Gregory A Bohn (NPI# 1174597702, PAC ID# 1557314341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1174597702 |
PAC ID by PECOS | 1557314341 |
Professional Enrollment ID | I20131202000080 |
Full Name | Gregory A Bohn |
Organization Legal Name | ASCENSION ST JOSEPH HOSPITAL |
Address |
295 Maple St Suite 201 Tawas City MI 48763-9352 |
Phone Number | 9893620188 |
Gender | M |
Credential | MD |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 9638070766 |
Number of Group Practice Members | 34 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230100 | TAWAS ST JOSEPH HOSPITAL |
Address | Phone | Organization |
---|---|---|
295 Maple St, Suite 201, Tawas City, MI 48763-9352 | 9893620188 | ASCENSION ST JOSEPH HOSPITAL |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | ASCENSION ST JOSEPH HOSPITAL |
Physicians | 27 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda M Jacques | Nurse Practitioner | Ascension St Joseph Hospital | 3210 E Huron Rd, Ascension St Joseph Hospital Augres, Au Gres, MI 48703-9322 |
Sarah D Woods | Nurse Practitioner | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
Shannon M Michaud | Nurse Practitioner | Ascension St Joseph Hospital | 116 S Church St, Ascension St Joseph Hospital Hale M, Hale, MI 48739-9272 |
Robert L Donnell | Medical Oncology | Ascension St Joseph Hospital | 110 Beech St, Tawas City, MI 48763-8314 |
Sylvia Boloczko | Family Medicine | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
Christopher R Landrey | Obstetrics/gynecology | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
Joel L Pestrue | Physician Assistant | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
Kenneth A Jordan | Internal Medicine | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
Erica Kalbfleisch | Nurse Practitioner | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
Christopher J Oravitz | Obstetrics/gynecology | Ascension St Joseph Hospital | 25 E M, 55 Ascension St Joseph Hospital Women', Tawas City, MI 48763-9362 |
Street Address |
295 MAPLE ST SUITE 201 |
City | TAWAS CITY |
State | MI |
Zip | 48763-9352 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cynthia Michelle Payne | General Surgery | Ascension St Joseph Hospital | 295 Maple St, Suite 200, Tawas City, MI 48763-9352 |
Mark Gallagher | General Surgery | St Joseph Health System Inc | 295 Maple St, Tawas City, MI 48763-9352 |
Mohammad A Khalil | Internal Medicine | St Joseph Health System Inc | 295 Maple St, Suite 202, Tawas City, MI 48763-9352 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rod R Wright | Podiatry | 166 M, Suite 55, Tawas City, MI 48763 | |
Devendra K Sharma | Family Practice | Tawas Bay Family Practice PC | 541 W Lake St, Tawas City, MI 48763-5105 |
Cheryl A Miller | Nurse Practitioner | Tawas Bay Family Practice PC | 541 W Lake St, Tawas City, MI 48763-5105 |
Sarah D Woods | Nurse Practitioner | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
Jeffrey Chadwick | Optometry | 325 E M, Suite 55, Tawas City, MI 48763-8211 | |
Jennifer Tawn Horton | Physician Assistant | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
Glen D Enzenberger | Family Medicine | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
Victoria Mcgillis | Nurse Practitioner | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
Judy E Herbolsheimer | Physician Assistant | Ascension St Joseph Hospital | 325 E M 55 B, Ascension St Joseph Hospital Huron, Tawas City, MI 48763-8211 |
Dwight H Fiske | Physician Assistant | St Joseph Health System Inc | 325 E M, 55 Suite B, Tawas City, MI 48763-8211 |
Find all physicians in zip 48763 |
City | TAWAS CITY |
Zip Code | 48763 |
Specialty | GENERAL SURGERY |
City + Specialty | TAWAS CITY + GENERAL SURGERY |
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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.