Paul Daniel Judge (NPI# 1184988685, PAC ID# 1456633296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1184988685 |
| PAC ID by PECOS | 1456633296 |
| Professional Enrollment ID | I20190128000529 |
| Full Name | Paul Daniel Judge |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Address |
4077 S Cleveland Ave Saint Joseph MI 49085-9513 |
| Phone Number | 2694292992 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 1658427042 |
| Number of Group Practice Members | 197 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 230078 | COMMUNITY HOSPITAL- WATERVLIET |
| Address | Phone | Organization |
|---|---|---|
| 9045 Us 31 N, 3 Lakeland Ear Nose and Throat, Berrien Springs, MI 49103-1804 | 2694719702 | LAKELAND MEDICAL PRACTICES |
| 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 | 2694292992 | LAKELAND MEDICAL PRACTICES |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Physicians | 207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna Margaret Rucano | Nurse Practitioner | Lakeland Medical Practices | 2500 Niles Ave, 1 Primary Care St Joseph, Saint Joseph, MI 49085-1924 |
| Brandon R Cole | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Kimberlee A Tomerlin | Internal Medicine | Lakeland Medical Practices | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9151 |
| Deanna L Fulbright | Family Medicine | Lakeland Medical Practices | 9045 Us Hwy 31, Berrien Springs, MI 49103-1804 |
| Laurie Ann Gee | Nurse Practitioner | Lakeland Medical Practices | 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208 |
| Riddhi Jay Shah | Dermatology | Lakeland Medical Practices | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9136 |
| Michael James Burton | Pulmonary Disease | Lakeland Medical Practices | 3904 Stonegate Park, Saint Joseph, MI 49085-9130 |
| Elizabeth A Mcglothlin | Family Medicine | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
| Pamela J Klint | Nurse Practitioner | Lakeland Medical Practices | 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 |
| David Kraklau | Urology | Lakeland Medical Practices | 815 Saint Joseph Dr, Saint Joseph, MI 49085-2529 |
| Street Address |
4077 S CLEVELAND AVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip | 49085-9513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay V Shah | Family Medicine | Lakeland Medical Practices | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 |
| Daniel K Benson | Family Medicine | Lakeland Medical Practices | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 |
| Alexander Tennyson Hinckley | Internal Medicine | Lakeland Medical Practices | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Bruce P Hackworth | Psychologist, Clinical | 811 Ship St, 4b, Saint Joseph, MI 49085-1171 | |
| Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
| Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
| Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
| Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
| Find all physicians in zip 49085 | |||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SAINT JOSEPH + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Paul Daniel Judge.
| 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.