Kevin C Vandokkumburg (NPI# 1134514490, PAC ID# 1456670231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1134514490 |
| PAC ID by PECOS | 1456670231 |
| Professional Enrollment ID | I20150428002141 |
| Full Name | Kevin C Vandokkumburg |
| Organization Legal Name | WESTERN MICHIGAN BONE AND JOINT SURGEONS PC |
| Address |
1000 E Paris Ave Se Suite 215 Grand Rapids MI 49546-3680 |
| Phone Number | 6169498945 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8224128194 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1000 E Paris Ave Se, Suite 215, Grand Rapids, MI 49546-3680 | 6169498945 | WESTERN MICHIGAN BONE AND JOINT SURGEONS PC |
| Organization Legal Name | WESTERN MICHIGAN BONE AND JOINT SURGEONS PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Wierks | Orthopedic Surgery | Western Michigan Bone and Joint Surgeons PC | 1000 E Paris Ave Se, Suite 215, Grand Rapids, MI 49546-3680 |
| Karl C Roberts | Orthopedic Surgery | Western Michigan Bone and Joint Surgeons PC | 1000 E Paris Ave Se, Suite 215, Grand Rapids, MI 49546-3680 |
| Patrick Zietz | Orthopedic Surgery | Western Michigan Bone and Joint Surgeons PC | 1000 E Paris Ave Se, Suite 215, Grand Rapids, MI 49546-3680 |
| Street Address |
1000 E PARIS AVE SE SUITE 215 |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49546-3680 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Navneet S Mander | Urology | Urology Surgeons PC | 1000 E Paris Ave Se, Suite 230, Grand Rapids, MI 49546-3680 |
| Robyn Sackeyfio | Plastic and Reconstructive Surgery | 1000 E Paris Ave Se, Suite 221, Grand Rapids, MI 49546-3680 | |
| Sarah C Dixcy | Physician Assistant | East Paris Internal Medicine Associates PC | 1000 E Paris Ave Se, Suite 260, Grand Rapids, MI 49546-8313 |
| Diardre H Quinn | Internal Medicine | East Paris Internal Medicine Associates PC | 1000 E Paris Ave Se, Suite 260, Grand Rapids, MI 49546-8313 |
| Ann M Renucci | Ophthalmology | Verdier Eye Center Plc | 1000 E Paris Ave Se, Suite 130, Grand Rapids, MI 49546-3680 |
| Ronald P Hoogmoed | Internal Medicine | East Paris Internal Medicine Associates PC | 1000 E Paris Ave Se, Suite 260, Grand Rapids, MI 49546-8313 |
| Karl J Siebert | Ophthalmology | Verdier Eye Center Plc | 1000 E Paris Ave Se, Suite 130, Grand Rapids, MI 49546-3680 |
| Carl Wierks | Orthopedic Surgery | Western Michigan Bone and Joint Surgeons PC | 1000 E Paris Ave Se, Suite 215, Grand Rapids, MI 49546-3680 |
| Karen C Cummiskey | Obstetrics/gynecology | Maternal-fetal Medicine Associates, P.C. | 1000 E Paris Ave Se, Suite 210, Grand Rapids, MI 49546-3680 |
| Todd C Stevens | Internal Medicine | East Paris Internal Medicine Associates PC | 1000 E Paris Ave Se, Suite 260, Grand Rapids, MI 49546-8313 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Mushlock | Clinical Social Worker | Pine Rest Christian Mental Health Services | 877 Forest Hills Ave Se, Pine Rest Forest Hills Clinic, Grand Rapids, MI 49546 |
| David W Hamilton | Psychologist, Clinical | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 | |
| Elizabeth Ruth Smith | Clinical Social Worker | 616 Counseling Professional Corporation | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 |
| Shawn L Gauthier | Clinical Social Worker | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546-2137 | |
| Emily M. English | Obstetrics/gynecology | Metropolitan Hospital | 4055 Cascade Rd Se, Metro Hlth Gynecologic Oncology, Grand Rapids, MI 49546-2149 |
| Lydia J Sutton | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Scott A Baar | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Nathan J Andrews | Emergency Medicine | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Lorraine M Therrien | Certified Registered Nurse Anesthetist | Anesthesia Medical Consultants, PC | 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 |
| George D Pommer | Psychologist, Clinical | 500 Cascade W Pkwy Se, Suite 100, Grand Rapids, MI 49546-2164 | |
| Find all physicians in zip 49546 | |||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAND RAPIDS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kevin C Vandokkumburg.
| 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.