| Trinity Health Medical Group | |
|
1675 Leahy St Ste 324b Muskegon MI 49442-5500 | |
| (231) 672-8700 | |
| Not Available |
| Full Name | Trinity Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1675 Leahy St Ste 324b, Muskegon, Michigan |
| Authorized Official Name and Position | Michael Gusho (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7343980642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health Medical Group Po Box 776982 Chicago IL 60677-6982 Ph: (800) 494-5797 | Trinity Health Medical Group 1675 Leahy St Ste 324b Muskegon MI 49442-5500 Ph: (231) 672-8700 |
| NPI Number | 1922248772 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 2163572991 |
|---|---|
| Medicare Enrollment ID | O20090616000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922248772 | NPI | - | NPPES |
| 500F10015 | Other | MI | BCBS MID-LEVELS |
| MI1763 | Other | MI | MEDICARE PTAN |
| 700F10016 | Other | MI | BCBS |
| Provider Name | Min Zhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679513667 PECOS PAC ID: 7012996507 Enrollment ID: I20040719000056 |
| Provider Name | Kristina Rae Vander Mark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366538860 PECOS PAC ID: 4789644279 Enrollment ID: I20041019000489 |
| Provider Name | Steven W Huder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871585166 PECOS PAC ID: 4082656129 Enrollment ID: I20050610000777 |
| Provider Name | David A Cree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023000189 PECOS PAC ID: 6204871882 Enrollment ID: I20050623000703 |
| Provider Name | Harrison Willis Johnson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750325437 PECOS PAC ID: 2466412580 Enrollment ID: I20050906000046 |
| Provider Name | Byron R Hissom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780653659 PECOS PAC ID: 0749201648 Enrollment ID: I20051207000537 |
| Provider Name | Kristen Sheryl Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669464731 PECOS PAC ID: 2769492438 Enrollment ID: I20060425000590 |
| Provider Name | Adriana S Tanner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386684256 PECOS PAC ID: 5294639928 Enrollment ID: I20060906000453 |
| Provider Name | Constance M Leahy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164477204 PECOS PAC ID: 6406851955 Enrollment ID: I20060915000515 |
| Provider Name | Heidi L Putt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114969888 PECOS PAC ID: 8820097538 Enrollment ID: I20061206000518 |
| Provider Name | Gerald A Harriman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720026867 PECOS PAC ID: 7113023953 Enrollment ID: I20070510000474 |
| Provider Name | Ghanem Almounajed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235146150 PECOS PAC ID: 0446358766 Enrollment ID: I20070611000630 |
| Provider Name | Karissa L Tryska |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174741409 PECOS PAC ID: 3072605880 Enrollment ID: I20070824000489 |
| Provider Name | Jack D Parks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922219666 PECOS PAC ID: 7113011743 Enrollment ID: I20070913000341 |
| Provider Name | Richard S Veyna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457337230 PECOS PAC ID: 1153379136 Enrollment ID: I20071015000408 |
| Provider Name | Darlene F Daly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093712457 PECOS PAC ID: 6204926157 Enrollment ID: I20071217000254 |
| Provider Name | Jay Albert Klein |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184799199 PECOS PAC ID: 5597843433 Enrollment ID: I20080417000579 |
| Provider Name | Fred J Vanalstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134176415 PECOS PAC ID: 0042231805 Enrollment ID: I20080430000831 |
| Provider Name | Raul Rene Andino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033121652 PECOS PAC ID: 3274436449 Enrollment ID: I20080707000620 |
| Provider Name | Ericka S Sikkenga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952520736 PECOS PAC ID: 2668548611 Enrollment ID: I20080827000710 |
| Provider Name | Steven Robert Fox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467666040 PECOS PAC ID: 6507933173 Enrollment ID: I20080923000745 |
| Provider Name | Elaine Ann Engelsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083822803 PECOS PAC ID: 2466510813 Enrollment ID: I20081029000280 |
| Provider Name | Kipp L Chillag |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518931245 PECOS PAC ID: 1052471844 Enrollment ID: I20081124000666 |
| Provider Name | Laura M Doherty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629123435 PECOS PAC ID: 2062578073 Enrollment ID: I20090226000576 |
| Provider Name | Michelle L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184601841 PECOS PAC ID: 3173689486 Enrollment ID: I20090311000165 |
| Provider Name | Jennifer T Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306812854 PECOS PAC ID: 2365469186 Enrollment ID: I20090325000571 |
| Provider Name | Christopher L Marquart |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790728798 PECOS PAC ID: 1153488499 Enrollment ID: I20090428000299 |
| Provider Name | Kristi J Laninga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215148879 PECOS PAC ID: 2769530732 Enrollment ID: I20090430000321 |
| Provider Name | Mansour A Yacoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689600827 PECOS PAC ID: 2668522418 Enrollment ID: I20090616000755 |
| Provider Name | Terence A Hambleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306901632 PECOS PAC ID: 4688727977 Enrollment ID: I20090804000518 |
| Provider Name | Kelly S Wiersema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902023575 PECOS PAC ID: 3678627437 Enrollment ID: I20090813000700 |
| Provider Name | Muhammad U Farooq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598945156 PECOS PAC ID: 8729132857 Enrollment ID: I20090824000545 |
| Provider Name | Katherine L Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510034 PECOS PAC ID: 3971648122 Enrollment ID: I20100226000793 |
| Provider Name | Sara S Holzgen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215183892 PECOS PAC ID: 2163552431 Enrollment ID: I20100612000037 |
| Provider Name | Jannah H Thompson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104089986 PECOS PAC ID: 6305997867 Enrollment ID: I20100819000637 |
| Provider Name | Rhonda S Little |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467618546 PECOS PAC ID: 9739213042 Enrollment ID: I20100820001119 |
| Provider Name | Stephanie H Sando |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396964169 PECOS PAC ID: 3375677685 Enrollment ID: I20100820001123 |
| Provider Name | Karen D Fujii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083648463 PECOS PAC ID: 9436342482 Enrollment ID: I20101021001433 |
| Provider Name | Janelle Marie Noel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073712642 PECOS PAC ID: 5395923742 Enrollment ID: I20110707000161 |
| Provider Name | Jennifer L Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184911596 PECOS PAC ID: 6507035607 Enrollment ID: I20110805000697 |
| Provider Name | Kristina N Karanec |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053503748 PECOS PAC ID: 3274703418 Enrollment ID: I20110826000276 |
| Provider Name | Joel B Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114147477 PECOS PAC ID: 9032281639 Enrollment ID: I20111219000921 |
| Provider Name | Rickie Lloyd Edgar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275748212 PECOS PAC ID: 3173789872 Enrollment ID: I20120725000172 |
| Provider Name | Andrea M Wolf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508078544 PECOS PAC ID: 5092961268 Enrollment ID: I20120804000083 |
| Provider Name | Margaret A Szarowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649546912 PECOS PAC ID: 8224289764 Enrollment ID: I20121110000111 |
| Provider Name | Monica Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184808263 PECOS PAC ID: 6608012349 Enrollment ID: I20130424000904 |
| Provider Name | Susan D Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649512484 PECOS PAC ID: 3870730161 Enrollment ID: I20130503000456 |
| Provider Name | Sophie Dojacques |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669406542 PECOS PAC ID: 2961477229 Enrollment ID: I20130717000755 |
| Provider Name | Vita R Eizans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679703839 PECOS PAC ID: 5991930372 Enrollment ID: I20131022000392 |
| Provider Name | Mohammad J Poostizadeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417193087 PECOS PAC ID: 4284860693 Enrollment ID: I20131113000663 |
| Provider Name | Mark Thompson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427043454 PECOS PAC ID: 6204875669 Enrollment ID: I20140103001009 |
| Provider Name | Leigh Erica Behring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144532805 PECOS PAC ID: 2769613934 Enrollment ID: I20140730002821 |
| Provider Name | Cyprian Alphius Gardine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659583888 PECOS PAC ID: 3971602327 Enrollment ID: I20140922000342 |
| Provider Name | Aruna V Josyula |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396993788 PECOS PAC ID: 8123276144 Enrollment ID: I20141022001105 |
| Provider Name | Tracy D Slone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104878495 PECOS PAC ID: 5294912408 Enrollment ID: I20141216000269 |
| Provider Name | Alysha Kirkwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063698033 PECOS PAC ID: 4082883178 Enrollment ID: I20141222001461 |
| Provider Name | Archana V Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003078429 PECOS PAC ID: 4082936422 Enrollment ID: I20150317001261 |
| Provider Name | Kathleen R Everitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841677895 PECOS PAC ID: 7810217981 Enrollment ID: I20150514000159 |
| Provider Name | Abbas Ali Jowkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760501662 PECOS PAC ID: 4183725765 Enrollment ID: I20150521000186 |
| Provider Name | Christopher M Goshgarian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821318379 PECOS PAC ID: 2365674959 Enrollment ID: I20150521000209 |
| Provider Name | Claudia D Jarrin Tejada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649583063 PECOS PAC ID: 4486895323 Enrollment ID: I20150522000603 |
| Provider Name | Brandon D Freel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912261694 PECOS PAC ID: 2466764618 Enrollment ID: I20160601001176 |
| Provider Name | Caitlin E Fulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093120594 PECOS PAC ID: 2860783370 Enrollment ID: I20160614000165 |
| Provider Name | Emily Carole Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023374048 PECOS PAC ID: 1052614542 Enrollment ID: I20160816001480 |
| Provider Name | Bryan Michael Pereira |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154391589 PECOS PAC ID: 1951396670 Enrollment ID: I20161012000072 |
| Provider Name | Jason Mcmaster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184990178 PECOS PAC ID: 3678892775 Enrollment ID: I20161114001804 |
| Provider Name | Johnathon T Markus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548521461 PECOS PAC ID: 4082903042 Enrollment ID: I20161115001901 |
| Provider Name | Sara C Kirchhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760914535 PECOS PAC ID: 0446537633 Enrollment ID: I20170425001504 |
| Provider Name | Christopher Carl Cooper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659668895 PECOS PAC ID: 6204070618 Enrollment ID: I20170512000654 |
| Provider Name | Patrick Abraham Pavwoski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073953881 PECOS PAC ID: 4385954577 Enrollment ID: I20170718001604 |
| Provider Name | Katherine Mccormick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093147241 PECOS PAC ID: 6901035872 Enrollment ID: I20170720000836 |
| Provider Name | Lucas Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558604306 PECOS PAC ID: 6103196324 Enrollment ID: I20170720003168 |
| Provider Name | Daniela C Pellegrini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750648945 PECOS PAC ID: 6103049903 Enrollment ID: I20170721001179 |
| Provider Name | Katherine E Betcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164862033 PECOS PAC ID: 3375774748 Enrollment ID: I20170804001341 |
| Provider Name | Laura J Hickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881116457 PECOS PAC ID: 0042581845 Enrollment ID: I20170811001000 |
| Provider Name | Josephine E Spitzley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659719060 PECOS PAC ID: 4880967504 Enrollment ID: I20170831001646 |
| Provider Name | Elizabeth A Hess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467709345 PECOS PAC ID: 2466727268 Enrollment ID: I20171004001878 |
| Provider Name | Benjamin John Borton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740799451 PECOS PAC ID: 6406122571 Enrollment ID: I20171018001315 |
| Provider Name | Caitlin M Brazda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225474174 PECOS PAC ID: 3173899127 Enrollment ID: I20171019001533 |
| Provider Name | Sara Beth Grevers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780183699 PECOS PAC ID: 6800157348 Enrollment ID: I20180226002665 |
| Provider Name | Sunil J Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124065305 PECOS PAC ID: 8325146343 Enrollment ID: I20180321001906 |
| Provider Name | Lyndsay April Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548763915 PECOS PAC ID: 9638432669 Enrollment ID: I20180404001626 |
| Provider Name | Audrey Kay Sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518377746 PECOS PAC ID: 7315232048 Enrollment ID: I20180710000860 |
| Provider Name | Rebecca Smith Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598101115 PECOS PAC ID: 4385884543 Enrollment ID: I20180711002329 |
| Provider Name | Michael Wayne Kinning |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184006611 PECOS PAC ID: 0446552046 Enrollment ID: I20180724003998 |
| Provider Name | Amanda P Poisson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720444391 PECOS PAC ID: 5991053597 Enrollment ID: I20180730001008 |
| Provider Name | Lindsey Kathryn Weesies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780169367 PECOS PAC ID: 7012251754 Enrollment ID: I20181206000621 |
| Provider Name | Nicole Steffen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639560204 PECOS PAC ID: 6608116983 Enrollment ID: I20190325000148 |
| Provider Name | Glen D Vanderschaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225596968 PECOS PAC ID: 8820330392 Enrollment ID: I20190502001196 |
| Provider Name | Amanda R Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861874190 PECOS PAC ID: 8426383407 Enrollment ID: I20190712001768 |
| Provider Name | Shelby I Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578030334 PECOS PAC ID: 4981930146 Enrollment ID: I20190725000792 |
| Provider Name | Jennifer M Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306223284 PECOS PAC ID: 1759618093 Enrollment ID: I20190809001177 |
| Provider Name | Julie L Yam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891131959 PECOS PAC ID: 5294065496 Enrollment ID: I20191002000923 |
| Provider Name | Suzanne Marie Galloway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033319181 PECOS PAC ID: 9133308703 Enrollment ID: I20191213001930 |
| Provider Name | Tara Marie Steketee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225677990 PECOS PAC ID: 4183059348 Enrollment ID: I20200115002584 |
| Provider Name | Michelle Renee Vugteveen Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245364744 PECOS PAC ID: 2365432135 Enrollment ID: I20200227001304 |
| Provider Name | Elizabeth Joy Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790248250 PECOS PAC ID: 0749619062 Enrollment ID: I20200407001722 |
| Provider Name | Terry Liane Gardiner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1790103737 PECOS PAC ID: 2961757646 Enrollment ID: I20200617002874 |
| Provider Name | Hussam Shaker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861807315 PECOS PAC ID: 2860618626 Enrollment ID: I20200708001160 |
| Provider Name | Anita Olga Bell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326494907 PECOS PAC ID: 3173947439 Enrollment ID: I20200720001190 |
| Provider Name | Matthew P Chadwick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285081067 PECOS PAC ID: 9335436187 Enrollment ID: I20200925001920 |
| Provider Name | Heather Roossinck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902342298 PECOS PAC ID: 5294155099 Enrollment ID: I20201016000680 |
| Provider Name | Anita Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740643196 PECOS PAC ID: 8123312725 Enrollment ID: I20210714000152 |
| Provider Name | Meredith Anne Heinlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033792197 PECOS PAC ID: 5698165025 Enrollment ID: I20211129002231 |
| Provider Name | Jennifer J Droski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013444868 PECOS PAC ID: 5496142358 Enrollment ID: I20220422000937 |
| Provider Name | Daniel J Denooyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932509726 PECOS PAC ID: 0446647317 Enrollment ID: I20220422001151 |
| Provider Name | Laura B Dewit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679214233 PECOS PAC ID: 5395132211 Enrollment ID: I20220425000447 |
| Provider Name | Teresa M Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073885901 PECOS PAC ID: 1759778582 Enrollment ID: I20220426002856 |
| Provider Name | Katherine Dale Kirby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528559085 PECOS PAC ID: 6002297652 Enrollment ID: I20220714000557 |
| Provider Name | Caitlin Blackmer Sturr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437891900 PECOS PAC ID: 7214318047 Enrollment ID: I20220725002881 |
| Provider Name | Shelby L Vanhouten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942830963 PECOS PAC ID: 8921483116 Enrollment ID: I20220926000195 |
| Provider Name | Agnes A Bacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457020810 PECOS PAC ID: 7113395740 Enrollment ID: I20221201001945 |
| Provider Name | Carleen M Riley-mercado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427646983 PECOS PAC ID: 6305215518 Enrollment ID: I20221210000056 |
| Provider Name | Valerie Marie Fritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740989284 PECOS PAC ID: 6204200918 Enrollment ID: I20230321000628 |
| Provider Name | Robert M Lynagh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477814648 PECOS PAC ID: 6002163664 Enrollment ID: I20230328001477 |
| Provider Name | Kendra K Vander Sluis-kallemeyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548952039 PECOS PAC ID: 0446618763 Enrollment ID: I20230620000361 |
| Provider Name | Desiree D Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134764228 PECOS PAC ID: 6204294150 Enrollment ID: I20230625000101 |
| Provider Name | Jonathan S Shaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356672794 PECOS PAC ID: 7214291079 Enrollment ID: I20230830001808 |
| Provider Name | Sudha Penumala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437635984 PECOS PAC ID: 4486907508 Enrollment ID: I20230901003485 |
| Provider Name | Paul Filip Ziedins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114311321 PECOS PAC ID: 1951764117 Enrollment ID: I20230906000517 |
| Provider Name | Bryn Joelle Pape |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558855544 PECOS PAC ID: 4082080296 Enrollment ID: I20231002002494 |
| Provider Name | Megan Marie Michelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811697758 PECOS PAC ID: 6800243767 Enrollment ID: I20231114003019 |
| Provider Name | Timothy Jon Buning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851617708 PECOS PAC ID: 2567810849 Enrollment ID: I20231127002714 |
| Provider Name | Shanon Marie Tuter-spitzley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891008074 PECOS PAC ID: 2769799501 Enrollment ID: I20240105001768 |
| Provider Name | Taylor Renae Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255992806 PECOS PAC ID: 8426490525 Enrollment ID: I20240521002023 |
Hackley Community Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Laketon Ave Ste A, Muskegon, MI 49441 Phone: 231-737-1335 | |
Hackley Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5969 Harvey St, Muskegon, MI 49444 Phone: 231-798-1662 Fax: 231-798-8262 | |
Mercy Physician Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2006 Holton Rd, Muskegon, MI 49445 Phone: 231-672-3333 | |
Hpcn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 W Norton Ave, Muskegon, MI 49441 Phone: 231-737-2194 Fax: 231-737-4524 | |
Hackley Hosp Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-728-5667 Fax: 231-728-5954 | |
Oakridge Lower Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Park St Ste A, Muskegon, MI 49442 Phone: 231-788-7600 | |
Trinity Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1560 E Sherman Blvd Ste 250, Muskegon, MI 49444 Phone: 231-675-8145 Fax: 231-672-6179 |