Corewell Health Pennock Hospital Professional | |
1009 W Green St Hastings MI 49058-1710 | |
(269) 945-3451 | |
(269) 948-3117 |
Full Name | Corewell Health Pennock Hospital Professional |
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Speciality | Family Medicine |
Location | 1009 W Green St, Hastings, Michigan |
Authorized Official Name and Position | Ryan Catignani (VP, PROVIDER SERVICES) |
Authorized Official Contact | 9475220008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Corewell Health Pennock Hospital Professional 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Pennock Hospital Professional 1009 W Green St Hastings MI 49058-1710 Ph: (269) 945-3451 |
NPI Number | 1518186295 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/24/2023 |
Medicare PECOS PAC ID | 4587551015 |
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Medicare Enrollment ID | O20040301000595 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518186295 | NPI | - | NPPES |
Provider Name | Eric S Leep |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1205872959 PECOS PAC ID: 4385530203 Enrollment ID: I20040226000330 |
Provider Name | Nancy Lynn Herta |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578519823 PECOS PAC ID: 7012973506 Enrollment ID: I20041207000199 |
Provider Name | Jeffrey J Dood |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1174513865 PECOS PAC ID: 2062465842 Enrollment ID: I20050222000580 |
Provider Name | Jusith Anas Amparo |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1790869329 PECOS PAC ID: 7315990405 Enrollment ID: I20050301000602 |
Provider Name | Douglas Smendik |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487605531 PECOS PAC ID: 2961399407 Enrollment ID: I20050303000331 |
Provider Name | Dawn D Dewitt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1003914854 PECOS PAC ID: 4688628449 Enrollment ID: I20050304000513 |
Provider Name | Jonathan P Windeler |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1306890850 PECOS PAC ID: 7719931583 Enrollment ID: I20050304000644 |
Provider Name | Jin B Jyung |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1780636852 PECOS PAC ID: 6608816202 Enrollment ID: I20050503000997 |
Provider Name | Laurie S Braker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073624573 PECOS PAC ID: 0648216655 Enrollment ID: I20050629001225 |
Provider Name | Ian H Fox |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295743920 PECOS PAC ID: 8921021999 Enrollment ID: I20060105000651 |
Provider Name | Leigh G Seamon |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1821147422 PECOS PAC ID: 8123035789 Enrollment ID: I20060307000773 |
Provider Name | Anas Aljanadi |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1790727360 PECOS PAC ID: 3577572171 Enrollment ID: I20060410000509 |
Provider Name | Anne Tyson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447472915 PECOS PAC ID: 0648280495 Enrollment ID: I20060425000312 |
Provider Name | Kathleen J Yost |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1780685149 PECOS PAC ID: 6406866987 Enrollment ID: I20060427000632 |
Provider Name | Heather Marie Adams |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1083692255 PECOS PAC ID: 7012911050 Enrollment ID: I20060906000499 |
Provider Name | Jennifer L Dykstra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497700868 PECOS PAC ID: 7315942588 Enrollment ID: I20060921000217 |
Provider Name | Andrew M Parsons |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1649295031 PECOS PAC ID: 4789680042 Enrollment ID: I20061010000051 |
Provider Name | David J Dargis |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437130499 PECOS PAC ID: 2264324706 Enrollment ID: I20070115000239 |
Provider Name | Rebecca A Collaer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275592750 PECOS PAC ID: 1759474430 Enrollment ID: I20070911000852 |
Provider Name | Lana K Gagin |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1669693487 PECOS PAC ID: 6305931353 Enrollment ID: I20071005000024 |
Provider Name | Johannie M Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467437384 PECOS PAC ID: 5395700868 Enrollment ID: I20080604000689 |
Provider Name | Kenneth D Minks |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1235129875 PECOS PAC ID: 5890751556 Enrollment ID: I20080620000096 |
Provider Name | Laura M Doherty |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1629123435 PECOS PAC ID: 2062578073 Enrollment ID: I20090226000576 |
Provider Name | Scott R Steenwyk |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972723591 PECOS PAC ID: 9537215447 Enrollment ID: I20090917000651 |
Provider Name | Lawrence G Foe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689678401 PECOS PAC ID: 6608917166 Enrollment ID: I20100105000736 |
Provider Name | Philip E Henderson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225032709 PECOS PAC ID: 9032244751 Enrollment ID: I20100319000847 |
Provider Name | Mary L Watts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154399186 PECOS PAC ID: 3375670326 Enrollment ID: I20100422000582 |
Provider Name | Matthew R Garber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952412587 PECOS PAC ID: 4486541927 Enrollment ID: I20100518000068 |
Provider Name | Cheryl J Kuz |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1447230107 PECOS PAC ID: 1951426691 Enrollment ID: I20100917000460 |
Provider Name | Karen S Vanderlaan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1447230891 PECOS PAC ID: 2062605603 Enrollment ID: I20101015000183 |
Provider Name | Kristina B Mcclish |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1659595452 PECOS PAC ID: 0941495055 Enrollment ID: I20101115001314 |
Provider Name | Dennis S Vanwormer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336129568 PECOS PAC ID: 2860689973 Enrollment ID: I20101214001305 |
Provider Name | Phillip R Paras |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003016064 PECOS PAC ID: 7810186699 Enrollment ID: I20110110000344 |
Provider Name | Melissa S Bayne |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821216607 PECOS PAC ID: 3375722531 Enrollment ID: I20110120000835 |
Provider Name | Suzanne M West |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1013965052 PECOS PAC ID: 9032125802 Enrollment ID: I20110412000703 |
Provider Name | Cindy Marie Bigler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144543232 PECOS PAC ID: 5395915805 Enrollment ID: I20110818000810 |
Provider Name | Christina L Reisinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093019218 PECOS PAC ID: 8921278284 Enrollment ID: I20110824000933 |
Provider Name | Brigit Kerry Brennan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1679567572 PECOS PAC ID: 3870599137 Enrollment ID: I20110831000699 |
Provider Name | Max D Rappaport |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1366436255 PECOS PAC ID: 1153327416 Enrollment ID: I20110906000632 |
Provider Name | Donald Gingerich |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043311772 PECOS PAC ID: 8921267352 Enrollment ID: I20120305000394 |
Provider Name | Kelly A Conley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013294222 PECOS PAC ID: 8628238268 Enrollment ID: I20120320000156 |
Provider Name | Joni L Erlewein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073888459 PECOS PAC ID: 1951565704 Enrollment ID: I20120607000507 |
Provider Name | Kania G Mcghee |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801058912 PECOS PAC ID: 9931355237 Enrollment ID: I20120801000700 |
Provider Name | Bryan S Kamps |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1144290172 PECOS PAC ID: 5395799209 Enrollment ID: I20120830000624 |
Provider Name | Ruth Ann Bruce |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1134397466 PECOS PAC ID: 4082863246 Enrollment ID: I20121003000159 |
Provider Name | Ruel R Lirio |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679561211 PECOS PAC ID: 9638346646 Enrollment ID: I20121212000537 |
Provider Name | Amy R Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184962672 PECOS PAC ID: 5395981450 Enrollment ID: I20130415000419 |
Provider Name | Abeba M Berhane |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033436761 PECOS PAC ID: 8022251024 Enrollment ID: I20130823000226 |
Provider Name | Paul J Spilotro |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982823159 PECOS PAC ID: 9133363567 Enrollment ID: I20130924000933 |
Provider Name | Andrea S Sterling |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1659509412 PECOS PAC ID: 0244464279 Enrollment ID: I20131007001357 |
Provider Name | Tenille L Schlachter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811327307 PECOS PAC ID: 3072742576 Enrollment ID: I20140203001335 |
Provider Name | Dawn E Gebhart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275974628 PECOS PAC ID: 0446481279 Enrollment ID: I20140320001054 |
Provider Name | Rebecca G Eckert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699055194 PECOS PAC ID: 9931331931 Enrollment ID: I20140404001721 |
Provider Name | Gretchen Lynn Chase-rey |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1750789715 PECOS PAC ID: 7911223375 Enrollment ID: I20150302000626 |
Provider Name | Amy Banks-venegoni |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1235367715 PECOS PAC ID: 8628207149 Enrollment ID: I20150709001314 |
Provider Name | David Colombo |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164487716 PECOS PAC ID: 0042111072 Enrollment ID: I20150729007057 |
Provider Name | Shamelle White |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1073869590 PECOS PAC ID: 7416264643 Enrollment ID: I20150921000308 |
Provider Name | Jimmie D Woodall |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649566076 PECOS PAC ID: 0345479028 Enrollment ID: I20151229000408 |
Provider Name | Mae Zakhour |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1427342294 PECOS PAC ID: 4688816630 Enrollment ID: I20160707000602 |
Provider Name | Manish Kumar Thakur |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1093022386 PECOS PAC ID: 5799925640 Enrollment ID: I20160803000223 |
Provider Name | Muriel Ann Arrowsmith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205382538 PECOS PAC ID: 7315233533 Enrollment ID: I20160914000338 |
Provider Name | Sada M Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154870483 PECOS PAC ID: 1951699602 Enrollment ID: I20161012000781 |
Provider Name | Elizabeth Parker |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1720427412 PECOS PAC ID: 9830329531 Enrollment ID: I20161020000542 |
Provider Name | Leslie Ann Kearfott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962838599 PECOS PAC ID: 7911289624 Enrollment ID: I20170112001682 |
Provider Name | Rueben Adekunle Adegoke |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1134380470 PECOS PAC ID: 5799972592 Enrollment ID: I20170119000259 |
Provider Name | Tami Lynn Pettenger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235676651 PECOS PAC ID: 7113201039 Enrollment ID: I20170221001450 |
Provider Name | Sarah Elizabeth Raden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659807469 PECOS PAC ID: 4486923802 Enrollment ID: I20170628001510 |
Provider Name | Adrienne Renee Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184142556 PECOS PAC ID: 3870868763 Enrollment ID: I20171003004879 |
Provider Name | Kelli Cole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811409303 PECOS PAC ID: 1052677234 Enrollment ID: I20171102003621 |
Provider Name | Meagan N Viel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811415136 PECOS PAC ID: 2365708575 Enrollment ID: I20171103001223 |
Provider Name | Bethany Eriksen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881108207 PECOS PAC ID: 1850658931 Enrollment ID: I20171128000517 |
Provider Name | Jamie Meyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043692932 PECOS PAC ID: 6507151537 Enrollment ID: I20171207000762 |
Provider Name | Nichole Anne Bundschuh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568973345 PECOS PAC ID: 9537427554 Enrollment ID: I20171221001328 |
Provider Name | Eryn Hart Dutta |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1184808651 PECOS PAC ID: 3072557388 Enrollment ID: I20180222000528 |
Provider Name | Andrew Ellis Kingsbury |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881193639 PECOS PAC ID: 8325300213 Enrollment ID: I20180312001488 |
Provider Name | Jaime Nicole Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851899959 PECOS PAC ID: 3173885829 Enrollment ID: I20180319000484 |
Provider Name | Christina M Snyder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144720939 PECOS PAC ID: 5395008841 Enrollment ID: I20180413001992 |
Provider Name | Serena Kay Knoop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144627142 PECOS PAC ID: 8729338108 Enrollment ID: I20180905002735 |
Provider Name | Kirsten Anne Phillips |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831501279 PECOS PAC ID: 2163772302 Enrollment ID: I20180907002748 |
Provider Name | Carrie Elizabeth Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861988180 PECOS PAC ID: 4981955481 Enrollment ID: I20180921002925 |
Provider Name | Jamie Gothberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235605833 PECOS PAC ID: 8325382419 Enrollment ID: I20181129003346 |
Provider Name | Leah Carpenter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194297077 PECOS PAC ID: 1456697796 Enrollment ID: I20190108002332 |
Provider Name | Vanessa Rae Smitko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003387655 PECOS PAC ID: 7416293139 Enrollment ID: I20190116002282 |
Provider Name | Emily Thrower |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1164994976 PECOS PAC ID: 7719224971 Enrollment ID: I20190125000193 |
Provider Name | Carey Sue Groendal |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1306310313 PECOS PAC ID: 1759622137 Enrollment ID: I20190411002642 |
Provider Name | Danielle M Zageris |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457733644 PECOS PAC ID: 6002142072 Enrollment ID: I20190729002677 |
Provider Name | Jane Sielski Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992244974 PECOS PAC ID: 1658648944 Enrollment ID: I20190815002960 |
Provider Name | Wendy A Hunting |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205486156 PECOS PAC ID: 2264762590 Enrollment ID: I20190928000144 |
Provider Name | Darla Ann Lagorse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164072773 PECOS PAC ID: 0042643710 Enrollment ID: I20191211000528 |
Provider Name | Christopher E Hummel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1396985206 PECOS PAC ID: 0143468587 Enrollment ID: I20200212002292 |
Provider Name | Emily R Bromley Castaneda |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558712232 PECOS PAC ID: 1658664453 Enrollment ID: I20200609002857 |
Provider Name | Adam Fredrick Sawyer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1639605389 PECOS PAC ID: 4082943477 Enrollment ID: I20200624002395 |
Provider Name | Cory Minier Schmidt |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003336595 PECOS PAC ID: 4486924990 Enrollment ID: I20200720003649 |
Provider Name | Geoffrey L Scott |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275952905 PECOS PAC ID: 4981906153 Enrollment ID: I20200721001908 |
Provider Name | Stephen Peter Duquette |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1538507025 PECOS PAC ID: 0749424695 Enrollment ID: I20200806003156 |
Provider Name | Derek Paul Axibal |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598183196 PECOS PAC ID: 4880916493 Enrollment ID: I20200807002067 |
Provider Name | Kayla Andres |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992155824 PECOS PAC ID: 1759675697 Enrollment ID: I20200828000306 |
Provider Name | Mohammad Mahmoud Hasan Alhyari |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1346554912 PECOS PAC ID: 7113150111 Enrollment ID: I20201013002066 |
Provider Name | Bettina L Jones |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1467050880 PECOS PAC ID: 6002226347 Enrollment ID: I20201028000219 |
Provider Name | Devon Kruger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619578234 PECOS PAC ID: 2961813100 Enrollment ID: I20201119002038 |
Provider Name | Shelby Nadeau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881282895 PECOS PAC ID: 7315351921 Enrollment ID: I20210121003097 |
Provider Name | Gregory Matthew Gressel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972895092 PECOS PAC ID: 0941564512 Enrollment ID: I20210224001050 |
Provider Name | Stephen Rich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508458399 PECOS PAC ID: 0042626723 Enrollment ID: I20210303002459 |
Provider Name | Brianna Alexis Eisaman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760973267 PECOS PAC ID: 8426467119 Enrollment ID: I20210510002231 |
Provider Name | Yelena Davis |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851812929 PECOS PAC ID: 7618247149 Enrollment ID: I20210607001748 |
Provider Name | Erin Decloux |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083135164 PECOS PAC ID: 7810267341 Enrollment ID: I20210607002418 |
Provider Name | Carl Jacob Baker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609366491 PECOS PAC ID: 9335471895 Enrollment ID: I20210616001863 |
Provider Name | Molly Blackburn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063886216 PECOS PAC ID: 7517369630 Enrollment ID: I20210713000658 |
Provider Name | Laura Katherine Bevins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043803760 PECOS PAC ID: 2860894508 Enrollment ID: I20210716002279 |
Provider Name | Ashleigh Roy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144815200 PECOS PAC ID: 4284038258 Enrollment ID: I20210812002895 |
Provider Name | Sarah Hop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003303546 PECOS PAC ID: 1951706746 Enrollment ID: I20210817001473 |
Provider Name | Natasha Victoria Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245803568 PECOS PAC ID: 8426453226 Enrollment ID: I20210817001871 |
Provider Name | Mary E Gilchrist |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073275228 PECOS PAC ID: 2264821735 Enrollment ID: I20211123001056 |
Provider Name | Kelsee Danae Tharp |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1265199384 PECOS PAC ID: 3779973318 Enrollment ID: I20211214001213 |
Provider Name | Emerson Albert Lim |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1407030307 PECOS PAC ID: 4082895883 Enrollment ID: I20211229002017 |
Provider Name | Jennifer Lyn Jeffries |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962992958 PECOS PAC ID: 8527459494 Enrollment ID: I20220104000260 |
Provider Name | Jessica Yates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003575937 PECOS PAC ID: 9638560493 Enrollment ID: I20220105001322 |
Provider Name | Mallory Christine Layman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558959429 PECOS PAC ID: 3971995606 Enrollment ID: I20220110000777 |
Provider Name | Matthew Michael Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851051163 PECOS PAC ID: 8921491697 Enrollment ID: I20220202001649 |
Provider Name | Annelise Claerr Gauthier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740933886 PECOS PAC ID: 4688067663 Enrollment ID: I20220216000183 |
Provider Name | George T Contos |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376075770 PECOS PAC ID: 5698043974 Enrollment ID: I20220218001780 |
Provider Name | Nora Mae Mccord |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952065492 PECOS PAC ID: 8729473665 Enrollment ID: I20220311001402 |
Provider Name | Nicole Elizabeth Richie |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1801541222 PECOS PAC ID: 7214314053 Enrollment ID: I20220516002580 |
Provider Name | Lauren Beghtol |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1932694320 PECOS PAC ID: 5193074284 Enrollment ID: I20220611000324 |
Provider Name | Joshua Knudson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588155030 PECOS PAC ID: 2860757226 Enrollment ID: I20220623003344 |
Provider Name | Paula Beck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932873015 PECOS PAC ID: 1951782481 Enrollment ID: I20220714003955 |
Provider Name | Zeyad Sako |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1588016448 PECOS PAC ID: 9931495165 Enrollment ID: I20220728001953 |
Provider Name | Ariell Kolibas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528658440 PECOS PAC ID: 7911389044 Enrollment ID: I20220805000220 |
Provider Name | Erin Lynn Julian |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659743722 PECOS PAC ID: 8325424807 Enrollment ID: I20221006002353 |
Provider Name | Stacy Lynn Hansen-goodell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689394660 PECOS PAC ID: 5890164230 Enrollment ID: I20221207001926 |
Provider Name | Amanda Whitney Bowman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790202307 PECOS PAC ID: 9931578234 Enrollment ID: I20221208001031 |
Provider Name | Kristi Huisinga Vito |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1770960098 PECOS PAC ID: 6608182100 Enrollment ID: I20230110002970 |
Provider Name | Lama Kholoud Khalek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063112324 PECOS PAC ID: 1850766791 Enrollment ID: I20230407000320 |
Provider Name | Grace Colson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003487224 PECOS PAC ID: 7113323379 Enrollment ID: I20230522003153 |
Provider Name | Michelle Renae Nicewander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407545049 PECOS PAC ID: 6608234778 Enrollment ID: I20230621003349 |
Provider Name | Gregory Dane Fritz |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437644655 PECOS PAC ID: 6305190737 Enrollment ID: I20230725001463 |
Provider Name | Zachary Aaron Pounders |
---|---|
Provider Type | Practitioner - Hematology |
Provider Identifiers | NPI Number: 1841726965 PECOS PAC ID: 5890063887 Enrollment ID: I20230808000549 |
Provider Name | Jamie Molesta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841864451 PECOS PAC ID: 1658735147 Enrollment ID: I20230918000772 |
Provider Name | Yahya A Ibrahim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225562606 PECOS PAC ID: 6103194881 Enrollment ID: I20231027000937 |
Provider Name | Andrea Oster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174207765 PECOS PAC ID: 3274989181 Enrollment ID: I20231030001897 |
Provider Name | Abigail Jean Voss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093596819 PECOS PAC ID: 3678920261 Enrollment ID: I20231102003418 |
Provider Name | Emily Elizabeth Holysz |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1215793054 PECOS PAC ID: 4385080621 Enrollment ID: I20240309000117 |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-945-8080 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Cook Rd, Hastings, MI 49058 Phone: 616-267-7104 | |
James L Weatherhead Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Suite G100, Hastings, MI 49058 Phone: 269-948-7820 Fax: 269-948-2458 | |
Pennock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St, Hastings, MI 49058 Phone: 269-948-8411 Fax: 269-948-9874 | |
Corewell Health Pennock Hospital Family Medicine - State St Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Thomas M Hoffman, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 S M 37 Hwy Ste 2, Hastings, MI 49058 Phone: 269-945-3401 Fax: 269-945-2760 | |
Pennock Hospital Board Of Trustees Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 W State St, Hastings, MI 49058 Phone: 269-945-8080 |