Tammy Born (NPI# 1003816224, PAC ID# 2466425798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1003816224 |
| PAC ID by PECOS | 2466425798 |
| Professional Enrollment ID | I20060117000401 |
| Full Name | Tammy Born |
| Organization Legal Name | BORN CLINIC PC |
| Address |
3700 52nd St Se Kentwood MI 49512-9637 |
| Phone Number | 61665637003030 |
| Gender | F |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 0840263174 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230236 | METRO HEALTH HOSPITAL |
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 230117 | BORGESS MEDICAL CENTER |
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3700 52nd St Se, Kentwood, MI 49512-9637 | 61665637003030 | BORN CLINIC PC |
| Organization Legal Name | BORN CLINIC PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell A Cohn | Osteopathic Manipulative Medicine | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Dorothy Pedtke | Family Medicine | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Rachal Rossi | Nurse Practitioner | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Kayla Licari | Physician Assistant | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Robert E Miller | Physician Assistant | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Street Address |
3700 52ND ST SE |
| City | KENTWOOD |
| State | MI |
| Zip | 49512-9637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell A Cohn | Osteopathic Manipulative Medicine | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Dorothy Pedtke | Family Medicine | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Rachal Rossi | Nurse Practitioner | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Kayla Licari | Physician Assistant | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Robert E Miller | Physician Assistant | Born Clinic PC | 3700 52nd St Se, Kentwood, MI 49512-9637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel E Ensminger | Optometry | West Point Optical Group | 2974 28th St Se, Suite A, Kentwood, MI 49512-1664 |
| Fernando Solis | Chiropractic | Golan Integrated Physical Medicine | 3097 29th St Se, Grand Rapids, MI 49512-1726 |
| Robert P Wichlacz | Physical Therapy | Golan Integrated Physical Medicine | 3097 29th St Se, Grand Rapids, MI 49512-1726 |
| Alan J Szagesh | Chiropractic | Golan Integrated Physical Medicine | 3097 29th St Se, Grand Rapids, MI 49512-1726 |
| Callie Marie Radford | Physician Assistant | Golan Integrated Physical Medicine | 3097 29th St Se, Grand Rapids, MI 49512-1726 |
| Sarah L Hirt | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 3854 28th St Se, Ati Physical Therapy, Grand Rapids, MI 49512-1804 |
| Douglas Elliott | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 3854 28th St Se, Ati Physical Therapy, Grand Rapids, MI 49512-1804 |
| Robert Caesar Belmonte Ii | Chiropractic | 3682 29th St Se, Suite A, Kentwood, MI 49512-1808 | |
| Holly E York | Chiropractic | 3138 Broadmoor Ave Se, Great Lakes Chiropractic, Kentwood, MI 49512-1845 | |
| Douglas Gene Mckenzie | Chiropractic | 3138 Broadmoor Ave Se, Kentwood, MI 49512-1845 | |
| Find all physicians in zip 49512 | |||
| City | KENTWOOD |
| Zip Code | 49512 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | KENTWOOD + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Tammy Born.
| 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.