Stephanie E Boring (NPI# 1942398987, PAC ID# 0446258230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1942398987 |
| PAC ID by PECOS | 0446258230 |
| Professional Enrollment ID | I20061109000345 |
| Full Name | Stephanie E Boring |
| Organization Legal Name | GREAT LAKES MEDICAL ASSOCIATES, PC |
| Address |
1021 E Main St Edmore MI 48829-8740 |
| Phone Number | 9894275320 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5597746024 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230030 | MIDMICHIGAN MEDICAL CENTER-GRATIOT |
| 231317 | SPECTRUM HEALTH KELSEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1021 E Main St, Edmore, MI 48829-8740 | 9894275320 | GREAT LAKES MEDICAL ASSOCIATES, PC |
| Organization Legal Name | GREAT LAKES MEDICAL ASSOCIATES, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Snyder | Nurse Practitioner | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Sailaja Sarvepalli | Family Medicine | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Daniel Richard Brennan | Physician Assistant | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Street Address |
1021 E MAIN ST |
| City | EDMORE |
| State | MI |
| Zip | 48829-8740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Snyder | Nurse Practitioner | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Ladawn M Logic | Nurse Practitioner | Isabella Medical Associates, Pllc | 1021 E Main St, Suite B, Edmore, MI 48829-8740 |
| Sailaja Sarvepalli | Family Medicine | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Sudeep Mohan | Cardiovascular Disease (cardiology) | Mclaren Central Michigan | 1021 E Main St, Central Michigan Community Hospital, Edmore, MI 48829-8740 |
| Prakash Sarvepalli | Internal Medicine | Isabella Medical Associates, Pllc | 1021 E Main St, Suite B, Edmore, MI 48829-8740 |
| Daniel Richard Brennan | Physician Assistant | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey K Lee | Chiropractic | 215 Howard City Edmore Rd, Edmore, MI 48829-9779 |
| City | EDMORE |
| Zip Code | 48829 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EDMORE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stephanie E Boring.
| 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.