Ellison J Timmer (NPI# 1982976304, PAC ID# 4183885213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982976304 |
| PAC ID by PECOS | 4183885213 |
| Professional Enrollment ID | I20120417000061 |
| Full Name | Ellison J Timmer |
| Organization Legal Name | CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. |
| Address |
12460 Riley St Holland MI 49424-8217 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082526793 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| 230003 | SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 145 Michigan Nest, Suite 3100, Grand Rapids, MI 49503-2563 | 6169549800 | CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. |
| 12460 Riley St, Holland, MI 49424-8217 | CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. |
| Organization Legal Name | CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Pettijohn | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 145 Michigan Nest, Suite 3100, Grand Rapids, MI 49503-2563 |
| Lakshmi Padma Kocharla | Rheumatology | Cancer and Hematology Centers of Western Mi, P.C. | 5800 Foremost Dr Se, Grand Rapids, MI 49546-7062 |
| Julie L Maring | Physician Assistant | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Kelsey M Willick | Physician Assistant | Cancer and Hematology Centers of Western Mi, P.C. | 145 Michigan Nest, Suite 3100, Grand Rapids, MI 49503-2563 |
| Patty A Oleszkiewicz | Physician Assistant | Cancer and Hematology Centers of Western Mi, P.C. | 145 Michigan Nest, Suite 3100, Grand Rapids, MI 49503-2563 |
| Charlotte R Tatangelo | Nurse Practitioner | Cancer and Hematology Centers of Western Mi, P.C. | 1440 E Sherman Blvd, Suite 200, Muskegon, MI 49444-1816 |
| Tamra Lynn Groothuis | Nurse Practitioner | Cancer and Hematology Centers of Western Mi, P.C. | 145 Michigan Nest, Suite 3100, Grand Rapids, MI 49503-2563 |
| Eric Santos | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 145 Michigan Nest, Suite 3100, Grand Rapids, MI 49503-2563 |
| Latha S Polavaram | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 145 Michigan Nest, Suite 3100, Grand Rapids, MI 49503-2563 |
| Kelly J Parling-lynch | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 1440 E Sherman Blvd, Suite 200, Muskegon, MI 49444-1816 |
| Street Address |
12460 RILEY ST |
| City | HOLLAND |
| State | MI |
| Zip | 49424-8217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie L Maring | Physician Assistant | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Alexis Gade | Nurse Practitioner | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Amy C Vander Woude | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Kate Westrate | Nurse Practitioner | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Frances Y Wong | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Jeffrey F Porter | Psychologist, Clinical | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Nehal J Lakhani | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Emily S Parker | Nurse Practitioner | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Brett Thomas Brinker | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Tricia I Lozon | Physician Assistant | Cancer and Hematology Centers of Western Mi, P.C. | 12460 Riley St, Holland, MI 49424-8217 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Jon Blauwkamp | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Blake R Spooner | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Ronald H Rabineau | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Jacqueline L Prins | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| David D Brelinski Iii | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Holland, MI 49424-1826 |
| Lauren Stouffer | Nurse Practitioner | Intercare Community Health Network | 285 James St, Holland, MI 49424-1849 |
| Matthew C Ziesemer | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Craig A Kingsbury | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Louis Christian Boven | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Curtis W Miller | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Find all physicians in zip 49424 | |||
| City | HOLLAND |
| Zip Code | 49424 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOLLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ellison J Timmer.
| 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.