Carolyn D Leadholm Wittke (NPI# 1124026018, PAC ID# 3678623360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124026018 |
| PAC ID by PECOS | 3678623360 |
| Professional Enrollment ID | I20090618000618 |
| Full Name | Carolyn D Leadholm Wittke |
| Organization Legal Name | COMPREHENSIVE PAIN SPECIALISTS, PLLC |
| Address |
4450 Fashion Square Blvd Saginaw MI 48603-1251 |
| Phone Number | 9897924090 |
| Gender | F |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507099207 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230070 | COVENANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 9897924090 | COMPREHENSIVE PAIN SPECIALISTS, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 95% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 75% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | COMPREHENSIVE PAIN SPECIALISTS, PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott D Parks | Physical Therapy | Comprehensive Pain Specialists, Pllc | 3400 Fleckenstein Rd, Suite 1, Flint, MI 48507-3042 |
| Valeriah A Holmon | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4302 Bay City Rd, Midland, MI 48642-6014 |
| James Stathakios Jr. | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Marcella S Welker | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Ed Y Atty | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Paul A Laclair | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Matthew D Eagleson | Anesthesiology | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Ryan W Bearer | Pain Management | Comprehensive Pain Specialists, Pllc | 4 Columbus Ave, Suite 320, Bay City, MI 48708-6831 |
| Michael D Papenfuse | Anesthesiology | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Nicole A Darling | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Street Address |
4450 FASHION SQUARE BLVD |
| City | SAGINAW |
| State | MI |
| Zip | 48603-1251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Stathakios Jr. | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Marcella S Welker | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Ed Y Atty | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Paul A Laclair | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Matthew D Eagleson | Anesthesiology | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Michael D Papenfuse | Anesthesiology | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Nicole A Darling | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Brook R Mcdougall | Nurse Practitioner | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Todd A Crawford | Certified Registered Nurse Anesthetist | Matrix Anesthesia Plc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Angel J Rigueras | Physical Medicine and Rehabilitation | Comprehensive Pain Specialists, Pllc | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnathan T Howard | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Theodore B Hennig | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Scott C Woodbury | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Ehsan Y Sharaf-eldeen | Maxillofacial Surgery | Hennig Woodbury and Howard PC | 4350 Fashion Square Blvd, Saginaw, MI 48603-1249 |
| Melvin C Mcdowell Jr. | Clinical Social Worker | 3995 Fashion Square Blvd, Suite 6, Saginaw, MI 48603-1291 | |
| Patrick J Bell | Optometry | Great Lakes Eye Institute | 2393 Schust Rd, Saginaw, MI 48603-1334 |
| John M Ogrady | Ophthalmology | Great Lakes Eye Institute | 2393 Schust Rd, Saginaw, MI 48603-1334 |
| Farhad K Shokoohi | Ophthalmology | Great Lakes Eye Institute | 2393 Schust Rd, Saginaw, MI 48603-1334 |
| Donald Bart Darnell | Optometry | Great Lakes Eye Institute | 2393 Schust Rd, Saginaw, MI 48603-1334 |
| Kamran K Shokoohi | Ophthalmology | Great Lakes Eye Institute | 2393 Schust Rd, Saginaw, MI 48603-1334 |
| Find all physicians in zip 48603 | |||
| City | SAGINAW |
| Zip Code | 48603 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAGINAW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carolyn D Leadholm Wittke.
| 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.