John J Iacobucci (NPI# 1689761439, PAC ID# 1850310699) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1689761439 |
| PAC ID by PECOS | 1850310699 |
| Professional Enrollment ID | I20051122000203 |
| Full Name | John J Iacobucci |
| Address |
630 Kenmoor Ave Se Suite 102 Grand Rapids MI 49546-8626 |
| Phone Number | 6169740100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1982 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 | 6163911774 | SPECTRUM HEALTH HOSPITALS |
| 100 Michigan St Northeast, Grand Rapids, MI 49503-2560 | 6163911774 | SPECTRUM HEALTH HOSPITALS |
| 630 Kenmoor Ave Se, Suite 102, Grand Rapids, MI 49546-8626 | 6169740100 |
| Street Address |
630 KENMOOR AVE SE SUITE 102 |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49546-8626 |
| 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 | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | GRAND RAPIDS + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on John J Iacobucci.
| 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.