PENNOCK HOSPITAL (NPI# 1720475023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720475023 |
| Entity Type | Organization |
| Organization Name | PENNOCK HOSPITAL |
| Practice Address |
551 Linn St Allegan MI 49010-1595 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2699459520 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | MICHAEL KING (CONTROLLER) |
| Authorized Official Telephone | 2699483122 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENNOCK HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
551 LINN ST |
| City | ALLEGAN |
| State | MI |
| Zip Code | 49010-1595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081458 | Louis T Praamsma | Family Medicine | 551 Linn St, Allegan, MI 49010-1595 | 2005-05-27 |
| 1265910343 | Ascension Allegan Hospital | Clinic/Center | 551 Linn St, Allegan, MI 49010-1595 | 2018-08-01 |
| 1740797513 | Jamie Jeannette Thorpe | Nurse Practitioner | 551 Linn St, Allegan, MI 49010-1595 | 2018-01-03 |
| 1003353640 | Holland Foot and Ankle Center, PC | Podiatrist | 551 Linn St, Allegan, MI 49010-1595 | 2017-01-20 |
| 1528450525 | Tracy Vanden Bosch | Nurse Practitioner | 551 Linn St, Suite 150, Allegan, MI 49010-1595 | 2015-02-27 |
| 1518385129 | Cassie L Vandervelden | Nurse Practitioner | 551 Linn St, Ste. 150, Allegan, MI 49010-1595 | 2014-04-01 |
| 1073856365 | Steven Michael Squires | Orthopaedic Surgery | 551 Linn St, Suite 220, Allegan, MI 49010-1595 | 2013-04-04 |
| 1902185358 | Kerri Jean Heerspink | Nurse Practitioner | 551 Linn St, Allegan, MI 49010-1595 | 2011-08-16 |
| 1700164720 | Meghan Noud Dopp | Physician Assistant | 551 Linn St, Suite 220, Allegan, MI 49010-1595 | 2011-07-25 |
| 1114227543 | Susan Rood | Social Worker | 551 Linn St, Suite 230, Allegan, MI 49010-1595 | 2010-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384832 | Rachel Wychers | Counselor | 329 Water St, Allegan, MI 49010 | 2019-09-06 |
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1306223359 | John Eagle Jr. | Social Worker | 3283 122nd Ave., Allegan, MI 49010 | 2015-04-29 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1629303680 | Assisted Residential Services | Behavioral Analyst | 845 Stern St, Allegan, MI 49010 | 2009-10-08 |
| 1710109335 | Christopher Michael Childers | Dietitian, Registered | 555 Linn Street, Allegan, MI 49010 | 2007-05-03 |
| 1205972916 | David Joseph Seifferly | Dentist | 425 Cutler Str, Allegan, MI 49010 | 2007-01-29 |
| 1194780304 | Mona Esse Ruse | Chiropractor | 279 Thomas Street, Allegan, MI 49010 | 2006-04-19 |
| 1316928161 | Timothy Dickinson | Family Medicine | 551 Linn Street, Allegan, MI 49010 | 2005-11-09 |
| 1144720186 | Caitlin Mark | Occupational Therapist | 3265 122nd Ave, Allegan, MI 49010 | 2018-02-16 |
| Find all providers in zip 49010 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811146228 | Allegan Surgical Associates PC | Surgery | 551 Linn St, Suite 150, Allegan, MI 49010-1595 | 2008-09-10 |
| 1558342725 | Marcus Blass | Surgery | 551 Linn St, Allegan, MI 49010-1595 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475237 | Dr Dayhim Pllc | Surgery | 12203 Shearwater Cir, Commerce Township, MI 48390-4260 | 2020-07-28 |
| 1922624923 | Dr Anthony Joseph Md Pllc | Surgery | 2330 S Milford Rd Ste 120, Highland, MI 48357-4982 | 2020-06-25 |
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1922623081 | Joon B Kim | Surgery | 1200 Michigan Ave Ste 655, East Lansing, MI 48823-4099 | 2020-06-14 |
| 1932724101 | Alec Jerry Raniwsky | Surgery | 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 | 2020-06-12 |
| 1184245771 | Upper Michigan Associates LLC | Surgery | 1414 W Fair Ave Ste 235, Marquette, MI 49855-5406 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1487275509 | Erika C Michelin | Surgery | 28080 Grand River Ave Ste 208, Farmington Hills, MI 48336-5966 | 2020-04-29 |
| 1063047629 | Suzanne A. Law, D.o., P.C. | Surgery | G4007 W Court St Ste E, Flint, MI 48532-3560 | 2020-03-04 |
| 1801454871 | Dakita Mack | Surgery | 28050 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5919 | 2019-06-04 |
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| 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.