| Eaton Rapids Medical Center | |
|
1500 S Main St Eaton Rapids MI 48827-1952 | |
| (517) 857-4500 | |
| (517) 857-4510 |
| Full Name | Eaton Rapids Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 S Main St, Eaton Rapids, Michigan |
| Authorized Official Name and Position | Timothy J. Johnson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5176639474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaton Rapids Medical Center 400 E Main St Suite 200 Springport MI 49284-9774 Ph: (517) 857-4500 | Eaton Rapids Medical Center 1500 S Main St Eaton Rapids MI 48827-1952 Ph: (517) 857-4500 |
| NPI Number | 1588810709 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 03/02/2022 |
| Medicare PECOS PAC ID | 5991692634 |
|---|---|
| Medicare Enrollment ID | O20040301000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588810709 | NPI | - | NPPES |
| 5170569 | Medicaid | MI | |
| OB37608 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 230010 (Michigan) | Primary |
| Provider Name | Ashok K Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886565 PECOS PAC ID: 8729975040 Enrollment ID: I20040302000553 |
| Provider Name | Michael C Kowalczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649277211 PECOS PAC ID: 0244219194 Enrollment ID: I20040722001237 |
| Provider Name | Kerry Lynn Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417979956 PECOS PAC ID: 8022023779 Enrollment ID: I20060216000222 |
| Provider Name | David W Mansky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407882384 PECOS PAC ID: 9032128392 Enrollment ID: I20060922000478 |
| Provider Name | Martin R Romero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528086683 PECOS PAC ID: 5496751596 Enrollment ID: I20061012000552 |
| Provider Name | John G Fata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346394772 PECOS PAC ID: 8325124746 Enrollment ID: I20080326000393 |
| Provider Name | Justin S Kisaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912128539 PECOS PAC ID: 7113092578 Enrollment ID: I20080819000754 |
| Provider Name | Donna L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508809203 PECOS PAC ID: 9032272695 Enrollment ID: I20090108000616 |
| Provider Name | Tammy A Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114176096 PECOS PAC ID: 4688737141 Enrollment ID: I20090108000705 |
| Provider Name | Cheryl L Kennedy-reul |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023250008 PECOS PAC ID: 4486703733 Enrollment ID: I20090518000120 |
| Provider Name | Ryan A Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437203700 PECOS PAC ID: 4880743954 Enrollment ID: I20090520000042 |
| Provider Name | Esli Gollapalli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083813653 PECOS PAC ID: 9638225485 Enrollment ID: I20090921000327 |
| Provider Name | Jonathan S Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497723522 PECOS PAC ID: 7416099106 Enrollment ID: I20100119000199 |
| Provider Name | Amit Ghose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639177686 PECOS PAC ID: 0345382313 Enrollment ID: I20100129000036 |
| Provider Name | Thomas A Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629033444 PECOS PAC ID: 9931225273 Enrollment ID: I20100924000009 |
| Provider Name | Hitesh M Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477716579 PECOS PAC ID: 4688844483 Enrollment ID: I20110906000366 |
| Provider Name | Heidi R Pusey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194012302 PECOS PAC ID: 6103099429 Enrollment ID: I20111102000549 |
| Provider Name | Eugene Rohacz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174577787 PECOS PAC ID: 0345356499 Enrollment ID: I20120720000599 |
| Provider Name | Nichole K Vanells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952659377 PECOS PAC ID: 2567619026 Enrollment ID: I20120906000151 |
| Provider Name | Timothy E Ekpo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891003240 PECOS PAC ID: 9436305984 Enrollment ID: I20130205000447 |
| Provider Name | Ashley S Terranova |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487992350 PECOS PAC ID: 3577718378 Enrollment ID: I20130228000172 |
| Provider Name | Anne C Khol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770791246 PECOS PAC ID: 3274776653 Enrollment ID: I20130904000549 |
| Provider Name | Charles J Gardner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720417090 PECOS PAC ID: 6709014723 Enrollment ID: I20140118000386 |
| Provider Name | Melissa K Aste |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447525407 PECOS PAC ID: 8820259161 Enrollment ID: I20140205001158 |
| Provider Name | Katie Hammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225371909 PECOS PAC ID: 0749578524 Enrollment ID: I20161011001176 |
| Provider Name | Matthew Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144649690 PECOS PAC ID: 6406126788 Enrollment ID: I20170719001593 |
| Provider Name | Michael C Mcrorie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265928493 PECOS PAC ID: 2860745486 Enrollment ID: I20181030000362 |
| Provider Name | Felix Alberto Chalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730686916 PECOS PAC ID: 6103170352 Enrollment ID: I20181107001106 |
| Provider Name | Richard James Sharon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649625708 PECOS PAC ID: 9537402573 Enrollment ID: I20190515001689 |
| Provider Name | Andrea R Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407312200 PECOS PAC ID: 3971839424 Enrollment ID: I20190723000348 |
| Provider Name | Jennifer Michelle Wollack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265880140 PECOS PAC ID: 9032446190 Enrollment ID: I20190812003615 |
| Provider Name | Brian Estevez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457811788 PECOS PAC ID: 3678905601 Enrollment ID: I20191113002158 |
| Provider Name | Kerri N Sinnott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053952820 PECOS PAC ID: 9234561747 Enrollment ID: I20191120002928 |
| Provider Name | Dillon Ommodt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043858160 PECOS PAC ID: 8628403300 Enrollment ID: I20200128000617 |
| Provider Name | Garrett Descoteaux-friday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922539717 PECOS PAC ID: 9234554700 Enrollment ID: I20200730002103 |
| Provider Name | Jacob R Compton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942794458 PECOS PAC ID: 6406102623 Enrollment ID: I20210514001042 |
| Provider Name | Matthew Lewis Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184991234 PECOS PAC ID: 9830594837 Enrollment ID: I20210827002770 |
| Provider Name | Cailee M Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851168868 PECOS PAC ID: 0143662569 Enrollment ID: I20240530000914 |
| Provider Name | Daniel Maccourtney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104405042 PECOS PAC ID: 7416359930 Enrollment ID: I20240722002524 |
| Provider Name | Shweta Bhatnagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366023830 PECOS PAC ID: 7315348844 Enrollment ID: I20240809000188 |
| Provider Name | Sarah Elaine Corgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962157586 PECOS PAC ID: 0648710020 Enrollment ID: I20240912000380 |
| Provider Name | Jenna P Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033933833 PECOS PAC ID: 5294264016 Enrollment ID: I20250123002666 |
| Provider Name | Elizabeth M Olszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700615507 PECOS PAC ID: 7911428636 Enrollment ID: I20250310002976 |
Ahmedfiqi Transitions Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 | |
Ureche Transitions Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 | |
Age Management Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 517-386-1367 | |
Sandy Transitions Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 Fax: 877-489-3949 | |
Paul D Hankenson Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kyle Street, Eaton Rapids, MI 48827 Phone: 517-663-3344 Fax: 517-663-1703 | |
Thomas A. Kelly D.o. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Spicerville Hwy, Eaton Rapids, MI 48827 Phone: 517-663-2705 Fax: 517-663-9470 | |
Jonathan P Wulff, D.o., Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Kyle St, Eaton Rapids, MI 48827 Phone: 517-663-4800 Fax: 517-663-5650 |