| Observation Medicine Group Pllc | |
|
1 Genesys Pkwy Grand Blanc MI 48439-8065 | |
| (330) 493-4443 | |
| Not Available |
| Full Name | Observation Medicine Group Pllc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1 Genesys Pkwy, Grand Blanc, Michigan |
| Authorized Official Name and Position | David L Scott (MD) |
| Authorized Official Contact | 3304934443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Observation Medicine Group Pllc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 493-4443 | Observation Medicine Group Pllc 1 Genesys Pkwy Grand Blanc MI 48439-8065 Ph: (330) 493-4443 |
| NPI Number | 1194084111 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 03/18/2019 |
| Medicare PECOS PAC ID | 6305001777 |
|---|---|
| Medicare Enrollment ID | O20120710000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194084111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian T West |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043293897 PECOS PAC ID: 4587651666 Enrollment ID: I20040429000833 |
| Provider Name | Diane C Lacroix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336122399 PECOS PAC ID: 0547222945 Enrollment ID: I20041028000470 |
| Provider Name | Virginia A Labond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962485920 PECOS PAC ID: 0446215081 Enrollment ID: I20041123000772 |
| Provider Name | Bradley R Caloia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932187598 PECOS PAC ID: 7911947395 Enrollment ID: I20050504001212 |
| Provider Name | Kevin A Brody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063490621 PECOS PAC ID: 4082639174 Enrollment ID: I20051007000455 |
| Provider Name | Amy L Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205879731 PECOS PAC ID: 7012929375 Enrollment ID: I20060705000062 |
| Provider Name | Sanford Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265631030 PECOS PAC ID: 9436247632 Enrollment ID: I20071126000241 |
| Provider Name | Todd B Britt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083697981 PECOS PAC ID: 7911071048 Enrollment ID: I20080807000143 |
| Provider Name | Alan R Janssen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124001011 PECOS PAC ID: 4688748551 Enrollment ID: I20080811000643 |
| Provider Name | Javier Morales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902889926 PECOS PAC ID: 9638244502 Enrollment ID: I20080813000084 |
| Provider Name | Curtis A Yapchai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336122357 PECOS PAC ID: 9436224300 Enrollment ID: I20080813000100 |
| Provider Name | Jill E Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912214628 PECOS PAC ID: 9739369786 Enrollment ID: I20110208000424 |
| Provider Name | Roya Z Caloia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770731010 PECOS PAC ID: 9830376466 Enrollment ID: I20110608000701 |
| Provider Name | Sean M Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326368994 PECOS PAC ID: 8820247307 Enrollment ID: I20120926000608 |
| Provider Name | Rachel A Warby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407173081 PECOS PAC ID: 5890945109 Enrollment ID: I20121023000389 |
| Provider Name | Christopher A Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356662266 PECOS PAC ID: 3476798794 Enrollment ID: I20130314000162 |
| Provider Name | Austin W Burgess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073650826 PECOS PAC ID: 9739210568 Enrollment ID: I20130723000209 |
| Provider Name | Tara K Byrne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710275177 PECOS PAC ID: 2860620747 Enrollment ID: I20140123000409 |
| Provider Name | William D Ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790050128 PECOS PAC ID: 0446484869 Enrollment ID: I20150115000329 |
| Provider Name | Paula Marie Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911846 PECOS PAC ID: 8628392214 Enrollment ID: I20150202000276 |
| Provider Name | Lianne E Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528351491 PECOS PAC ID: 5193044162 Enrollment ID: I20150427000041 |
| Provider Name | Erika R Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164861399 PECOS PAC ID: 8820319270 Enrollment ID: I20160817002718 |
| Provider Name | Kristina M Banaszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750825881 PECOS PAC ID: 0345522959 Enrollment ID: I20170116000015 |
| Provider Name | Emily Ann Hammer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306189519 PECOS PAC ID: 3274853478 Enrollment ID: I20170403000808 |
| Provider Name | Michelle R Most |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891227609 PECOS PAC ID: 4880680917 Enrollment ID: I20170522002362 |
| Provider Name | Jill A Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952858334 PECOS PAC ID: 1658641634 Enrollment ID: I20170725000125 |
| Provider Name | Michelle Giza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366958530 PECOS PAC ID: 0143585778 Enrollment ID: I20180531000336 |
| Provider Name | Rachel Fuentes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366801201 PECOS PAC ID: 3375838972 Enrollment ID: I20181210002606 |
| Provider Name | Lisa A Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851870109 PECOS PAC ID: 4587909585 Enrollment ID: I20181219002403 |
| Provider Name | Audrie B Mullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588134175 PECOS PAC ID: 6406191444 Enrollment ID: I20181220000669 |
| Provider Name | Michelle Powers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861923278 PECOS PAC ID: 5890065080 Enrollment ID: I20200706002719 |
| Provider Name | Viktorija P Gavrilovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366936031 PECOS PAC ID: 5890042022 Enrollment ID: I20210105002665 |
| Provider Name | Jenna Wonsowicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194215657 PECOS PAC ID: 0840690632 Enrollment ID: I20210616000881 |
| Provider Name | Katherine E Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912246174 PECOS PAC ID: 0244457240 Enrollment ID: I20220118001501 |
| Provider Name | Kevin Belen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033452347 PECOS PAC ID: 9032409826 Enrollment ID: I20220630002720 |
| Provider Name | Alison M Ralston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023676764 PECOS PAC ID: 5193056463 Enrollment ID: I20220728002378 |
| Provider Name | Kaitlyn E Takach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558921619 PECOS PAC ID: 1850622135 Enrollment ID: I20231025000407 |
| Provider Name | Robert Allan Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487382008 PECOS PAC ID: 8224484464 Enrollment ID: I20231025000715 |
Grand Blanc Adult Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8288 S Saginaw St, Grand Blanc, MI 48439 Phone: 810-694-5000 Fax: 810-694-5105 | |
Reddy & Kunadi Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 414 Perry Rd, Grand Blanc, MI 48439 Phone: 810-694-8423 Fax: 810-694-9280 | |
Otevwa Homes Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6556 Rustic Ridge Trl, Grand Blanc, MI 48439 Phone: 313-690-0667 | |
Heather Wright M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Perry Rd, Suite 102, Grand Blanc, MI 48439 Phone: 810-694-9421 Fax: 810-694-9423 | |
Davison Medical Practice Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8273 S Saginaw St Ste B, Grand Blanc, MI 48439 Phone: 810-653-0899 Fax: 810-771-7472 | |
Mid-michigan Hospitalist Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-7250 Fax: 810-606-7162 |