Barbara Heenan (NPI# 1275629727, PAC ID# 4486654555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275629727 |
| PAC ID by PECOS | 4486654555 |
| Professional Enrollment ID | I20070115000124 |
| Full Name | Barbara Heenan |
| Organization Legal Name | FAMILY PHYSICIANS OF ST. JOSEPH, P.C. |
| Address |
2500 Niles Rd Saint Joseph MI 49085-3225 |
| Phone Number | 2694295000 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628173663 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 230078 | LAKELAND HOSPITAL WATERVLIET |
| Address | Phone | Organization |
|---|---|---|
| 2500 Niles Rd, Saint Joseph, MI 49085-3225 | 2694295000 | FAMILY PHYSICIANS OF ST. JOSEPH, P.C. |
| 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085-3225 | 2694295000 | FAMILY PHYSICIANS OF ST. JOSEPH, P.C. |
| Organization Legal Name | FAMILY PHYSICIANS OF ST. JOSEPH, P.C. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Eggebrecht | Family Practice | Family Physicians of St. Joseph, P.C. | 2500 Niles Rd, Saint Joseph, MI 49085-3225 |
| Allison D Meadows | Family Practice | Family Physicians of St. Joseph, P.C. | 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085-3225 |
| James Driscoll Gendernalik | Family Practice | Family Physicians of St. Joseph, P.C. | 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085-3225 |
| Leanne M Mancini | Family Practice | Family Physicians of St. Joseph, P.C. | 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085-3225 |
| Street Address |
2500 NILES RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip | 49085-3225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis L Disch | Cardiovascular Disease (cardiology) | Lakeland Hospitals At Niles and St Joseph Inc | 2500 Niles Rd, 6 Lakeland Cardiothoracic, Saint Joseph, MI 49085-3268 |
| Stephen L Dickson | Thoracic Surgery | Lakeland Hospitals At Niles and St Joseph Inc | 2500 Niles Rd, 6 Lakeland Cardiothoracic, Saint Joseph, MI 49085-3268 |
| Michael E Eggebrecht | Family Practice | Family Physicians of St. Joseph, P.C. | 2500 Niles Rd, Saint Joseph, MI 49085-3225 |
| Allison D Meadows | Family Practice | Family Physicians of St. Joseph, P.C. | 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085-3225 |
| James Driscoll Gendernalik | Family Practice | Family Physicians of St. Joseph, P.C. | 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085-3225 |
| Leanne M Mancini | Family Practice | Family Physicians of St. Joseph, P.C. | 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085-3225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Bruce P Hackworth | Psychologist, Clinical | 811 Ship St, 4b, Saint Joseph, MI 49085-1171 | |
| Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
| Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
| Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
| Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
| Find all physicians in zip 49085 | |||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT JOSEPH + NURSE PRACTITIONER |
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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.