Kelly S Wiersema (NPI# 1902023575, PAC ID# 3678627437) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1902023575 |
| PAC ID by PECOS | 3678627437 |
| Professional Enrollment ID | I20090813000700 |
| Full Name | Kelly S Wiersema |
| Organization Legal Name | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Address |
475 S State St Sparta MI 49345-1549 |
| Phone Number | 6166851300 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4082807961 |
| Number of Group Practice Members | 434 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 475 S State St, Sparta, MI 49345-1549 | 6166851300 | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Organization Legal Name | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Physicians | 453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaipreet Singh Suri | Radiation Oncology | Advantage Health/saint Mary's Medical Group | 250 Cherry St Se, Grand Rapids, MI 49503-4608 |
| Megan Amber Deboer | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 6050 Northland Dr Ne, Suite 1159, Rockford, MI 49341-8279 |
| Lara Baatenburg | Family Medicine | Advantage Health/saint Mary's Medical Group | 950 36th St Sw, Wyoming, MI 49509-3587 |
| Colleen Tillema | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 |
| Melissa Devroy | Clinical Social Worker | Advantage Health/saint Mary's Medical Group | 801 Broadway Ave Nw, Suite 105, Grand Rapids, MI 49504-4462 |
| Paul Dieleman | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Christopher James Davis | Family Medicine | Advantage Health/saint Mary's Medical Group | 1175 Wilson Ave Nw, Walker, MI 49534-6407 |
| Nicole Markiewicz | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 933 3 Mile Rd Nw, Suite 210, Grand Rapids, MI 49544-1673 |
| Brianna Kilner | Internal Medicine | Advantage Health/saint Mary's Medical Group | 359 Division Ave S, Grand Rapids, MI 49503-4537 |
| Julia K Walters | Registered Dietitian Or Nutrition Professional | Advantage Health/saint Mary's Medical Group | 10047 Crossroad Sect, Caledonia, MI 49316-7316 |
| Street Address |
475 S STATE ST |
| City | SPARTA |
| State | MI |
| Zip | 49345-1549 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark L Joseph | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Sarah Rodriguez | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Eric C Bouwens | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| John H Schneider | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Margaret F Vandewater | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Jarrad Montie Utter | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George D Freeland | Chiropractic | 200 E Division St, Sparta, MI 49345-1463 | |
| Anne M Pfeffer | Optometry | 343 S Union St, Sparta, MI 49345-1531 | |
| Lynnmarie Skipper Leyder | Chiropractic | Serenity Wellness Plc | 542 S State St, Sparta, MI 49345-1547 |
| Johnathan Joseph Clark | Chiropractic | Serenity Wellness Plc | 542 S State St, Sparta, MI 49345-1547 |
| Stephanie Theresa Leone | Clinical Social Worker | Hope Network Behavorial Health Services | 118 Ida Red Ave, Sparta, MI 49345-1714 |
| Lori L Vorpi | Chiropractic | 9161 Sparta Ave Nw E, Sparta, MI 49345-9405 | |
| Brenda S Zook | Family Medicine | Spectrum Health Primary Care Partners | 2111 12 Mile Nwrd, Sparta, MI 49345-9754 |
| Wendy S Muma | Nurse Practitioner | Spectrum Health Primary Care Partners | 2111 12 Mile Rd, Sparta, MI 49345-9754 |
| Matthew R Schram | Family Medicine | Spectrum Health Primary Care Partners | 2111 12 Mile Nwrd, Sparta, MI 49345-9754 |
| Lindsey A Crawford | Physician Assistant | Spectrum Health Primary Care Partners | 2111 12 Mile Nwrd, Sparta, MI 49345-9754 |
| Find all physicians in zip 49345 | |||
| City | SPARTA |
| Zip Code | 49345 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SPARTA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kelly S Wiersema.
| 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.