| Trinity Health Medical Group | |
|
1560 E Sherman Blvd Ste 250 Muskegon MI 49444-1854 | |
| (231) 675-8145 | |
| (231) 672-6179 |
| Full Name | Trinity Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1560 E Sherman Blvd Ste 250, 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 60677-1847 Ph: (800) 494-5797 | Trinity Health Medical Group 1560 E Sherman Blvd Ste 250 Muskegon MI 49444-1854 Ph: (231) 675-8145 |
| NPI Number | 1124042700 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 3274504105 |
|---|---|
| Medicare Enrollment ID | O20040804000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124042700 | NPI | - | NPPES |
| Provider Name | Guy C Power |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265409429 PECOS PAC ID: 5395639546 Enrollment ID: I20040210000437 |
| Provider Name | Margaret Rabish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336230481 PECOS PAC ID: 3870582141 Enrollment ID: I20040512000691 |
| Provider Name | Min Zhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679513667 PECOS PAC ID: 7012996507 Enrollment ID: I20040719000056 |
| Provider Name | David R Folkmier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871587287 PECOS PAC ID: 7214840438 Enrollment ID: I20040805000525 |
| Provider Name | Thomas James Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992799357 PECOS PAC ID: 8224009212 Enrollment ID: I20040805000563 |
| Provider Name | Theodore J Boeve |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225000912 PECOS PAC ID: 4284696147 Enrollment ID: I20041103000245 |
| Provider Name | Steven W Huder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871585166 PECOS PAC ID: 4082656129 Enrollment ID: I20050610000777 |
| Provider Name | Jeanette Ila Waite |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659554996 PECOS PAC ID: 9739107202 Enrollment ID: I20051103000777 |
| Provider Name | Andrew C Kleaveland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508961384 PECOS PAC ID: 8527162460 Enrollment ID: I20070402000473 |
| Provider Name | Richard S Downey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467409417 PECOS PAC ID: 3476637836 Enrollment ID: I20080222000541 |
| Provider Name | Herman C Sullivan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528008281 PECOS PAC ID: 6608954649 Enrollment ID: I20100305000394 |
| Provider Name | Soumya C Madala |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1043334527 PECOS PAC ID: 8325231590 Enrollment ID: I20101020000466 |
| Provider Name | Joshua Dean Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134421084 PECOS PAC ID: 5890745111 Enrollment ID: I20110401000826 |
| Provider Name | Oktai Mamedov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518152347 PECOS PAC ID: 6608044730 Enrollment ID: I20110715000608 |
| Provider Name | Jennifer L Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184911596 PECOS PAC ID: 6507035607 Enrollment ID: I20110805000697 |
| Provider Name | Sarah E Gunther |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245369016 PECOS PAC ID: 4183892888 Enrollment ID: I20120330000317 |
| Provider Name | Tracey A Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801137229 PECOS PAC ID: 3870738776 Enrollment ID: I20130326000022 |
| Provider Name | Kathryn Rosemary Kleaveland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689837247 PECOS PAC ID: 8729202759 Enrollment ID: I20140613001623 |
| Provider Name | Albert Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710165030 PECOS PAC ID: 6103099957 Enrollment ID: I20141029002460 |
| Provider Name | Farrukh A Siddiqui |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427022052 PECOS PAC ID: 9830146935 Enrollment ID: I20150421000146 |
| Provider Name | Scott Iler Hagedorn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669634788 PECOS PAC ID: 8123283215 Enrollment ID: I20150430000433 |
| Provider Name | Abbas Ali Jowkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760501662 PECOS PAC ID: 4183725765 Enrollment ID: I20150521000186 |
| Provider Name | Mehul Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538321955 PECOS PAC ID: 7719208214 Enrollment ID: I20150609002963 |
| Provider Name | Kristen N Vanhouten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386024701 PECOS PAC ID: 0042525156 Enrollment ID: I20150819007191 |
| Provider Name | Katie M Alfredson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154707743 PECOS PAC ID: 1658672969 Enrollment ID: I20151210000892 |
| Provider Name | Ryan M Bylsma |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205275765 PECOS PAC ID: 9739318296 Enrollment ID: I20160415000969 |
| Provider Name | David R Heger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225200165 PECOS PAC ID: 9931341492 Enrollment ID: I20160727000611 |
| Provider Name | Shinichi Fukuhara |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659682797 PECOS PAC ID: 3971894502 Enrollment ID: I20180306000197 |
| Provider Name | Kendra Bedient Nyhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131363 PECOS PAC ID: 5395097323 Enrollment ID: I20181009001932 |
| Provider Name | Daniel J Dibardino |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1194904334 PECOS PAC ID: 5496926198 Enrollment ID: I20190722000618 |
| Provider Name | Raina Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366698482 PECOS PAC ID: 4385816685 Enrollment ID: I20191003002899 |
| Provider Name | Kok Hoo Lim |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760413272 PECOS PAC ID: 4385556828 Enrollment ID: I20191004001579 |
| Provider Name | Jodi L Jongekryg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851924278 PECOS PAC ID: 8628406683 Enrollment ID: I20200325002207 |
| Provider Name | Eric Christopher Shafer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083804280 PECOS PAC ID: 9739501305 Enrollment ID: I20200629000414 |
| Provider Name | Shelly Bansal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174793111 PECOS PAC ID: 4688801806 Enrollment ID: I20210312001096 |
| Provider Name | Pedro Frank Lucero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942291950 PECOS PAC ID: 4183624554 Enrollment ID: I20220124001098 |
| Provider Name | Zeyad Morcos |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1235115361 PECOS PAC ID: 1456323070 Enrollment ID: I20220826001327 |
| Provider Name | Syed Sohaib Husaini |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386098804 PECOS PAC ID: 8022302629 Enrollment ID: I20221102001208 |
| Provider Name | Conrad Kozlowski |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710479399 PECOS PAC ID: 1355721341 Enrollment ID: I20230426001852 |
| Provider Name | Kara Marie Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487331906 PECOS PAC ID: 9133589864 Enrollment ID: I20230713001232 |
| Provider Name | Samantha E Tallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255909560 PECOS PAC ID: 1254792823 Enrollment ID: I20230728001617 |
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 |