| The Center For Gastrointestinal Health At Health Park Llc | |
|
600 Health Park Boulvard Suite E Grand Blanc MI 48439 | |
| (810) 603-8201 | |
| (810) 603-8214 |
| Full Name | The Center For Gastrointestinal Health At Health Park Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Health Park Boulvard, Grand Blanc, Michigan |
| Authorized Official Name and Position | Radolph Kummler (CFO) |
| Authorized Official Contact | 8104242007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Gastrointestinal Health At Health Park Llc 3495 S Center Rd Burton MI 48519-1455 Ph: (810) 424-2007 | The Center For Gastrointestinal Health At Health Park Llc 600 Health Park Boulvard Suite E Grand Blanc MI 48439 Ph: (810) 603-8201 |
| NPI Number | 1437107844 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 2163425083 |
|---|---|
| Medicare Enrollment ID | O20060815000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437107844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
| Provider Name | Ann M Donovan Ridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306802202 PECOS PAC ID: 3971494717 Enrollment ID: I20040322001751 |
| Provider Name | Nicole A Dimuzio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841386547 PECOS PAC ID: 1052202470 Enrollment ID: I20040323001866 |
| Provider Name | Dominick Lago |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013950880 PECOS PAC ID: 0042108193 Enrollment ID: I20040517001142 |
| Provider Name | Cynthia L Hemingway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053390294 PECOS PAC ID: 5991778136 Enrollment ID: I20040817000251 |
| Provider Name | Michelle M Balancio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144325192 PECOS PAC ID: 9234171455 Enrollment ID: I20050527000457 |
| Provider Name | Maria C F Howard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902901812 PECOS PAC ID: 5799796793 Enrollment ID: I20060505000031 |
| Provider Name | Lulu Robbins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083783153 PECOS PAC ID: 8022111483 Enrollment ID: I20070306000215 |
| Provider Name | John A Moran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912947078 PECOS PAC ID: 7911005376 Enrollment ID: I20070607000606 |
| Provider Name | Jill M Donais |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891979514 PECOS PAC ID: 8325121502 Enrollment ID: I20080211000793 |
| Provider Name | Terri L Vanhurk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194994608 PECOS PAC ID: 0244319028 Enrollment ID: I20080505000698 |
| Provider Name | John L Adamczak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316190242 PECOS PAC ID: 2769543941 Enrollment ID: I20081205000580 |
| Provider Name | Steven A Christensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144468463 PECOS PAC ID: 8921155789 Enrollment ID: I20090414000078 |
| Provider Name | Kelli R Kissel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447560081 PECOS PAC ID: 5193911139 Enrollment ID: I20101202000125 |
| Provider Name | Carol Adamkiewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417052135 PECOS PAC ID: 2668652975 Enrollment ID: I20110203000557 |
| Provider Name | Dale F Laur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396768628 PECOS PAC ID: 9739356809 Enrollment ID: I20120113000322 |
| Provider Name | Erin Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730451295 PECOS PAC ID: 7214196690 Enrollment ID: I20120302000630 |
| Provider Name | Brett Bowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144657735 PECOS PAC ID: 6709014491 Enrollment ID: I20131231000706 |
| Provider Name | Michael S Song |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609024082 PECOS PAC ID: 1951525559 Enrollment ID: I20140623001678 |
| Provider Name | James Gregory B Holliday |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275937419 PECOS PAC ID: 5395060966 Enrollment ID: I20150203001160 |
| Provider Name | Jason A Krencicki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225452782 PECOS PAC ID: 7618100272 Enrollment ID: I20150324001896 |
| Provider Name | Angela A Scaglione |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043630478 PECOS PAC ID: 8426271289 Enrollment ID: I20150728004782 |
| Provider Name | Sarah A Dirosa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134581531 PECOS PAC ID: 2860791894 Enrollment ID: I20160426001356 |
| Provider Name | Satoya M Troncoso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942673918 PECOS PAC ID: 8527358621 Enrollment ID: I20160601002738 |
| Provider Name | Wendy A Grigg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265896492 PECOS PAC ID: 5496049033 Enrollment ID: I20160804002028 |
| Provider Name | Brittany L Keough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043668619 PECOS PAC ID: 0840579835 Enrollment ID: I20161115001205 |
| Provider Name | Brandon W Schell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265981484 PECOS PAC ID: 7911286828 Enrollment ID: I20161117000718 |
| Provider Name | Alison J Spalding |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033668611 PECOS PAC ID: 0446528335 Enrollment ID: I20170619000324 |
| Provider Name | Chaim Z Leiberman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366953838 PECOS PAC ID: 9537426002 Enrollment ID: I20171208001568 |
| Provider Name | Diane T Moschouris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619446176 PECOS PAC ID: 3971841792 Enrollment ID: I20200429001122 |
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 | |
Observation Medicine Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 330-493-4443 | |
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 |