Glenn C Groom (NPI# 1871678144, PAC ID# 2668471731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871678144 |
| PAC ID by PECOS | 2668471731 |
| Professional Enrollment ID | I20061219000242 |
| Full Name | Glenn C Groom |
| Organization Legal Name | HARBORTOWN TREATMENT CENTER PLLC |
| Address |
1022 E Main St Benton Harbor MI 49022-3036 |
| Phone Number | 2699260015 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971682352 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1022 E Main St, Benton Harbor, MI 49022-3036 | 2699260015 | HARBORTOWN TREATMENT CENTER PLLC |
| 505 W Cleveland Rd, Mishawaka, IN 46545-1003 | 5742353135 | PIC INDIANA PC |
| Organization Legal Name | HARBORTOWN TREATMENT CENTER PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal D Payton | Nurse Practitioner | Harbortown Treatment Center Pllc | 1022 E Main St, Benton Harbor, MI 49022-3036 |
| Rebekah Jasmin Kruzel | Clinical Social Worker | Harbortown Treatment Center Pllc | 1022 E Main St, Benton Harbor, MI 49022-3036 |
| Meghan Guntz | Clinical Social Worker | Harbortown Treatment Center Pllc | 1022 E Main St, Benton Harbor, MI 49022-3036 |
| Street Address |
1022 E MAIN ST |
| City | BENTON HARBOR |
| State | MI |
| Zip | 49022-3036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal D Payton | Nurse Practitioner | Harbortown Treatment Center Pllc | 1022 E Main St, Benton Harbor, MI 49022-3036 |
| Rebekah Jasmin Kruzel | Clinical Social Worker | Harbortown Treatment Center Pllc | 1022 E Main St, Benton Harbor, MI 49022-3036 |
| Meghan Guntz | Clinical Social Worker | Harbortown Treatment Center Pllc | 1022 E Main St, Benton Harbor, MI 49022-3036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naomi May Kern | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Gloria Ann Barnes | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Daniel St Amour | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Michelle Lynn Moore | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Jennifer Edens | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Debra Angelina Checkler | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Danny Talya | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Sarah B Harris | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Marcy Binford | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Ingrid Lewis | Nurse Practitioner | Paragon Clinical LLC | 1385 E Empire Ave, Orchard Grove Nursing and Rehab Center, Benton Harbor, MI 49022-2037 |
| Find all physicians in zip 49022 | |||
| City | BENTON HARBOR |
| Zip Code | 49022 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BENTON HARBOR + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Glenn C Groom.
| 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.