Shantel L Bleeker (NPI# 1710389853, PAC ID# 1254552037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710389853 |
| PAC ID by PECOS | 1254552037 |
| Professional Enrollment ID | I20141020001684 |
| Full Name | Shantel L Bleeker |
| Organization Legal Name | BRONSON METHODIST HOSPITAL |
| Address |
5121 S Westnedge Ave Portage MI 49002-0404 |
| Phone Number | 2695524212 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244148633 |
| Number of Group Practice Members | 450 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| 231332 | BRONSON LAKEVIEW HOSPITAL |
| 230085 | BRONSON SOUTH HAVEN HOSPITAL |
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5623 Gull Rd, Suite 500, Kalamazoo, MI 49048-1098 | 2697758031 | BRONSON METHODIST HOSPITAL |
| 6220 W Main St, Kalamazoo, MI 49009-8925 | 2692764744 | BRONSON METHODIST HOSPITAL |
| 5121 S Westnedge Ave, Portage, MI 49002-0404 | 2695524212 | BRONSON METHODIST HOSPITAL |
| Organization Legal Name | BRONSON METHODIST HOSPITAL |
| Physicians | 507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Faling | Clinical Social Worker | Bronson Methodist Hospital | 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 |
| Judy Whitehurst | Clinical Social Worker | Bronson Methodist Hospital | 6938 Elm Valley Dr, 101 Bronson Family Medicine The Groves, Kalamazoo, MI 49009-7447 |
| Jennifer Ann Soper | Nurse Practitioner | Bronson Methodist Hospital | 3300 W Centre Ave, Bronson Ob Gyn Associates, Portage, MI 49024-4666 |
| Sarah Anne Wasserman | Gastroenterology | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Rebecca Jean Carter | Nurse Practitioner | Bronson Methodist Hospital | 6220 W Main St, Kalamazoo, MI 49009-8925 |
| Catherine I Brandau | Nurse Practitioner | Bronson Methodist Hospital | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
| Jill Hess | Clinical Social Worker | Bronson Methodist Hospital | 5629 Stadium Dr D, Kalamazoo, MI 49009-1952 |
| Xiaogang Zhang | Internal Medicine | Bronson Methodist Hospital | 404 Hazen St, Suite 100, Paw Paw, MI 49079-1076 |
| Amanda K Walker | Obstetrics/gynecology | Bronson Methodist Hospital | 601 John St, N1200, Kalamazoo, MI 49007-5318 |
| John N Blixt | Pulmonary Disease | Bronson Methodist Hospital | 535 S Burdick St, 160 Bronson Pulmonary Medicine, Kalamazoo, MI 49007-6113 |
| Street Address |
5121 S WESTNEDGE AVE |
| City | PORTAGE |
| State | MI |
| Zip | 49002-0404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Scott La Penna | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Kelsey Prince | Nurse Practitioner | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Cynthia Ann Cretsinger | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| David Lee Gose | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Kimberly S Haines | Nurse Practitioner | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Amanda R Pung | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Patricia A Pfau | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Jennifer Sarah Opdycke | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Kenneth Alvin Griffith Ii | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Ryan S Smith | Emergency Medicine | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah B Kirn | Chiropractic | 609 E Centre, Smith Chiropractic, Portage, MI 49002 | |
| Bonnie M Wallace | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Antwain D Allen | Nurse Practitioner | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Amber N Heath | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Joseph Zaki | Family Medicine | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Michael D Voiles | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Patrick J Dougherty | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Kristen M Moran | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Matthew Jv Wilton | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Corinne Weis | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Find all physicians in zip 49002 | |||
| City | PORTAGE |
| Zip Code | 49002 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORTAGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shantel L Bleeker.
| 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.