Cora J Pavlik (NPI# 1043704133, PAC ID# 3274889373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043704133 |
| PAC ID by PECOS | 3274889373 |
| Professional Enrollment ID | I20180703000959 |
| Full Name | Cora J Pavlik |
| Organization Legal Name | MIDMICHIGAN MEDICAL CENTER GRATIOT |
| Address |
121 N Pine River St Ithaca MI 48847-1039 |
| Phone Number | 9898755111 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375451404 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230030 | MIDMICHIGAN MEDICAL CENTER-GRATIOT |
| 230222 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Address | Phone | Organization |
|---|---|---|
| 121 N Pine River St, Ithaca, MI 48847-1039 | 9898755111 | MIDMICHIGAN MEDICAL CENTER GRATIOT |
| Organization Legal Name | MIDMICHIGAN MEDICAL CENTER GRATIOT |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Reichmann | Family Medicine | Midmichigan Medical Center Gratiot | 321 E Warwick Dr, Gratiot Medical Center, Alma, MI 48801-1084 |
| Tess Maria Gordon | Obstetrics/gynecology | Midmichigan Medical Center Gratiot | 320 E Warwick Dr, Alma, MI 48801-0001 |
| Nayab Qureshi | Family Medicine | Midmichigan Medical Center Gratiot | 330 E Warwick Dr, Alma, MI 48801-1014 |
| Utibe Effiong | Internal Medicine | Midmichigan Medical Center Gratiot | 4851 E Pickard, Mt Pleasant, MI 48858-2078 |
| Mark Jacob | Pulmonary Disease | Midmichigan Medical Center Gratiot | 4851 E Pickard St, Mt Pleasant, MI 48858-2078 |
| Mohamed W Akkad | Hematology/oncology | Midmichigan Medical Center Gratiot | 315 E Warwick Dr C, Midmichigan Medical Center Gratiot Oncology, Alma, MI 48801-0001 |
| Jeanine Ernest | Internal Medicine | Midmichigan Medical Center Gratiot | 200 E Warwick Dr, Internal Medicine Alma, Alma, MI 48801-1012 |
| Scott C Kastning | Physician Assistant | Midmichigan Medical Center Gratiot | 300 E Warwick Dr, Alma, MI 48801-1014 |
| Matthew A Stack | Physician Assistant | Midmichigan Medical Center Gratiot | 300 E Warwick Dr, Alma, MI 48801-1014 |
| Katelyn M Geitman | Physician Assistant | Midmichigan Medical Center Gratiot | 300 E Warwick Dr, Alma, MI 48801-1014 |
| Street Address |
121 N PINE RIVER ST |
| City | ITHACA |
| State | MI |
| Zip | 48847-1039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leyla Moossavi | Obstetrics/gynecology | Midmichigan Medical Center Gratiot | 121 N Pine River St, Ithaca, MI 48847-1039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Worley Jr. | Chiropractic | 304 S Main St, Worley Chiropractic Life Center, Ithaca, MI 48847-1732 | |
| Leslie Zalud | Physical Therapy | Ithaca Physical Therapy, Inc | 203 Dilts Rd, Ithaca, MI 48847-9475 |
| Joseph Baxter | Physical Therapy | Ithaca Physical Therapy, Inc | 203 Dilts Rd, Ithaca, MI 48847-9475 |
| James R Tilton Jr. | Physical Therapy | Ithaca Physical Therapy, Inc | 203 Dilts Rd, Ithaca, MI 48847-9475 |
| City | ITHACA |
| Zip Code | 48847 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ITHACA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Cora J Pavlik.
| 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.