Diane M Grove (NPI# 1639273311, PAC ID# 3375523434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639273311 |
| PAC ID by PECOS | 3375523434 |
| Professional Enrollment ID | I20061109000125 |
| Full Name | Diane M Grove |
| Organization Legal Name | MCLAREN CENTRAL MICHIGAN |
| Address |
1509 N Mcewan St Clare MI 48617-1113 |
| Phone Number | 9893868170 |
| Gender | F |
| Credential | MNT |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103733092 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230080 | MCLAREN CENTRAL MICHIGAN |
| 230180 | MIDMICHIGAN MEDICAL CENTER-CLARE |
| 231325 | MIDMICHIGAN MEDICAL CENTER-GLADWIN |
| Address | Phone | Organization |
|---|---|---|
| 1509 N Mcewan St, Clare, MI 48617-1113 | 9893868170 | MCLAREN CENTRAL MICHIGAN |
| 1221 S Dr, Mount Pleasant, MI 48858-3257 | 9897726811 | MCLAREN CENTRAL MICHIGAN |
| 1221 S Dr, Mt Pleasant, MI 48858-3257 | 9897726700 | MCLAREN CENTRAL MICHIGAN |
| Organization Legal Name | MCLAREN CENTRAL MICHIGAN |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Downer | Family Medicine | Mclaren Central Michigan | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 |
| Malathy Tharumarajah | Internal Medicine | Mclaren Central Michigan | 2935 Health Pkwy, Mt Pleasant, MI 48858-8931 |
| Sheana Kamyszek | Nurse Practitioner | Mclaren Central Michigan | 1523 S Mission St, Mt Pleasant, MI 48858-4230 |
| Joseph I Shawi | Obstetrics/gynecology | Mclaren Central Michigan | 4599 Jennifer Ln, Mt Pleasant, MI 48858-2064 |
| Rebecca Sue Guenthardt | Physician Assistant | Mclaren Central Michigan | 1221 S Dr, Mount Pleasant, MI 48858-3257 |
| Tricia Lawton | Physician Assistant | Mclaren Central Michigan | 1970 Ashland Dr, Mt Pleasant, MI 48858-1203 |
| Terry Ball | Family Medicine | Mclaren Central Michigan | 1509 N Mcewan St, Clare, MI 48617-1113 |
| Kyle J Gilde | Anesthesiology | Mclaren Central Michigan | 1221 S Dr, Mt Pleasant, MI 48858-3257 |
| Kent A Kirby | Urology | Mclaren Central Michigan | 1221 S Dr, Mount Pleasant, MI 48858-3257 |
| Lakshmi P Shankariah | Internal Medicine | Mclaren Central Michigan | 1201 S Dr, Mt Pleasant, MI 48858-3255 |
| Street Address |
1509 N MCEWAN ST |
| City | CLARE |
| State | MI |
| Zip | 48617-1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry Ball | Family Medicine | Mclaren Central Michigan | 1509 N Mcewan St, Clare, MI 48617-1113 |
| Thomas A Mink | Physician Assistant | Mclaren Central Michigan | 1509 N Mcewan St, Clare, MI 48617-1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edith M Clark | Podiatry | 125 Dwyer St, Clare, MI 48617-1002 | |
| Alan F Bugai | Chiropractic | 1424 N Mcewan St, Clare, MI 48617-1114 | |
| Mitchell Mcmillan | Physical Therapy | Evergreen Physical Therapy Limited Partnership | 107 Schoolcrest Ave, Clare, MI 48617-1145 |
| Steven C Roderick | Physical Therapy | Evergreen Physical Therapy Limited Partnership | 107 Schoolcrest Ave, Clare, MI 48617-1145 |
| Jessica Morgan | Physical Therapy | Evergreen Physical Therapy Limited Partnership | 107 Schoolcrest Ave, Clare, MI 48617-1145 |
| Kristi L Owens | Physical Therapy | Evergreen Physical Therapy Limited Partnership | 107 Schoolcrest Ave, Clare, MI 48617-1145 |
| Trisha A Mcmillan | Physical Therapy | Evergreen Physical Therapy Limited Partnership | 107 Schoolcrest Ave, Clare, MI 48617-1145 |
| Charles Zelkowski | Physical Therapy | Evergreen Physical Therapy Limited Partnership | 107 Schoolcrest Ave, Clare, MI 48617-1145 |
| Jennifer Kohn | Physical Therapy | Evergreen Physical Therapy Limited Partnership | 107 Schoolcrest Ave, Clare, MI 48617-1145 |
| Timothy T. Axtell | Physical Therapy | Evergreen Physical Therapy Limited Partnership | 107 Schoolcrest Ave, Clare, MI 48617-1145 |
| Find all physicians in zip 48617 | |||
| City | CLARE |
| Zip Code | 48617 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CLARE + PHYSICIAN ASSISTANT |
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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.