Antwain D Allen (NPI# 1578066163, PAC ID# 1254694573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578066163 |
| PAC ID by PECOS | 1254694573 |
| Professional Enrollment ID | I20180418001603 |
| Full Name | Antwain D Allen |
| Organization Legal Name | HOMETOWN URGENT CARE OF MICHIGAN PC |
| Address |
5142 S Westnedge Ave Portage MI 49002-0403 |
| Phone Number | 2692167169 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8123270840 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231339 |
| Address | Phone | Organization |
|---|---|---|
| 1009 W Green St, Hastings, MI 49058-1710 | 2699453451 | HASTINGS EMERGENCY PHYSICIANS PLC |
| 1108 W State St, Hastings, MI 49058-9711 | 2699483360 | HASTINGS EMERGENCY PHYSICIANS PLC |
| 245 W Centre Ave, Portage, MI 49024-5331 | 2693232450 | HOMETOWN URGENT CARE OF MICHIGAN PC |
| 5142 S Westnedge Ave, Portage, MI 49002-0403 | 2692167169 | HOMETOWN URGENT CARE OF MICHIGAN PC |
| Organization Legal Name | HOMETOWN URGENT CARE OF MICHIGAN PC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney M Kernstock | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Alejandra Ruser | Physician Assistant | Hometown Urgent Care of Michigan PC | 1634 Gull Rd, Kalamazoo, MI 49048-1632 |
| Jillian N Petkus | Nurse Practitioner | Hometown Urgent Care of Michigan PC | 245 W Centre Ave, Portage, MI 49024-5331 |
| Bonnie M Wallace | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Jennifer Hogan | Nurse Practitioner | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Amber N Heath | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Yasas Rodrigo | Family Medicine | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Olivia Glidden | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Joseph Zaki | Family Medicine | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Jameka K Mcelroy | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Street Address |
5142 S WESTNEDGE AVE |
| City | PORTAGE |
| State | MI |
| Zip | 49002-0403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie M Wallace | Physician Assistant | 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah B Kirn | Chiropractic | 609 E Centre, Smith Chiropractic, Portage, MI 49002 | |
| 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 |
| Shantel L Bleeker | 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 |
| Find all physicians in zip 49002 | |||
| City | PORTAGE |
| Zip Code | 49002 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTAGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Antwain D Allen.
| 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.