Yasas Rodrigo (NPI# 1700180015, PAC ID# 1951624089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700180015 |
| PAC ID by PECOS | 1951624089 |
| Professional Enrollment ID | I20141222002132 |
| Full Name | Yasas Rodrigo |
| Organization Legal Name | HOMETOWN URGENT CARE OF MICHIGAN PC |
| Address |
3220 W Silver Lake Rd Fenton MI 48430-1374 |
| Phone Number | 8102087470 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8123270840 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3220 W Silver Lake Rd, Fenton, MI 48430-1374 | 8102087470 | HOMETOWN URGENT CARE OF MICHIGAN PC |
| 1634 Gull Rd, Kalamazoo, MI 49048-1632 | 2699032835 | 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 |
| Antwain D Allen | Nurse Practitioner | 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 |
| 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 |
3220 W SILVER LAKE RD |
| City | FENTON |
| State | MI |
| Zip | 48430-1374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney M Kernstock | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Jennifer Hogan | Nurse Practitioner | 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 |
| Jameka K Mcelroy | Physician Assistant | Hometown Urgent Care of Michigan PC | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harold S Sommerschield | Psychologist, Clinical | 14165 N Fenton Rd, 101b, Fenton, MI 48430-1148 | |
| Scott Moore | Optometry | 3140 W Silver Lake Rd, Fenton, MI 48430-1321 | |
| Scott D Mcdowell | Optometry | 2472 S Long Lake Rd, Fenton, MI 48430-1462 | |
| Mark D Wilkerson | Emergency Medicine | Advanced Medical House Calls Plc | 14165 N Fenton Rd, 201a, Fenton, MI 48430-1584 |
| Deborah J Sperry | Nurse Practitioner | Advanced Medical House Calls Plc | 14165 N Fenton Rd, 201a, Fenton, MI 48430-1584 |
| Kristina Michelle Danko | Nurse Practitioner | Advanced Medical House Calls Plc | 14165 N Fenton Rd, 201a, Fenton, MI 48430-1584 |
| Kerri Lynn Copeland | Nurse Practitioner | Advanced Medical House Calls Plc | 14165 N Fenton Rd, 201a, Fenton, MI 48430-1584 |
| Tammy L Hancook | Clinical Social Worker | 14165 N Fenton Rd, Suite 102a1, Fenton, MI 48430-1587 | |
| Jamie Jo Clayton | Physical Therapy | Ivyrehab Michigan LLC | 400 Rounds Dr, Fenton, MI 48430-1724 |
| Marie Kathleen Whitt | Physical Therapy | Ivyrehab Michigan LLC | 400 Rounds Dr, Fenton, MI 48430-1724 |
| Find all physicians in zip 48430 | |||
| City | FENTON |
| Zip Code | 48430 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FENTON + FAMILY MEDICINE |
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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.