Gary Dickinson Kresge (NPI# 1134155351, PAC ID# 4284538646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1134155351 |
| PAC ID by PECOS | 4284538646 |
| Professional Enrollment ID | I20070727000268 |
| Full Name | Gary Dickinson Kresge |
| Organization Legal Name | MAGRUDER MEDICAL GROUP LTD |
| Address |
611 Fulton St Port Clinton OH 43452-2008 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1951675198 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361314 | H B MAGRUDER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 611 Fulton St, Port Clinton, OH 43452-2008 | MAGRUDER MEDICAL GROUP LTD |
| Organization Legal Name | MAGRUDER MEDICAL GROUP LTD |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel G Cadigan | Family Medicine | Magruder Medical Group Ltd | 611 Fulton St, Port Clinton, OH 43452-2008 |
| Lisa Ann Ebert | Nurse Practitioner | Magruder Medical Group Ltd | 621 Fulton St, Port Clinton, OH 43452-2034 |
| Sean P Callahan | Family Medicine | Magruder Medical Group Ltd | 11697 W State Route 163, Oak Harbor, OH 43449-9113 |
| Steven P Jackson | Family Medicine | Magruder Medical Group Ltd | 1297 W Main St, Marblehead, OH 43440-2002 |
| Timothy W Mummert | Internal Medicine | Magruder Medical Group Ltd | 611 Fulton St, Port Clinton, OH 43452-2008 |
| Leonardo T Que | Internal Medicine | Magruder Medical Group Ltd | 611 Fulton St, Suite E, Port Clinton, OH 43452-2008 |
| Donald E Reed | General Surgery | Magruder Medical Group Ltd | 611 Fulton St, Suite C, Port Clinton, OH 43452-2008 |
| Chad Michael Blunt | Family Medicine | Magruder Medical Group Ltd | 11697 W State Route 163, Oak Harbor, OH 43449-9113 |
| James A Mclean | Family Medicine | Magruder Medical Group Ltd | 611 Fulton St, Port Clinton, OH 43452-2008 |
| Michelle L Buehrer | Nurse Practitioner | Magruder Medical Group Ltd | 11697 W State Route 163, Oak Harbor, OH 43449-9113 |
| Street Address |
611 FULTON ST |
| City | PORT CLINTON |
| State | OH |
| Zip | 43452-2008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel G Cadigan | Family Medicine | Magruder Medical Group Ltd | 611 Fulton St, Port Clinton, OH 43452-2008 |
| Timothy W Mummert | Internal Medicine | Magruder Medical Group Ltd | 611 Fulton St, Port Clinton, OH 43452-2008 |
| Leonardo T Que | Internal Medicine | Magruder Medical Group Ltd | 611 Fulton St, Suite E, Port Clinton, OH 43452-2008 |
| Donald E Reed | General Surgery | Magruder Medical Group Ltd | 611 Fulton St, Suite C, Port Clinton, OH 43452-2008 |
| Kevin Sneider | Podiatry | 611 Fulton St, Suite B, Port Clinton, OH 43452-2008 | |
| James A Mclean | Family Medicine | Magruder Medical Group Ltd | 611 Fulton St, Port Clinton, OH 43452-2008 |
| Vimal S Kumar | Pain Management | 611 Fulton St, Suite D, Port Clinton, OH 43452-2008 | |
| Karen L Klaege | Family Medicine | Magruder Medical Group Ltd | 611 Fulton St, Port Clinton, OH 43452-2008 |
| David Andrew Bodie | Family Medicine | Magruder Medical Group Ltd | 611 Fulton St, Port Clinton, OH 43452-2008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Kendall | Emergency Medicine | 135 W Perry St, Port Clinton, OH 43452-1010 | |
| Kevin Michael Francis | Chiropractic | 113 Madison St, Port Clinton, OH 43452-1103 | |
| David Harold George | Optometry | Lake Erie Family Eyecare LLC | 222 Jefferson St, Port Clinton, OH 43452-1141 |
| Jennifer S Felbinger | Optometry | Lake Erie Family Eyecare LLC | 222 Jefferson St, Port Clinton, OH 43452-1141 |
| Joseph A Darr | Chiropractic | 125 E 3rd St, Port Clinton, OH 43452-1186 | |
| Michelle A Rathfelder | Clinical Social Worker | Firelands Regional Medical Center | 335 Buckeye Blvd, Port Clinton, OH 43452-1423 |
| Heather Mccool | Clinical Social Worker | Firelands Regional Medical Center | 335 Buckeye Blvd, Port Clinton, OH 43452-1423 |
| Andrea N Hayes | Physician Assistant | Promedica Central Physicians LLC | 1854 E Perry St, Promedica Phys Ob/gyn, Port Clinton, OH 43452-1578 |
| Lori A Jesberger | Nurse Practitioner | Promedica Central Physicians LLC | 1854 E Perry St, Promedica Phys Ob/gyn, Port Clinton, OH 43452-1578 |
| Glenn P Chapman Ii | Chiropractic | 312 W 3rd St, Port Clinton, OH 43452-1846 | |
| Find all physicians in zip 43452 | |||
| City | PORT CLINTON |
| Zip Code | 43452 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PORT CLINTON + ORTHOPEDIC SURGERY |
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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.