| Oaklawn Hospital | |
|
200 N Madison St Marshall MI 49068-1143 | |
| (269) 781-9119 | |
| Not Available |
| Full Name | Oaklawn Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 N Madison St, Marshall, Michigan |
| Authorized Official Name and Position | Andrew Poole (CFO) |
| Authorized Official Contact | 2697893936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaklawn Hospital 200 N Madison St Marshall MI 49068-1143 Ph: (269) 781-4271 | Oaklawn Hospital 200 N Madison St Marshall MI 49068-1143 Ph: (269) 781-9119 |
| NPI Number | 1366591794 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Medicare PECOS PAC ID | 1254228745 |
|---|---|
| Medicare Enrollment ID | O20040616001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366591794 | NPI | - | NPPES |
| 7509107630 | Other | MI | BLUE CROSS BLUE SHIELD |
| 3118050 | Medicaid | MI | |
| 07793 | Other | MI | VALUEOPTIONS |
| 23-3974 | Medicaid | MI | |
| 0801315410 | Other | MI | BCBSM |
| 4094189 | Medicaid | MI | |
| 0A36020 | Other | MI | BCBSM |
| 0A37669 | Other | MI | BCBS OF MI |
| 11763 | Other | MI | BCBS GROUP |
| CC2160 | Other | MI | RAILROAD MEDICARE GROUP |
| Provider Name | Thomas J Farchone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063476844 PECOS PAC ID: 7012814106 Enrollment ID: I20031217000190 |
| Provider Name | Andrew J Gordon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194761924 PECOS PAC ID: 1254230923 Enrollment ID: I20040115000257 |
| Provider Name | Suzanne B Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669479234 PECOS PAC ID: 7517852239 Enrollment ID: I20040220000033 |
| Provider Name | Anoop Thakur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861433211 PECOS PAC ID: 6709773781 Enrollment ID: I20040303000890 |
| Provider Name | Shaza Zayzafoon-mosier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255304358 PECOS PAC ID: 5496730723 Enrollment ID: I20040622000053 |
| Provider Name | Larry Rivera Lazaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568449007 PECOS PAC ID: 9133105471 Enrollment ID: I20040628000007 |
| Provider Name | Rajan A Pastoriza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407844541 PECOS PAC ID: 2466430046 Enrollment ID: I20040709001195 |
| Provider Name | Caron Warnsby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255373916 PECOS PAC ID: 0840278941 Enrollment ID: I20040713001152 |
| Provider Name | Aajay N Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710933932 PECOS PAC ID: 5294714416 Enrollment ID: I20040721000588 |
| Provider Name | Keith G Seifert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801835541 PECOS PAC ID: 6608844436 Enrollment ID: I20040920001146 |
| Provider Name | Jeannette M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952419566 PECOS PAC ID: 3173583358 Enrollment ID: I20041012001323 |
| Provider Name | Robert Scott Schaefer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932195393 PECOS PAC ID: 3173417482 Enrollment ID: I20050221000496 |
| Provider Name | Emil E Ebner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851353825 PECOS PAC ID: 4880647833 Enrollment ID: I20050302000188 |
| Provider Name | Travis D Terrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891781944 PECOS PAC ID: 0446297568 Enrollment ID: I20050411000875 |
| Provider Name | Romal Bhan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215133228 PECOS PAC ID: 5799725933 Enrollment ID: I20050506000712 |
| Provider Name | Paul A Lange |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609835313 PECOS PAC ID: 2365487774 Enrollment ID: I20050627000574 |
| Provider Name | Urvish K Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033286554 PECOS PAC ID: 5294704284 Enrollment ID: I20050719000481 |
| Provider Name | Hani M Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457331969 PECOS PAC ID: 0244264596 Enrollment ID: I20050926000600 |
| Provider Name | Candace Elaine Moody |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609816172 PECOS PAC ID: 6800785072 Enrollment ID: I20060111000427 |
| Provider Name | Martin Arthur Goins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629022348 PECOS PAC ID: 5294749446 Enrollment ID: I20060126001022 |
| Provider Name | Ross E Tisron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447204896 PECOS PAC ID: 8921016338 Enrollment ID: I20060327000717 |
| Provider Name | Jackalyn M Govier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811941206 PECOS PAC ID: 7315941523 Enrollment ID: I20060830000553 |
| Provider Name | Carrie B Nicholson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356366819 PECOS PAC ID: 7719981539 Enrollment ID: I20060911000423 |
| Provider Name | Aimee Louise Lemon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205944519 PECOS PAC ID: 4880692193 Enrollment ID: I20061121000455 |
| Provider Name | Alcides E Gil-acosta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487614343 PECOS PAC ID: 0547260705 Enrollment ID: I20070301000479 |
| Provider Name | Kameswara Ran Tatineni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700977154 PECOS PAC ID: 4688777444 Enrollment ID: I20070315000186 |
| Provider Name | Jaclyn S Liston-crandall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114145133 PECOS PAC ID: 4587756069 Enrollment ID: I20070829000105 |
| Provider Name | Osman Abdulkadir Ahmedfiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790983443 PECOS PAC ID: 3072607969 Enrollment ID: I20070924000064 |
| Provider Name | Anthony D Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245246354 PECOS PAC ID: 5395830699 Enrollment ID: I20071002000261 |
| Provider Name | Martin Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508821034 PECOS PAC ID: 8729975230 Enrollment ID: I20080730000591 |
| Provider Name | Mark A Booth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518922863 PECOS PAC ID: 1254405491 Enrollment ID: I20080805000862 |
| Provider Name | Freda Arlow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619923976 PECOS PAC ID: 0749348142 Enrollment ID: I20081028000709 |
| Provider Name | Mary M Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053400291 PECOS PAC ID: 6709945579 Enrollment ID: I20081107000566 |
| Provider Name | David L Lambrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225099898 PECOS PAC ID: 5698824712 Enrollment ID: I20090520000446 |
| Provider Name | Robert Kloos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912950197 PECOS PAC ID: 9436111564 Enrollment ID: I20090803000132 |
| Provider Name | Michael J Sterrett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235183039 PECOS PAC ID: 3779482443 Enrollment ID: I20090806000416 |
| Provider Name | Joshua D Munro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356563837 PECOS PAC ID: 1355496282 Enrollment ID: I20090828000420 |
| Provider Name | Cynthia Caparros Abacan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467438549 PECOS PAC ID: 7315973591 Enrollment ID: I20090901000522 |
| Provider Name | Wisam A Salman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972706133 PECOS PAC ID: 6305983701 Enrollment ID: I20091016000120 |
| Provider Name | William J Comai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780683565 PECOS PAC ID: 6103822432 Enrollment ID: I20100111000680 |
| Provider Name | Jose Valle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649227604 PECOS PAC ID: 2264409978 Enrollment ID: I20100115000892 |
| Provider Name | James C Maher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013963180 PECOS PAC ID: 7618944323 Enrollment ID: I20100116000389 |
| Provider Name | David Michael Byrens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902874126 PECOS PAC ID: 0941337828 Enrollment ID: I20100423000924 |
| Provider Name | Muhammad Rafi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962479410 PECOS PAC ID: 0648307330 Enrollment ID: I20100429000336 |
| Provider Name | Stacey E Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003926049 PECOS PAC ID: 4587794342 Enrollment ID: I20100604001163 |
| Provider Name | John Tobin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265532089 PECOS PAC ID: 3971797747 Enrollment ID: I20101105000411 |
| Provider Name | Samer George Saqqa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629252689 PECOS PAC ID: 6507917317 Enrollment ID: I20101105001322 |
| Provider Name | Subhash Thakur |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770770216 PECOS PAC ID: 2062564693 Enrollment ID: I20110105000883 |
| Provider Name | Barbara J Keyes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225139256 PECOS PAC ID: 8123217833 Enrollment ID: I20110112000145 |
| Provider Name | Deborah Lafferty Bohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104156983 PECOS PAC ID: 0345429528 Enrollment ID: I20110119001278 |
| Provider Name | Sharon L Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053508838 PECOS PAC ID: 0941482111 Enrollment ID: I20110309000278 |
| Provider Name | Michael James Chapman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457557647 PECOS PAC ID: 0042113805 Enrollment ID: I20110407000046 |
| Provider Name | James M Gray |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508952821 PECOS PAC ID: 4688850530 Enrollment ID: I20110511000168 |
| Provider Name | Hassan Issa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720278708 PECOS PAC ID: 9032241625 Enrollment ID: I20110707000476 |
| Provider Name | Hassan Beiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760655856 PECOS PAC ID: 9335310556 Enrollment ID: I20110920000700 |
| Provider Name | Steven J Malocha |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417966995 PECOS PAC ID: 8123293594 Enrollment ID: I20111213000863 |
| Provider Name | Asad S Mehdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003072547 PECOS PAC ID: 3274796792 Enrollment ID: I20120521000511 |
| Provider Name | David A Swender |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306045257 PECOS PAC ID: 7012164288 Enrollment ID: I20120822000543 |
| Provider Name | Alexia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659569002 PECOS PAC ID: 7911154034 Enrollment ID: I20120824000441 |
| Provider Name | Carlos H Martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265623458 PECOS PAC ID: 2365699410 Enrollment ID: I20120824000858 |
| Provider Name | Sumita Saha |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821210857 PECOS PAC ID: 0345419859 Enrollment ID: I20121005000616 |
| Provider Name | Bethany M Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770832982 PECOS PAC ID: 4880843796 Enrollment ID: I20121010000227 |
| Provider Name | Matthew J Marquart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164610960 PECOS PAC ID: 8426227372 Enrollment ID: I20121018000314 |
| Provider Name | Tarek Saleh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790915544 PECOS PAC ID: 5597915959 Enrollment ID: I20121019000205 |
| Provider Name | Melinda S White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770832446 PECOS PAC ID: 6507018918 Enrollment ID: I20121211000509 |
| Provider Name | Shelley Binkley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497787576 PECOS PAC ID: 6002847175 Enrollment ID: I20121227000308 |
| Provider Name | Michelle L Kachman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699936872 PECOS PAC ID: 8527211101 Enrollment ID: I20130109000731 |
| Provider Name | Christine C Nault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558619908 PECOS PAC ID: 6608020953 Enrollment ID: I20130214000116 |
| Provider Name | Judean J Johnson-morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962718601 PECOS PAC ID: 3173765310 Enrollment ID: I20130816000747 |
| Provider Name | Matthew Steven Ralph |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972741700 PECOS PAC ID: 2860635828 Enrollment ID: I20130823000873 |
| Provider Name | Celeste M Warlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710326814 PECOS PAC ID: 6002040797 Enrollment ID: I20131011001508 |
| Provider Name | Raya C Beiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726899 PECOS PAC ID: 0547497877 Enrollment ID: I20131212001098 |
| Provider Name | Diana Okuniewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184831547 PECOS PAC ID: 8729245915 Enrollment ID: I20140131001431 |
| Provider Name | Jovana K Spreitzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700116159 PECOS PAC ID: 8224260500 Enrollment ID: I20140421001305 |
| Provider Name | Margaret M Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831519958 PECOS PAC ID: 5395960835 Enrollment ID: I20140625002200 |
| Provider Name | Syed Ali Rizvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740575216 PECOS PAC ID: 7517199037 Enrollment ID: I20140731001798 |
| Provider Name | Erin L Rockwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235410762 PECOS PAC ID: 8921238619 Enrollment ID: I20140806000148 |
| Provider Name | Ingrid Hall |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235363490 PECOS PAC ID: 4587825369 Enrollment ID: I20140909001120 |
| Provider Name | Waddah M Saba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750674826 PECOS PAC ID: 4880814896 Enrollment ID: I20140925000613 |
| Provider Name | Laura A Pence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548586548 PECOS PAC ID: 5799928370 Enrollment ID: I20141014000340 |
| Provider Name | Jennifer Lynn Burnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184028656 PECOS PAC ID: 2567683790 Enrollment ID: I20141031000655 |
| Provider Name | Muhammad K Hameed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851556062 PECOS PAC ID: 9638333065 Enrollment ID: I20141126001738 |
| Provider Name | Ashlee V Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790195527 PECOS PAC ID: 5799008538 Enrollment ID: I20141230002271 |
| Provider Name | Jeremiah G Schnoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437476355 PECOS PAC ID: 0648406140 Enrollment ID: I20150116001693 |
| Provider Name | Syed Q Quadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821317991 PECOS PAC ID: 9335466192 Enrollment ID: I20150317000355 |
| Provider Name | Matthew Michael Brewster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699909960 PECOS PAC ID: 1658591557 Enrollment ID: I20150619000737 |
| Provider Name | Nicholas Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861756595 PECOS PAC ID: 2961714068 Enrollment ID: I20150702000290 |
| Provider Name | Stefani Nike Parrisbalogun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083873673 PECOS PAC ID: 2567524408 Enrollment ID: I20150713002788 |
| Provider Name | Wassim M Chehouri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437414018 PECOS PAC ID: 5294049888 Enrollment ID: I20150727001047 |
| Provider Name | Catherine A Burtrum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164733887 PECOS PAC ID: 8123260544 Enrollment ID: I20150827002221 |
| Provider Name | Adrienne M Aschmetat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801184742 PECOS PAC ID: 5698908861 Enrollment ID: I20150923001108 |
| Provider Name | James D Vanpopering |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144336819 PECOS PAC ID: 1355481284 Enrollment ID: I20150924003126 |
| Provider Name | Lisa Wireman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114390051 PECOS PAC ID: 9335440486 Enrollment ID: I20151215002491 |
| Provider Name | Michael Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801297940 PECOS PAC ID: 8325349251 Enrollment ID: I20151218001732 |
| Provider Name | Petra Toutanji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720298359 PECOS PAC ID: 3577646223 Enrollment ID: I20160223001569 |
| Provider Name | Shelly Wisz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594342 PECOS PAC ID: 6103125539 Enrollment ID: I20160505001999 |
| Provider Name | Hemasri Tokala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053630749 PECOS PAC ID: 1153612379 Enrollment ID: I20160620000771 |
| Provider Name | Dustin Anthony Bivins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790005627 PECOS PAC ID: 7618100025 Enrollment ID: I20160629001299 |
| Provider Name | Tiffany M Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023456159 PECOS PAC ID: 3678866506 Enrollment ID: I20160729000317 |
| Provider Name | Sami Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013355569 PECOS PAC ID: 6608007539 Enrollment ID: I20160729000345 |
| Provider Name | Kimberly G Mclean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942513353 PECOS PAC ID: 0840434080 Enrollment ID: I20160817001968 |
| Provider Name | Mitchell Z Berger |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750321956 PECOS PAC ID: 7719981935 Enrollment ID: I20160906000130 |
| Provider Name | Hardik Gandhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326493537 PECOS PAC ID: 3274829676 Enrollment ID: I20160912001327 |
| Provider Name | Jeffrey Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962956409 PECOS PAC ID: 1850688656 Enrollment ID: I20160922000353 |
| Provider Name | Amy M Stier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194271411 PECOS PAC ID: 0345538435 Enrollment ID: I20161005000426 |
| Provider Name | Teleah Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669812939 PECOS PAC ID: 5698055788 Enrollment ID: I20161207000696 |
| Provider Name | Richard A Semones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356606933 PECOS PAC ID: 5193956548 Enrollment ID: I20170127001666 |
| Provider Name | Adam E Chornoby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063790939 PECOS PAC ID: 9335458512 Enrollment ID: I20170517001709 |
| Provider Name | Ryan Allen Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093009979 PECOS PAC ID: 8820318041 Enrollment ID: I20170519001831 |
| Provider Name | Allison M Field |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518378587 PECOS PAC ID: 2365667599 Enrollment ID: I20170606000082 |
| Provider Name | Holly Tuyls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700321841 PECOS PAC ID: 6608144035 Enrollment ID: I20170607003026 |
| Provider Name | Amy Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447796263 PECOS PAC ID: 1254609381 Enrollment ID: I20170614001681 |
| Provider Name | Paul William Aschmetat |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922362656 PECOS PAC ID: 3072822261 Enrollment ID: I20170713001878 |
| Provider Name | Theresa Klee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114280294 PECOS PAC ID: 5890084941 Enrollment ID: I20170725000340 |
| Provider Name | Melissa K Gates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417362039 PECOS PAC ID: 2062784606 Enrollment ID: I20170817000664 |
| Provider Name | Jamie L Kantola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942614623 PECOS PAC ID: 5496028250 Enrollment ID: I20170830002535 |
| Provider Name | Yolanda H Cobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053836650 PECOS PAC ID: 6901179761 Enrollment ID: I20170830002737 |
| Provider Name | Andrew Bayci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083901169 PECOS PAC ID: 8628200631 Enrollment ID: I20170908003022 |
| Provider Name | Jacob Katz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538387964 PECOS PAC ID: 4284914599 Enrollment ID: I20171019000948 |
| Provider Name | Amy E J Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891207379 PECOS PAC ID: 6709142722 Enrollment ID: I20171108000877 |
| Provider Name | Lloyd David Hubler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215986419 PECOS PAC ID: 3173414570 Enrollment ID: I20171130001918 |
| Provider Name | Ziad Kanaan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245598606 PECOS PAC ID: 6800198177 Enrollment ID: I20180611000210 |
| Provider Name | Amber S Brissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255838538 PECOS PAC ID: 5890041511 Enrollment ID: I20180710002275 |
| Provider Name | Tiffany B Stealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275008823 PECOS PAC ID: 1951364355 Enrollment ID: I20181204001040 |
| Provider Name | Rebecca D Womble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760993042 PECOS PAC ID: 1052678182 Enrollment ID: I20190130000594 |
| Provider Name | Jason Richard Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225596125 PECOS PAC ID: 9032450267 Enrollment ID: I20190416001382 |
| Provider Name | Bernice A Theule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679135958 PECOS PAC ID: 9931436953 Enrollment ID: I20190813002361 |
| Provider Name | Kari Scarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306499108 PECOS PAC ID: 3577893320 Enrollment ID: I20190923000690 |
| Provider Name | Andrea Landesman Jonsson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205217114 PECOS PAC ID: 6002121274 Enrollment ID: I20191223000903 |
| Provider Name | Mohamed Noureldin Birima Noureldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437689437 PECOS PAC ID: 6002241858 Enrollment ID: I20200124000492 |
| Provider Name | Pa-nhia Yang-murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700422904 PECOS PAC ID: 1456787522 Enrollment ID: I20200208000208 |
| Provider Name | Tamora Vanwasshnova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568094340 PECOS PAC ID: 5395174064 Enrollment ID: I20200331002842 |
| Provider Name | Timothy Daniel Kwiecien |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780071340 PECOS PAC ID: 9830520733 Enrollment ID: I20200508001868 |
| Provider Name | Stacy Marie Gronowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205474517 PECOS PAC ID: 9931520004 Enrollment ID: I20200527001651 |
| Provider Name | Rajvinder Sidhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699186908 PECOS PAC ID: 8921343815 Enrollment ID: I20200811001035 |
| Provider Name | Shannon N Hepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962035402 PECOS PAC ID: 9436551918 Enrollment ID: I20210706002979 |
| Provider Name | Sara J Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861923047 PECOS PAC ID: 1850660614 Enrollment ID: I20210823000251 |
| Provider Name | Hirenkumar P Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689847428 PECOS PAC ID: 6507042215 Enrollment ID: I20210922000456 |
| Provider Name | Andrew P Worden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699160994 PECOS PAC ID: 1658685938 Enrollment ID: I20210927001001 |
| Provider Name | Marcia Lynn French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922774959 PECOS PAC ID: 8527458629 Enrollment ID: I20211203001910 |
| Provider Name | Sirmara L Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467023895 PECOS PAC ID: 1850782194 Enrollment ID: I20211222000381 |
| Provider Name | Rebecca M Weyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467119420 PECOS PAC ID: 2961895610 Enrollment ID: I20220202000795 |
| Provider Name | Nora Mae Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952065492 PECOS PAC ID: 8729473665 Enrollment ID: I20220311001402 |
| Provider Name | Cecilia Kaye Stahlhood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770247843 PECOS PAC ID: 4587041900 Enrollment ID: I20220524001377 |
| Provider Name | Lynette J Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770189375 PECOS PAC ID: 0840678090 Enrollment ID: I20220601000317 |
| Provider Name | Ting-wan Yip Worden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255965539 PECOS PAC ID: 5092193060 Enrollment ID: I20220602002199 |
| Provider Name | Gigi Sutton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447928809 PECOS PAC ID: 2163802752 Enrollment ID: I20220628003391 |
| Provider Name | Marie Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801380589 PECOS PAC ID: 1153677273 Enrollment ID: I20220718000265 |
| Provider Name | Amneet Kaur Sran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841722386 PECOS PAC ID: 0345510533 Enrollment ID: I20220729002258 |
| Provider Name | Rick Arias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124588199 PECOS PAC ID: 7012390396 Enrollment ID: I20220818003337 |
| Provider Name | Kaitlyn Marie Hite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366903791 PECOS PAC ID: 0840525358 Enrollment ID: I20220901002296 |
| Provider Name | Tess F Meklir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396234605 PECOS PAC ID: 4183972847 Enrollment ID: I20221110000461 |
| Provider Name | Robin Lynn Kuiper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851009492 PECOS PAC ID: 2466823422 Enrollment ID: I20230130002287 |
| Provider Name | Cherie Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366173676 PECOS PAC ID: 0941667919 Enrollment ID: I20230606003414 |
| Provider Name | Jennifer Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679258537 PECOS PAC ID: 3779946637 Enrollment ID: I20230825001650 |
| Provider Name | Christopher Moore Gaffga |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417977570 PECOS PAC ID: 7113921362 Enrollment ID: I20230928002984 |
| Provider Name | Jenifer Lyn Stansell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831887561 PECOS PAC ID: 2961850490 Enrollment ID: I20231122001193 |
| Provider Name | Stephanie Ann Fedele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851505861 PECOS PAC ID: 2264974922 Enrollment ID: I20240610001128 |
Oaklawn Hospital Psychiatric Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Madison St, Marshall, MI 49068 Phone: 269-789-3921 Fax: 269-781-7117 | |
Holistic Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W Michigan Ave, Marshall, MI 49068 Phone: 269-239-6369 | |
Oaklawn Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Madison St, Marshall, MI 49068 Phone: 269-789-8996 | |
Lazar Psychological Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Green St, Marshall, MI 49068 Phone: 269-781-0157 Fax: 269-781-9755 | |
Aurora Andrews Md Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 N Eagle St, Marshall, MI 49068 Phone: 269-781-4436 Fax: 269-375-6078 | |
Imagine Wellness Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Ventura Way, Marshall, MI 49068 Phone: 269-248-1020 |