| Saint Mary's Health Services | |
|
200 Jefferson Ave Se Grand Rapids MI 49503-4502 | |
| (616) 776-0682 | |
| (616) 685-1846 |
| Full Name | Saint Mary's Health Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Jefferson Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Susan Lockard (SR REVENUE MANAGEMENT ANALYST) |
| Authorized Official Contact | 7343430282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Mary's Health Services 1900 44th St Se Kentwood MI 49508-5008 Ph: () - | Saint Mary's Health Services 200 Jefferson Ave Se Grand Rapids MI 49503-4502 Ph: (616) 776-0682 |
| NPI Number | 1063917425 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Medicare PECOS PAC ID | 4981500436 |
|---|---|
| Medicare Enrollment ID | O20180511000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063917425 | NPI | - | NPPES |
| Provider Name | Mark R Boelkins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942396437 PECOS PAC ID: 8224924402 Enrollment ID: I20040226000136 |
| Provider Name | Kelly A O'sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750332474 PECOS PAC ID: 1052392305 Enrollment ID: I20040525000344 |
| Provider Name | Troy D Silvernale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699855908 PECOS PAC ID: 8921089715 Enrollment ID: I20040527000374 |
| Provider Name | Jayne E Courts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518931500 PECOS PAC ID: 4486630241 Enrollment ID: I20040624000948 |
| Provider Name | Daniel J Legault |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649204892 PECOS PAC ID: 3870564107 Enrollment ID: I20040802001075 |
| Provider Name | Steven J Dupuis |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518906130 PECOS PAC ID: 2769422971 Enrollment ID: I20050506000531 |
| Provider Name | Robert George Riekse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225081672 PECOS PAC ID: 6507800323 Enrollment ID: I20050613001293 |
| Provider Name | Erik W Kooyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700830684 PECOS PAC ID: 0345146726 Enrollment ID: I20050822000739 |
| Provider Name | Shannon K English |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609820711 PECOS PAC ID: 1557335932 Enrollment ID: I20060126000800 |
| Provider Name | James P Passinault |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225081490 PECOS PAC ID: 6406859347 Enrollment ID: I20060816000098 |
| Provider Name | Ronald Duemler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524284 PECOS PAC ID: 0143224964 Enrollment ID: I20060911000358 |
| Provider Name | Bradley L Hubbard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881663367 PECOS PAC ID: 6305758046 Enrollment ID: I20080513000774 |
| Provider Name | Raymond J Jaglowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538192935 PECOS PAC ID: 9537217260 Enrollment ID: I20090506000237 |
| Provider Name | Patrick J Fitzgibbon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902025760 PECOS PAC ID: 6406909498 Enrollment ID: I20090810000293 |
| Provider Name | Elizabeth L Neubig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043263544 PECOS PAC ID: 2567595887 Enrollment ID: I20100806000014 |
| Provider Name | Glenes J Hamersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841242898 PECOS PAC ID: 6305039983 Enrollment ID: I20101015000673 |
| Provider Name | Joanne L Jepsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063742518 PECOS PAC ID: 6406041516 Enrollment ID: I20101115001310 |
| Provider Name | Carlos Weiss |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609880616 PECOS PAC ID: 4385642024 Enrollment ID: I20101228000573 |
| Provider Name | Michael J Post |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841307154 PECOS PAC ID: 0244246411 Enrollment ID: I20110215001090 |
| Provider Name | Keith Vanoosterhout |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851329957 PECOS PAC ID: 4587748223 Enrollment ID: I20110225000847 |
| Provider Name | Saurabh K Goel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760678221 PECOS PAC ID: 7012189079 Enrollment ID: I20120914000705 |
| Provider Name | Mary Jo Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427303452 PECOS PAC ID: 0941453674 Enrollment ID: I20130109000207 |
| Provider Name | Ronald M Hofmann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295701209 PECOS PAC ID: 9032127279 Enrollment ID: I20130801000250 |
| Provider Name | Janice L Walcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669414645 PECOS PAC ID: 6305071614 Enrollment ID: I20131022001644 |
| Provider Name | Kristine Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841628690 PECOS PAC ID: 3678701232 Enrollment ID: I20140107000059 |
| Provider Name | Afriyie Makel Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477842904 PECOS PAC ID: 6305069519 Enrollment ID: I20140515001201 |
| Provider Name | Stephanie D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417208463 PECOS PAC ID: 8628220092 Enrollment ID: I20140915002331 |
| Provider Name | Sarah M Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346644861 PECOS PAC ID: 5496077174 Enrollment ID: I20141208001873 |
| Provider Name | Emily Joy Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588064638 PECOS PAC ID: 8325364029 Enrollment ID: I20150223001393 |
| Provider Name | Grace Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336531607 PECOS PAC ID: 9234457813 Enrollment ID: I20150410000602 |
| Provider Name | Alison Aubry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538536966 PECOS PAC ID: 6103133772 Enrollment ID: I20150915000200 |
| Provider Name | Kate Holtze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316264096 PECOS PAC ID: 9335438464 Enrollment ID: I20160512002422 |
| Provider Name | Kimberly Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902258627 PECOS PAC ID: 7315231016 Enrollment ID: I20160803001005 |
| Provider Name | Lara Mae Dengerink-vantil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679023501 PECOS PAC ID: 3971879875 Enrollment ID: I20171020000961 |
| Provider Name | Ishrat Jahan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1982976247 PECOS PAC ID: 3476818816 Enrollment ID: I20180605002838 |
| Provider Name | Sara Karnib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952741514 PECOS PAC ID: 4385875780 Enrollment ID: I20190710002223 |
| Provider Name | Joel David Stracke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558624189 PECOS PAC ID: 1153564943 Enrollment ID: I20190830000208 |
| Provider Name | Gabriella Keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821673492 PECOS PAC ID: 1153738711 Enrollment ID: I20210325002575 |
| Provider Name | Rehan Ansari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174987184 PECOS PAC ID: 3375838782 Enrollment ID: I20220711000833 |
| Provider Name | Muhammad Shoaib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619540622 PECOS PAC ID: 2961849211 Enrollment ID: I20240321002394 |
Gastroenterology Specialist Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 | |
Mfb Professional Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 Phone: 616-233-3480 Fax: 616-233-3481 | |
American Current Care Of Michigan Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544 Phone: 616-785-2619 Fax: 616-785-2623 | |
Patient One Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 28th St Se, Grand Rapids, MI 49508 Phone: 616-323-3999 Fax: 616-552-1618 | |
Elite Health, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Fulton St E, Suite A, Grand Rapids, MI 49503 Phone: 616-644-1423 Fax: 616-773-1291 | |
Cherry Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 | |
Dr Asif Azeem Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546 Phone: 616-942-6230 Fax: 616-942-6270 |