PENNOCK HOSPITAL


Address: 840 Cook Rd, Hastings, MI 49058-9616
Phone: 2699459520

PENNOCK HOSPITAL (NPI# 1629494133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629494133
Entity Type Organization
Organization Name PENNOCK HOSPITAL
Practice Address 840 Cook Rd
Hastings
MI 49058-9616
Mailing Address 100 Michigan St Ne
Mc 845
Grand Rapids
MI 49503-2560
Practice Telephone 2699459520
Enumeration Date 2014-03-07
Last Update Date 2016-04-22
Authorized Official Name DEIDRE WELLER (CONTROLLER)
Authorized Official Telephone 2699451212
Is Organization Subpart Y
Parent Organization Name PENNOCK HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023001146 Pennock Hospital General Acute Care Hospital 1009 W Green St, Hastings, MI 49058-1710 2005-08-24
1932695525 Pennock Hospital General Acute Care Hospital 1009 W Green St, Hastings, MI 49058-1710 2018-07-06
1013453760 Pennock Hospital Clinic/Center 490 Edward St, Middleville, MI 49333-9131 2017-01-18
1689127847 Pennock Hospital Family Medicine 490 Edward St, Middleville, MI 49333-9131 2016-07-24
1326495326 Pennock Hospital Nurse Practitioner 9090 S Rodgers Ct Se, Caledonia, MI 49316-8052 2016-05-19
1205281045 Pennock Hospital Nurse Practitioner 12851 W M 179 Hwy, Wayland, MI 49348-9318 2016-04-29
1396190138 Pennock Hospital Clinic/Center 1108 W State St, Suite 3, Hastings, MI 49058-9711 2016-04-29
1841644184 Pennock Hospital Clinic/Center 1005 W Green St, Suite 301, Hastings, MI 49058-1712 2016-04-22
1801250907 Pennock Hospital Clinic/Center 12851 W M 179 Hwy, Wayland, MI 49348-9318 2016-04-05
1275999286 Pennock Hospital Family Medicine 4294 Laurel Dr, Lake Odessa, MI 48849-8430 2016-01-06

Office Location

Street Address 840 COOK RD
City HASTINGS
State MI
Zip Code 49058-9616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144290172 Bryan Scott Kamps Orthopaedic Surgery 840 Cook Rd, Hastings, MI 49058-9616 2006-01-24
1043851132 Daniel Adam Blasch Physician Assistant 840 Cook Rd, Hastings, MI 49058-9616 2019-10-01
1568855336 Pennock Hospital Durable Medical Equipment & Medical Supplies 840 Cook Rd, Hastings, MI 49058-9616 2015-03-18
1710387295 Norman Davidson Physician Assistant 840 Cook Rd, Hastings, MI 49058-9616 2014-09-03
1598164725 Collin Mario Ludmer Physician Assistant 840 Cook Rd, Hastings, MI 49058-9616 2014-08-13
1598183196 Derek Paul Axibal Orthopaedic Surgery 840 Cook Rd, Hastings, MI 49058-9616 2014-04-01
1235457698 Michael James Youn Physical Therapist 840 Cook Rd, Hastings, MI 49058-9616 2010-05-11
1811197593 Hastings Orthopedic Clinic Durable Medical Equipment & Medical Supplies 840 Cook Rd, Hastings, MI 49058-9616 2007-07-20
1346373065 Hastings Orthopedic Clinic PC Orthopaedic Surgery 840 Cook Rd, Hastings, MI 49058-9616 2007-03-13
1467480152 Kenneth S Merriman II Orthopaedic Surgery 840 Cook Rd, Hastings, MI 49058-9616 2006-06-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760941942 Valerie Joy Gardiner Licensed Practical Nurse 1359 Avon St, Hastings, MI 49058 2019-03-18
1538528633 Forefront Dermatology, S.c. Dermatology 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 2016-02-17
1376936807 Angels On The Go Home Health 959 1/2 Williams Dr., Hastings, MI 49058 2015-03-09
1134524226 Forefront Dermatology, S.c. Dermatology 1005 W. Green Street, Suite 200, Hastings, MI 49058 2014-10-31
1417385493 James Edgar Atkinson Family Medicine 2425 Kathryn Drive, Hastings, MI 49058 2013-10-29
1689006918 Bosley Pharmacy No. 2 Inc Pharmacy 118 S. Jefferson St., Hastings, MI 49058 2013-08-09
1740539345 Kristen Burpee Physical Therapist 535 W. Woodlawn, Hastings, MI 49058 2012-08-29
1932344819 Timothy York Adams Counselor 1100 Willitts Rd, Hastings, MI 49058 2008-12-08
1689820169 Jennifer L Nobert Physician Assistant 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 2008-08-15
1457578072 Sue Ellen Eastman Social Worker 350 Meadow Run Drive, #3, Hastings, MI 49058 2007-04-18
Find all providers in zip 49058

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710928130 Barry A Bohlen Orthopaedic Surgery 2207 Osborne Dr W, Suite 100, Hastings, NE 68901-9112 2006-06-09
1174591275 Jerome J Perra Orthopaedic Surgery 1285 Nininger Rd, Suite 107, Hastings, MN 55033-1086 2006-03-14
1144290172 Bryan Scott Kamps Orthopaedic Surgery 840 Cook Rd, Hastings, MI 49058-9616 2006-01-24
1598183196 Derek Paul Axibal Orthopaedic Surgery 840 Cook Rd, Hastings, MI 49058-9616 2014-04-01
1932321924 Travis B. Stoner Orthopaedic Surgery 2207 Osborne Dr W, Suite 100, Hastings, NE 68901-9112 2007-05-02
1346373065 Hastings Orthopedic Clinic PC Orthopaedic Surgery 840 Cook Rd, Hastings, MI 49058-9616 2007-03-13
1528098340 Brent Hood Orthopaedic Surgery 2207 Osborne Dr W, Suite #100, Hastings, NE 68901-9112 2006-07-04
1467480152 Kenneth S Merriman II Orthopaedic Surgery 840 Cook Rd, Hastings, MI 49058-9616 2006-06-29
1376587824 Gary L. Chingren Orthopaedic Surgery 2207 Osborne Dr W, Suite 100, Hastings, NE 68901-9112 2006-06-15
1003858473 Hastings Orthopaedics & Sports Medicine Specialists PC Orthopaedic Surgery 2207 Osborne Dr W, Suite 100, Hastings, NE 68901-9112 2006-06-12
Find all providers in HASTINGS

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City HASTINGS
Zip Code 49058

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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