Randall Cammenga (NPI# 1154321107, PAC ID# 0345255626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1154321107 |
| PAC ID by PECOS | 0345255626 |
| Professional Enrollment ID | I20060207000845 |
| Full Name | Randall Cammenga |
| Organization Legal Name | CLEANSLATE MEDICAL GROUP OF INDIANA LLC |
| Address |
1004 Pkwy Ave Elkhart IN 46516-9348 |
| Phone Number | 5742187131 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4880963909 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1004 Pkwy Ave, Elkhart, IN 46516-9348 | 5742187131 | CLEANSLATE MEDICAL GROUP OF INDIANA LLC |
| Organization Legal Name | CLEANSLATE MEDICAL GROUP OF INDIANA LLC |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa G Collier | Pediatric Medicine | Cleanslate Medical Group of Indiana LLC | 65 Airport Pkwy, Suite 114, Greenwood, IN 46143-1439 |
| Kathy Ann Ehler | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 3728 S Reed Rd, Kokomo, IN 46902-3829 |
| Nora C Wilcox | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 1725 N Meridian St, Indianapolis, IN 46202-1403 |
| Alison Arnold | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 101 N Harrison St, Alexandria, IN 46001-2017 |
| Kumpol Dennison | General Surgery | Cleanslate Medical Group of Indiana LLC | 3005 E State Blvd, Cleanslate Medical Group of Indiana, Fort Wayne, IN 46805-4736 |
| Jessica R Bleyle | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 4925 S Scatterfield Rd, Cleanslate Medical Group of Indiana, Anderson, IN 46013-2911 |
| Kalee M Dunkle | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 30 Professional Ct, Suite 2, Lafayette, IN 47905-5129 |
| Donna C Robinson | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 811 Northgate Blvd, New Albany, IN 47150-6419 |
| Ashley L Grumbine | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 8645 Connecticut St, Merrillville, IN 46410-6222 |
| Jack R Lowe | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 2455 E Main St, Suite 194, Plainfield, IN 46168-2715 |
| Street Address |
1004 PKWY AVE |
| City | ELKHART |
| State | IN |
| Zip | 46516-9348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam D Simpson | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Jason L Ford | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| William A Jones | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Rodrigo Garcia | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Breann M Kutzer Mcmanus | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Marlene Dee Ford | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Reed Stockman | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Nichole Mcdowell | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Woo C Park | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| William J Granger Iv | Anesthesiology | Great Lakes Anesthesia PC | 1004 Pkwy Ave, Suite A, Elkhart, IN 46516-9349 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Mirante | Clinical Social Worker | 126 W Lexington Ave, Elkhart, IN 46516-3161 | |
| Jeffery A Mark | General Surgery | 515 S 2nd St, Elkhart, IN 46516-3224 | |
| James B Harris | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Peter M Carney | Neurosurgery | 244 Waterfall Dr, Elkhart, IN 46516-3668 | |
| Christina O Barnes | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Barbara Stitt | Nurse Practitioner | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Lorraine D Swartzentruber | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Essam A Montasir | Internal Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Kenneth S Bethel | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Mary P Mcmanmon | Family Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Find all physicians in zip 46516 | |||
| City | ELKHART |
| Zip Code | 46516 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ELKHART + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Randall Cammenga.
| 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.