367457 Enrollment ID: I20160907001385 |
| Provider Name | Kayla Jane Vredeveld |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487109401 PECOS PAC ID: 0345537346 Enrollment ID: I20160919002032 |
| Provider Name | Lisa Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982052320 PECOS PAC ID: 9537456736 Enrollment ID: I20160930001145 |
| Provider Name | Katie Marie Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912453465 PECOS PAC ID: 9234417759 Enrollment ID: I20161103000090 |
| Provider Name | Jenna Houghton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497205363 PECOS PAC ID: 2860772985 Enrollment ID: I20161207001623 |
| Provider Name | Leslie Ann Kearfott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838599 PECOS PAC ID: 7911289624 Enrollment ID: I20170112001682 |
| Provider Name | Daniel Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073941704 PECOS PAC ID: 1052547361 Enrollment ID: I20170113001175 |
| Provider Name | Rueben Adekunle Adegoke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134380470 PECOS PAC ID: 5799972592 Enrollment ID: I20170119000259 |
| Provider Name | Courtney Pomorski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225574304 PECOS PAC ID: 9537441738 Enrollment ID: I20170124001240 |
| Provider Name | Chelsea Snavley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023550381 PECOS PAC ID: 8820371156 Enrollment ID: I20170213001374 |
| 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 | Natalie Debernardi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144484049 PECOS PAC ID: 8628205374 Enrollment ID: I20170911000427 |
| 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 | Lisa Chieko Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356831903 PECOS PAC ID: 4284999517 Enrollment ID: I20180607000723 |
| Provider Name | Erich Schafer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427499029 PECOS PAC ID: 9638396815 Enrollment ID: I20180727000457 |
| 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 | Emily Thrower |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164994976 PECOS PAC ID: 7719224971 Enrollment ID: I20190125000193 |
| Provider Name | Shana Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639648355 PECOS PAC ID: 2961740576 Enrollment ID: I20190206001672 |
| Provider Name | Breanna Marie Manchip |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639648579 PECOS PAC ID: 3577801927 Enrollment ID: I20190211002792 |
| 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 | Amy Jo Arends |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194368647 PECOS PAC ID: 4486086170 Enrollment ID: I20191119000602 |
| Provider Name | Darla Lagorse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164072773 PECOS PAC ID: 0042643710 Enrollment ID: I20191211000528 |
| Provider Name | Cindy Fine |
|---|---|
| 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 | Rose Hulst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720613490 PECOS PAC ID: 8022447465 Enrollment ID: I20200406001263 |
| 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 | 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 | Kayla Andres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992155824 PECOS PAC ID: 1759675697 Enrollment ID: I20200828000306 |
| Provider Name | Mohammad Alhyari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346554912 PECOS PAC ID: 7113150111 Enrollment ID: I20201013002066 |
| Provider Name | Covita Marie Ankney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396227666 PECOS PAC ID: 3870904212 Enrollment ID: I20201116002679 |
| Provider Name | Ashley Meyering |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902224165 PECOS PAC ID: 8729499421 Enrollment ID: I20201202000945 |
| Provider Name | Gregory Matthew Gressel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972895092 PECOS PAC ID: 0941564512 Enrollment ID: I20210224001050 |
| Provider Name | Ali Ao Mohamed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144489287 PECOS PAC ID: 2860621240 Enrollment ID: I20210901003995 |
| Provider Name | Kara Witmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689208597 PECOS PAC ID: 0345638367 Enrollment ID: I20211025002202 |
| 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 May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962992958 PECOS PAC ID: 8527459494 Enrollment ID: I20220104000260 |
| Provider Name | Alyssa Joy Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649938358 PECOS PAC ID: 4082006861 Enrollment ID: I20220128001422 |
| 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 | Elizabeth a Henschel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841955176 PECOS PAC ID: 8729472816 Enrollment ID: I20220307002170 |
| Provider Name | Roxanne Affholter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518457100 PECOS PAC ID: 8820483860 Enrollment ID: I20220309003065 |
| Provider Name | Madison Plaska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871243683 PECOS PAC ID: 0446646988 Enrollment ID: I20220408000873 |
| 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 Shelby Kolibas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528658440 PECOS PAC ID: 7911389044 Enrollment ID: I20220805000220 |
| Provider Name | Zarrish Saeed Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194925032 PECOS PAC ID: 0042435562 Enrollment ID: I20221103002828 |
| 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 | Leah Wigent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154035046 PECOS PAC ID: 3779953617 Enrollment ID: I20230110001904 |
| Provider Name | Kristi Huisinga Vito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770960098 PECOS PAC ID: 6608182100 Enrollment ID: I20230110002970 |
| Provider Name | Cap Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689388415 PECOS PAC ID: 7911378096 Enrollment ID: I20230127002069 |
| Provider Name | Karie Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891193710 PECOS PAC ID: 7810213089 Enrollment ID: I20230131002467 |
| Provider Name | Hunter Marsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871224816 PECOS PAC ID: 6901278852 Enrollment ID: I20230202002057 |
| Provider Name | Conar Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427762442 PECOS PAC ID: 9234501891 Enrollment ID: I20230207002743 |
| Provider Name | Lama Kholoud Khalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063112324 PECOS PAC ID: 1850766791 Enrollment ID: I20230407000320 |
| Provider Name | Sara Lynn Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275237810 PECOS PAC ID: 0547635302 Enrollment ID: I20230407001588 |
| Provider Name | April Renea Lucht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336883735 PECOS PAC ID: 1456716109 Enrollment ID: I20230502001007 |
| Provider Name | Tra Vo Da Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073045449 PECOS PAC ID: 6507136793 Enrollment ID: I20230508002409 |
| 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 | Zachary J Schoppen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538629233 PECOS PAC ID: 5395170716 Enrollment ID: I20230919000444 |
| Provider Name | Jamie Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639866205 PECOS PAC ID: 8527414721 Enrollment ID: I20231024003464 |
| Provider Name | Abigail Jean Antonides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093596819 PECOS PAC ID: 3678920261 Enrollment ID: I20231102003418 |
| Provider Name | Rebecca Bruins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477320919 PECOS PAC ID: 9032554506 Enrollment ID: I20240224000248 |
| Provider Name | Javin Hastin Brita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992298681 PECOS PAC ID: 5395095285 Enrollment ID: I20240226001673 |
| Provider Name | Jessica Mcwatters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124889852 PECOS PAC ID: 4981040680 Enrollment ID: I20240315000822 |
| Provider Name | Stephen F Trombley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396326112 PECOS PAC ID: 7517368392 Enrollment ID: I20240530003463 |
| Provider Name | Eric J Weiler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992365746 PECOS PAC ID: 1658814777 Enrollment ID: I20240618001082 |
| Provider Name | Kaleigh Marie Fetcko-fayad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962906545 PECOS PAC ID: 4486901873 Enrollment ID: I20240624001841 |
| Provider Name | Brittany M Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427532936 PECOS PAC ID: 0547705808 Enrollment ID: I20240710004202 |
| Provider Name | Kaitlyn Degrace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871352625 PECOS PAC ID: 5698210565 Enrollment ID: I20240716000921 |
| Provider Name | Megan Haber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992329056 PECOS PAC ID: 3375966492 Enrollment ID: I20240722001574 |
| Provider Name | Carly Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942885215 PECOS PAC ID: 7810306032 Enrollment ID: I20240802002347 |
| Provider Name | Jordan Raymond Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386221000 PECOS PAC ID: 6800296948 Enrollment ID: I20240807000505 |
| Provider Name | Carrie Anne Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497985923 PECOS PAC ID: 0749531473 Enrollment ID: I20240807004131 |
| Provider Name | Anna Falconburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689253155 PECOS PAC ID: 8123402823 Enrollment ID: I20240809001639 |
| Provider Name | Michele Leslie Bautista |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689298333 PECOS PAC ID: 9739503301 Enrollment ID: I20240813001118 |
| Provider Name | Aamir Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023503240 PECOS PAC ID: 9931443124 Enrollment ID: I20240905001337 |
| Provider Name | Naomasa Hase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841610961 PECOS PAC ID: 5496053464 Enrollment ID: I20240926003396 |
| Provider Name | Janine Chun Yee Fung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609541549 PECOS PAC ID: 1658802608 Enrollment ID: I20241002001082 |
| Provider Name | Darya Falamarzi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245850346 PECOS PAC ID: 8022477769 Enrollment ID: I20241004000294 |
| Provider Name | Lauren Gullo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326875741 PECOS PAC ID: 0749715316 Enrollment ID: I20241120001646 |
| Provider Name | Abeer Abouyabis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427235613 PECOS PAC ID: 3779632526 Enrollment ID: I20250306002129 |
| Provider Name | David Yanoschik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154716777 PECOS PAC ID: 9335449784 Enrollment ID: I20250507002834 |
| Provider Name | Mackenzie Jo Tafil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982136438 PECOS PAC ID: 6204345473 Enrollment ID: I20250530002591 |
| Provider Name | Anna Lisa Alperovich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124388269 PECOS PAC ID: 7911216031 Enrollment ID: I20250530002879 |
| Provider Name | Jenna Lynn Seehase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316747553 PECOS PAC ID: 4183135601 Enrollment ID: I20250612002711 |
| Provider Name | Gina N Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841929171 PECOS PAC ID: 2466831599 Enrollment ID: I20250620002870 |
| Provider Name | Salah Almokadem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356399281 PECOS PAC ID: 9931102142 Enrollment ID: I20250707003416 |
| Provider Name | Lakshmi Boyapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205290194 PECOS PAC ID: 4880921873 Enrollment ID: I20250718003073 |
| Provider Name | Jeevan Sekhar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1598802852 PECOS PAC ID: 5092984179 Enrollment ID: I20250906000208 |
| Provider Name | Jil Deann Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659260081 PECOS PAC ID: 7517462922 Enrollment ID: I20250925004736 |
| Provider Name | Merrill E Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639900210 PECOS PAC ID: 9931605508 Enrollment ID: I20251002000920 |
| Provider Name | Peter Chi-win Li |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1942709647 PECOS PAC ID: 7012267222 Enrollment ID: I20251112002868 |
| Provider Name | Lourdes Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902359847 PECOS PAC ID: 8022305382 Enrollment ID: I20251113003133 |
| Provider Name | Katie Ann Vanheck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124491964 PECOS PAC ID: 9335443688 Enrollment ID: I20251223001242 |
| Provider Name | David Guerra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669560926 PECOS PAC ID: 4587788088 Enrollment ID: I20260325001098 |
| Provider Name | Evan Wu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891149126 PECOS PAC ID: 5799034773 Enrollment ID: I20260327000690 |
| Provider Name | Obi Agborbesong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306251459 PECOS PAC ID: 1355567009 Enrollment ID: I20260423000201 |
| Provider Name | Sam Sater |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1619256377 PECOS PAC ID: 2860783990 Enrollment ID: I20260515002670 |
| Provider Name | Ahmad Ghorab |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417485822 PECOS PAC ID: 4183028459 Enrollment ID: I20260616001404 |
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 |