Jacquelyn N Prokop (NPI# 1144778812, PAC ID# 3870880396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1144778812 |
| PAC ID by PECOS | 3870880396 |
| Professional Enrollment ID | I20160928000240 |
| Full Name | Jacquelyn N Prokop |
| Organization Legal Name | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Address |
4009 Orchard Dr Midland MI 48640-6122 |
| Phone Number | 9898393510 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2264323633 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230222 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| 230180 | MIDMICHIGAN MEDICAL CENTER-CLARE |
| Address | Phone | Organization |
|---|---|---|
| 4000 Wellness Dr, Midland, MI 48670-2000 | MIDMICHIGAN MEDICAL CENTER-MIDLAND | |
| 4009 Orchard Dr, Midland, MI 48640-6122 | 9898393510 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Organization Legal Name | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| Physicians | 221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Landon Smith | Nurse Practitioner | Midmichigan Medical Center-midland | 5694 Midland Rd, Freeland, MI 48623-8845 |
| Lisa L Miller | Nurse Practitioner | Midmichigan Medical Center-midland | 4000 Wellness Dr, Midland, MI 48670-2000 |
| Kyle Williams | Family Medicine | Midmichigan Medical Center-midland | 4611 Campus Ridge Dr, Midland, MI 48670-9533 |
| Maria Cristina C Chan | Internal Medicine | Midmichigan Medical Center-midland | 4401 N Campus Rdg Dr, Midland, MI 48640-6112 |
| Carolyn W Swenson | Obstetrics/gynecology | Midmichigan Medical Center-midland | 4300 Campus Ridge Dr, Midland, MI 48640-6104 |
| Jeffrey D Martindale | Cardiovascular Disease (cardiology) | Midmichigan Medical Center-midland | 301 W Wackerly St, Midland, MI 48640-2761 |
| Amanda Alvelo Malina | Obstetrics/gynecology | Midmichigan Medical Center-midland | 4320 Campus Ridge Dr, Midland, MI 48640-6104 |
| Mark D Horness | General Surgery | Midmichigan Medical Center-midland | 2431 S M, Suite 30, West Branch, MI 48661-9312 |
| William R Felten | Interventional Cardiology | Midmichigan Medical Center-midland | 602 Beech St, Clare, MI 48617-1466 |
| Tammy S Phillips | Family Medicine | Midmichigan Medical Center-midland | 40 W Saginaw Rd, Sanford, MI 48657-9206 |
| Street Address |
4009 ORCHARD DR |
| City | MIDLAND |
| State | MI |
| Zip | 48640-6122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Erickson | Physician Assistant | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Akintayo R Sokunbi | Critical Care (intensivists) | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Kathleen M Regan | Psychiatry | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Marina Bogdanovic | Psychiatry | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Mary Elizabeth G Wheeldon | Nurse Practitioner | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Loabat Amiri | Endocrinology | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Scott F Ross | Family Medicine | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Dayna R Shuster | Physician Assistant | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Kelly Hill | Family Medicine | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Susan E Merrell | Nurse Practitioner | Midmichigan Medical Center-midland | 4009 Orchard Dr, Midland, MI 48640-6122 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Snider | Podiatry | Midland Podiatry Associates Pllc | 4911 Hedgewood Dr, Midland, MI 48640-1930 |
| Todd E Laughner | Podiatry | Midland Podiatry Associates Pllc | 4911 Hedgewood Dr, Midland, MI 48640-1930 |
| Gary C Graham | Clinical Social Worker | Connection for Mental Health Plc | 4710 N Saginaw Rd, Suite B, Midland, MI 48640-2300 |
| Laurie D Chamberlain Clements | Clinical Social Worker | Connection for Mental Health Plc | 4710 N Saginaw Rd, Suite B, Midland, MI 48640-2300 |
| Kristina M Mcconnell | Physical Therapy | 4421 W Main St, Mcconnell Physical Therapy, Midland, MI 48640-2304 | |
| Melanie Lynn Mitchell | Psychologist, Clinical | Clinton County Medical Center Psychological Services Pllc | 3600 N Saginaw Rd, Midland, MI 48640-2320 |
| Anne Marie Brooks | Clinical Social Worker | 4604 N Saginaw Rd K, Keep It Real Counseling LLC, Midland, MI 48640-2394 | |
| Robert J Edwards | Chiropractic | Rodnick Chiropractic Consultants PC | 4604 N Saginaw Rd A, Midland, MI 48640-2394 |
| Jill E Trager | Psychologist, Clinical | 4604 N Saginaw Rd, Suite F, Midland, MI 48640-2394 | |
| Toni A Rodnick | Chiropractic | Rodnick Chiropractic Consultants PC | 4604 N Saginaw Rd A, Midland, MI 48640-2394 |
| Find all physicians in zip 48640 | |||
| City | MIDLAND |
| Zip Code | 48640 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MIDLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacquelyn N Prokop.
| 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.