Andre B Stovall (NPI# 1013988294, PAC ID# 2567524721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1013988294 |
| PAC ID by PECOS | 2567524721 |
| Professional Enrollment ID | I20090205000654 |
| Full Name | Andre B Stovall |
| Organization Legal Name | SUMMIT RADIOLOGY PC |
| Address |
916 Myrtle St Sturgis MI 49091-2326 |
| Phone Number | 2696594482 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0143295410 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150011 | MARION GENERAL HOSPITAL |
| 150150 | DUPONT HOSPITAL LLC |
| 150061 | DAVIESS COMMUNITY HOSPITAL |
| 150045 | DEKALB HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 | 2604321568 | SUMMIT RADIOLOGY PC |
| 1035 W Wayne St, Paulding, OH 45879-1544 | 2604321568 | SUMMIT RADIOLOGY PC |
| 916 Myrtle St, Sturgis, MI 49091-2326 | 2696594482 | SUMMIT RADIOLOGY PC |
| Organization Legal Name | SUMMIT RADIOLOGY PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahdy Messiha | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Edward Kwang Yi | Diagnostic Radiology | Summit Radiology PC | 141 Lanipo Dr, Kailua, HI 96734-3228 |
| Erik J Bekkers | Diagnostic Radiology | Summit Radiology PC | 209 Marmona Dr, Menlo Park, CA 94025-2953 |
| Marc A Thomas | Diagnostic Radiology | Summit Radiology PC | 9901 Trailwood Dr, Suite 1020, Las Vegas, NV 89134-6680 |
| Vivek Sharma | Diagnostic Radiology | Summit Radiology PC | 38 Overlook Rd, Alpine, NJ 07620-1066 |
| Andrew V Barger | Diagnostic Radiology | Summit Radiology PC | 724 Lisboa Ct, Walnut Creek, CA 94598-4430 |
| Benjamin Y Chen | Diagnostic Radiology | Summit Radiology PC | 41 Modena, Irvine, CA 92618-0104 |
| Hassan B Semaan | Diagnostic Radiology | Summit Radiology PC | 5409 County Rd, Suite 1, West Liberty, OH 43357-9531 |
| Lisa R Stanley | Nurse Practitioner | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Jonathan A Staser | Diagnostic Radiology | Summit Radiology PC | 7950 W Jefferson Blvd, Lutheran Hospital of Fort Wayne, Fort Wayne, IN 46804-4140 |
| Street Address |
916 MYRTLE ST |
| City | STURGIS |
| State | MI |
| Zip | 49091-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca A Hess | Emergency Medicine | Epmg Southern Michigan Pllc | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Christopher M Kowalski | Diagnostic Radiology | Summit Radiology PC | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Eric V Heatwole | Diagnostic Radiology | Summit Radiology PC | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Nicholas Mcalister | Emergency Medicine | Epmg Southern Michigan Pllc | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Antony Po-yu Hsu | Emergency Medicine | Epmg Southern Michigan Pllc | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Justin J Lafrance | Emergency Medicine | Epmg Southern Michigan Pllc | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Michael C Tiller | Emergency Medicine | Epmg Southern Michigan Pllc | 916 Myrtle St, Sturgis, MI 49091-2326 |
| David B Janizek | Diagnostic Radiology | Summit Radiology PC | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Brett A Hagedorn | Diagnostic Radiology | Summit Radiology PC | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Melinda A Naliboff | Emergency Medicine | Epmg Southern Michigan Pllc | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seong C Kim | General Practice | 307 N Franks Ave, Thurston Woods Village, Sturgis, MI 49091-1277 | |
| William B Rogers | Family Medicine | 201 Broadus St, Sturgis, MI 49091-1384 | |
| Robert G Perra | Psychologist, Clinical | 103 S 4th St, Psychological Services of Southwestern Michigan, Sturgis, MI 49091-1819 | |
| Isaac S Miller | Nurse Practitioner | Revolution Health PC | 104 S Lakeview Ave, Sturgis, MI 49091-1947 |
| Christopher Wolfe Bussema | Podiatry | Advanas Foot and Ankle Specialists Plc | 102 S Lakeview Ave, Sturgis, MI 49091-1947 |
| Trevor R Neal | Podiatry | Advanas Foot and Ankle Specialists Plc | 102 S Lakeview Ave, Sturgis, MI 49091-1947 |
| Robert J Monfore | Podiatry | Advanas Foot and Ankle Specialists Plc | 102 S Lakeview Ave, Sturgis, MI 49091-1947 |
| Jade Lindsay Klingler | Nurse Practitioner | Revolution Health PC | 104 S Lakeview Ave, Sturgis, MI 49091-1947 |
| Bhumit P Patel | Family Medicine | Sturgis Hospital Inc | 1555 E Chicago Rd, Sturgis, MI 49091-1993 |
| Raymond S Majkrzak | Obstetrics/gynecology | Sturgis Hospital Inc | 1555 E Chicago Rd, Sturgis, MI 49091-1993 |
| Find all physicians in zip 49091 | |||
| City | STURGIS |
| Zip Code | 49091 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | STURGIS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Andre B Stovall.
| 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.