Roger L Deyoung (NPI# 1396702098, PAC ID# 0547226672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1396702098 |
PAC ID by PECOS | 0547226672 |
Professional Enrollment ID | I20050309000173 |
Full Name | Roger L Deyoung |
Organization Legal Name | SHORELINE FOOT AND ANKLE ASSOCIATES PC |
Address |
561 Seminole Rd Muskegon MI 49444-3719 |
Phone Number | 2317331111 |
Gender | M |
Credential | DPM |
Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1990 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 2062474778 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230066 | MERCY HEALTH HACKLEY CAMPUS |
Address | Phone | Organization |
---|---|---|
561 Seminole Rd, Muskegon, MI 49444-3719 | 2317331111 | SHORELINE FOOT AND ANKLE ASSOCIATES PC |
Organization Legal Name | SHORELINE FOOT AND ANKLE ASSOCIATES PC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tarin B Paparella | Podiatry | Shoreline Foot and Ankle Associates PC | 561 Seminole Rd, Muskegon, MI 49444-3719 |
Jan Smolen | Podiatry | Shoreline Foot and Ankle Associates PC | 561 Seminole Rd, Muskegon, MI 49444-3719 |
Travis D Piper | Podiatry | Shoreline Foot and Ankle Associates PC | 561 Seminole Rd, Muskegon, MI 49444-3719 |
Street Address |
561 SEMINOLE RD |
City | MUSKEGON |
State | MI |
Zip | 49444-3719 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tarin B Paparella | Podiatry | Shoreline Foot and Ankle Associates PC | 561 Seminole Rd, Muskegon, MI 49444-3719 |
Jan Smolen | Podiatry | Shoreline Foot and Ankle Associates PC | 561 Seminole Rd, Muskegon, MI 49444-3719 |
Travis D Piper | Podiatry | Shoreline Foot and Ankle Associates PC | 561 Seminole Rd, Muskegon, MI 49444-3719 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katie Vanheck | Certified Nurse Midwife (cnm) | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Frank Remington Sprague | Internal Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Timothy E Kval | Family Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Beth Ann Stille | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Racquel M Brockington | Family Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Mariela A Rich | Certified Nurse Midwife (cnm) | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Gaye L Paget | Physician Assistant | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Abigail M Rienstra | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Margaret Elizabeth R Wolter | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Traci L Jones | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
Find all physicians in zip 49444 |
City | MUSKEGON |
Zip Code | 49444 |
Specialty | PODIATRY |
City + Specialty | MUSKEGON + PODIATRY |
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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.