Thomas Hart Ii, RN | |
2350 Shawnee Trl, Okemos, MI 48864-2530 | |
(810) 813-5020 | |
Not Available |
Full Name | Thomas Hart Ii |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 2350 Shawnee Trl, Okemos, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174194294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 139505 (Michigan) | Secondary |
163W00000X | Registered Nurse | 4704282982 (Michigan) | Primary |
Entity Name | Edward W Sparrow Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366498107 PECOS PAC ID: 6709799166 Enrollment ID: O20040311001138 |
Mailing Address | Practice Location Address |
---|---|
Thomas Hart Ii, RN 2350 Shawnee Trl, Okemos, MI 48864-2530 Ph: (810) 813-5020 | Thomas Hart Ii, RN 2350 Shawnee Trl, Okemos, MI 48864-2530 Ph: (810) 813-5020 |
Sally Catherine Demshur, LMFT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4295 Okemos Rd Ste 160, Okemos, MI 48864 Phone: 616-765-8720 | |
Brianna Hernandez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2300 Jolly Oak Rd, Okemos, MI 48864 Phone: 517-679-2050 | |
Joslyn Fraidenburg, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 Phone: 989-627-6685 | |
Sabrina Esmail, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2300 Jolly Oak Rd, Okemos, MI 48864 Phone: 800-395-3223 | |
Mrs. Haley Ivah Warnemuende, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 3413 Woods Edge, Okemos, MI 48864 Phone: 517-349-3303 | |
Tamara Anne Villavicencio, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3605 E Arbutus Dr, Okemos, MI 48864 Phone: 517-348-3283 | |
Mrs. Diane Lynn Yancer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4830 Central Park Dr, Okemos, MI 48864 Phone: 517-349-3600 Fax: 517-349-3602 |