Larry Stewart Lewis (NPI# 1538166160, PAC ID# 4385642040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1538166160 |
| PAC ID by PECOS | 4385642040 |
| Professional Enrollment ID | I20101109000781 |
| Full Name | Larry Stewart Lewis |
| Organization Legal Name | SURGICAL ASSOCIATES OF MARQUETTE, P.C. |
| Address |
1414 W Fair Ave 230 Marquette MI 49855-2675 |
| Phone Number | 9062253853 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 7719081074 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230054 | UP HEALTH SYSTEM - MARQUETTE |
| 231303 | SCHOOLCRAFT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1414 W Fair Ave 230, Marquette, MI 49855-2675 | 9062253853 | SURGICAL ASSOCIATES OF MARQUETTE, P.C. |
| Organization Legal Name | SURGICAL ASSOCIATES OF MARQUETTE, P.C. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick P Bulinski | General Surgery | Surgical Associates of Marquette, P.C. | 1414 W Fair Ave, Suite 230n, Marquette, MI 49855-2675 |
| Jodi Lynn Mccollum | Physician Assistant | Surgical Associates of Marquette, P.C. | 1414 W Fair Ave, Suite 230n, Marquette, MI 49855-2675 |
| Ryan Douglas Edwards | General Surgery | Surgical Associates of Marquette, P.C. | 1414 W Fair Ave, Suite 230n, Marquette, MI 49855-2675 |
| Joseph Cottingham Jameson | General Surgery | Surgical Associates of Marquette, P.C. | 1414 W Fair Ave, Suite 230n, Marquette, MI 49855-2675 |
| Katherine Petrin | General Surgery | Surgical Associates of Marquette, P.C. | 1414 W Fair Ave, Suite 230n, Marquette, MI 49855-2675 |
| Street Address |
1414 W FAIR AVE 230 |
| City | MARQUETTE |
| State | MI |
| Zip | 49855-2675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Jones | Psychologist, Clinical | 1300 W Ridge St, Suite 2, Marquette, MI 49855-2142 | |
| Brian John Kulbieda | Chiropractic | 1300 W Ridge St, Suite 1, Marquette, MI 49855-2142 | |
| Mark W Olson | Family Medicine | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kellie E Shipkey | Nurse Practitioner | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kurt R Olson | Family Medicine | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kristen Ann Deprey | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Kristin Diane Wodzinski Andreae | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Kyle M Aho | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Lisa M Labar | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Anna Tippen Howes | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Find all physicians in zip 49855 | |||
| City | MARQUETTE |
| Zip Code | 49855 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MARQUETTE + GENERAL 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.