Kolton Brusveen (NPI# 1790136828, PAC ID# 0143566356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1790136828 |
| PAC ID by PECOS | 0143566356 |
| Professional Enrollment ID | I20190109001381 |
| Full Name | Kolton Brusveen |
| Organization Legal Name | LAKE MICHIGAN EMERGENCY SPECIALISTS |
| Address |
72 S State St Lakeshore Campus Shelby MI 49455-1228 |
| Phone Number | 2317284601 |
| Gender | M |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0749569242 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231320 | MERCY HEALTH LAKESHORE CAMPUS |
| 231312 | SHERIDAN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 6163916220 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 2332 Alpine Ave Nw, Shmg Diabetes Education (alpine), Grand Rapids, MI 49544-1955 | 6162678950 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 2332 Alpine Nw Ave, Grand Rapids, MI 49544-1955 | 6163916236 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | SPECTRUM HEALTH PRIMARY CARE PARTNERS | |
| 2750 E Beltline Ave Ne Fl, Grand Rapids, MI 49525-8614 | SPECTRUM HEALTH PRIMARY CARE PARTNERS | |
| 6105 Wilson Ave Sw, Suite 202, Grandville, MI 49418-9714 | 6164865299 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 4444 Kalamazoo Ave Se, 200 Shmg Internal Medicine, Kentwood, MI 49508-4600 | 6163915600 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 | 2317284601 | LAKE MICHIGAN EMERGENCY SPECIALISTS |
| 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | SPECTRUM HEALTH PRIMARY CARE PARTNERS | |
| 6105 Wilson Ave Sw 2nd Fl, Shmg Diabetes Education Wyoming, Wyoming, MI 49418-9714 | 6162678950 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Organization Legal Name | LAKE MICHIGAN EMERGENCY SPECIALISTS |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Mcmanus | Emergency Medicine | Lake Michigan Emergency Specialists | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Andrew J Schrotenboer | Emergency Medicine | Lake Michigan Emergency Specialists | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Tiffany M Abrahamian | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Tanner Eric Davis | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Peter G Kamhout | Emergency Medicine | Lake Michigan Emergency Specialists | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Amy Bishop | Emergency Medicine | Lake Michigan Emergency Specialists | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Justin Edward Grill | Emergency Medicine | Lake Michigan Emergency Specialists | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Bryan R Eadie | Emergency Medicine | Lake Michigan Emergency Specialists | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Joseph A Betcher | Emergency Medicine | Lake Michigan Emergency Specialists | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Ross Keesling | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Street Address |
72 S STATE ST LAKESHORE CAMPUS |
| City | SHELBY |
| State | MI |
| Zip | 49455-1228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Strainer | Diagnostic Radiology | Radiology Muskegon, PC | 72 S State St, Mhp Lakeshore Campus Radiology, Shelby, MI 49452-1228 |
| Tiffany M Abrahamian | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Tanner Eric Davis | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Ross Keesling | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Elissa M Boggs | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Scott A Hooker | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Christopher L Towns | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Timothy J Cook | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Kyle Andrew Markel | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Steven William Van Rees | Emergency Medicine | Lake Michigan Emergency Specialists | 72 S State St, Lakeshore Campus, Shelby, MI 49455-1228 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loren S Reed | General Surgery | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Constance W Strbich | Family Practice | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Brent M Johnson | Physician Assistant | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Elizabeth A Tree-levasseur | Family Practice | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Julie A Shellhouse | Family Practice | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Rudy C Ochs | Emergency Medicine | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Matthew J Roberge | Family Practice | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Paul Anthony Wagner | Emergency Medicine | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Susan K Radtke | Nurse Practitioner | Mercy Health Partners | 71 Bevier St, Shelby, MI 49455-1209 |
| Joseph Elmer Morse | Optometry | 24 S Michigan Ave, Shelby, MI 49455-1226 | |
| Find all physicians in zip 49455 | |||
| City | SHELBY |
| Zip Code | 49455 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SHELBY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kolton Brusveen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.