| Infusion Associates Pllc | |
|
3230 Eagle Park Dr Ne Suite 101 Grand Rapids MI 49525-7007 | |
| (616) 954-0600 | |
| Not Available |
| Full Name | Infusion Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3230 Eagle Park Dr Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Khan Javan Nedd (PRESIDENT) |
| Authorized Official Contact | 6169540600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infusion Associates Pllc 3230 Eagle Park Dr Ne Suite 101 Grand Rapids MI 49525-7007 Ph: (616) 954-0600 | Infusion Associates Pllc 3230 Eagle Park Dr Ne Suite 101 Grand Rapids MI 49525-7007 Ph: (616) 954-0600 |
| NPI Number | 1487622296 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 01/30/2020 |
| Medicare PECOS PAC ID | 0840185203 |
|---|---|
| Medicare Enrollment ID | O20040322001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487622296 | NPI | - | NPPES |
| 110D111790 | Other | MI | BCBSM |
| CJ6657 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Khan J Nedd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043284219 PECOS PAC ID: 2062307432 Enrollment ID: I20041124000489 |
| Provider Name | Jerilynn Spring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790767820 PECOS PAC ID: 7719902576 Enrollment ID: I20051011000302 |
| Provider Name | Michael L Mawby |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720084114 PECOS PAC ID: 2163442914 Enrollment ID: I20051123000260 |
| Provider Name | Nathan A Rousse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356353791 PECOS PAC ID: 0749284792 Enrollment ID: I20060905000338 |
| Provider Name | Marianne Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386631455 PECOS PAC ID: 8820189889 Enrollment ID: I20070806000129 |
| Provider Name | Juliana J Grey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750355640 PECOS PAC ID: 6608761077 Enrollment ID: I20091211000169 |
| Provider Name | Ashley Desrocher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104147792 PECOS PAC ID: 2062545742 Enrollment ID: I20100802000435 |
| Provider Name | Marjorie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639266067 PECOS PAC ID: 6305846122 Enrollment ID: I20110118000470 |
| Provider Name | Kimberly S Agim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912243056 PECOS PAC ID: 5597919936 Enrollment ID: I20130212000105 |
| Provider Name | Deanna J Arnould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235483561 PECOS PAC ID: 6709030992 Enrollment ID: I20130218000407 |
| Provider Name | Andrea C Gillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952799850 PECOS PAC ID: 0143545798 Enrollment ID: I20150203000615 |
| Provider Name | Laura R Mandrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972996122 PECOS PAC ID: 4486973757 Enrollment ID: I20150507002413 |
| Provider Name | Emily Eliza Pyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215322805 PECOS PAC ID: 4486974953 Enrollment ID: I20150522002097 |
| Provider Name | Sarah Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639416662 PECOS PAC ID: 8921310285 Enrollment ID: I20150630001357 |
| Provider Name | Denise A Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265456198 PECOS PAC ID: 7113231705 Enrollment ID: I20150727000982 |
| Provider Name | Beth Ann Stille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164881694 PECOS PAC ID: 8729370176 Enrollment ID: I20160706001054 |
| Provider Name | Jamie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692932 PECOS PAC ID: 6507151537 Enrollment ID: I20171207000762 |
| Provider Name | Julia Marchal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235681503 PECOS PAC ID: 6901186857 Enrollment ID: I20190926001755 |
| Provider Name | Vian Murad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053961482 PECOS PAC ID: 2668804659 Enrollment ID: I20191113000546 |
| Provider Name | Jacqueline A Curiston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336779958 PECOS PAC ID: 2264860345 Enrollment ID: I20200324002010 |
| Provider Name | Nicole Marie Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467098202 PECOS PAC ID: 8426479122 Enrollment ID: I20200604003174 |
| Provider Name | Monica Meriam Hallac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740831528 PECOS PAC ID: 2860811437 Enrollment ID: I20200930003368 |
| Provider Name | Gabriella Keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821673492 PECOS PAC ID: 1153738711 Enrollment ID: I20210325002575 |
| Provider Name | Danyielle Krista Jernukian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861097263 PECOS PAC ID: 0446662431 Enrollment ID: I20210426002606 |
| Provider Name | Veronica F Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932714078 PECOS PAC ID: 9739587312 Enrollment ID: I20211012002641 |
| Provider Name | Victoria Murad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669141362 PECOS PAC ID: 3173913407 Enrollment ID: I20211201000545 |
| Provider Name | Jacquelyn Schutten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881363281 PECOS PAC ID: 2264826296 Enrollment ID: I20220308001194 |
| Provider Name | Zeinab Berjaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659972339 PECOS PAC ID: 8628463973 Enrollment ID: I20220323001018 |
| Provider Name | Maaike Marjet Wallenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467022475 PECOS PAC ID: 8820485410 Enrollment ID: I20220429000399 |
| Provider Name | Rachel Erica Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750940375 PECOS PAC ID: 1557742921 Enrollment ID: I20220715001927 |
| Provider Name | Jay M Sartor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538828280 PECOS PAC ID: 7214319219 Enrollment ID: I20220808003146 |
| Provider Name | Jennifer J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233613 PECOS PAC ID: 2365787181 Enrollment ID: I20221130000523 |
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