Tod A Wyn (NPI# 1073537403, PAC ID# 4587557293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPICE/PALLIATIVE CARE.
| Nation Provider ID (NPI) | 1073537403 |
| PAC ID by PECOS | 4587557293 |
| Professional Enrollment ID | I20070706000088 |
| Full Name | Tod A Wyn |
| Organization Legal Name | HOSPICE OF HOLLAND, INC |
| Address |
270 Hoover Blvd Holland MI 49423-3719 |
| Phone Number | 6163962972 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | HOSPICE/PALLIATIVE CARE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9133132970 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| 230003 | SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 270 Hoover Blvd, Holland, MI 49423-3719 | 6163962972 | HOSPICE OF HOLLAND, INC |
| Organization Legal Name | HOSPICE OF HOLLAND, INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice M Emery | Hospice/palliative Care | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Kelly R Howard | Nurse Practitioner | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Lizabeth Shannon Giles | Hospice/palliative Care | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Amy A Zuidema | Nurse Practitioner | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Katie Marie Norman | Nurse Practitioner | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Street Address |
270 HOOVER BLVD |
| City | HOLLAND |
| State | MI |
| Zip | 49423-3719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice M Emery | Hospice/palliative Care | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Kelly R Howard | Nurse Practitioner | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Lizabeth Shannon Giles | Hospice/palliative Care | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Amy A Zuidema | Nurse Practitioner | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Katie Marie Norman | Nurse Practitioner | Hospice of Holland, Inc | 270 Hoover Blvd, Holland, MI 49423-3719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela L Jammer | Optometry | Rx Optical Laboratories, Inc. | 1148 S Washington, Holland, MI 49423 |
| Jonathan L Stevens | Clinical Social Worker | 426 Century Ln, Suite 100, Holland, MI 49423-2200 | |
| Carli M Luce | Clinical Social Worker | West Shore Counseling Services LLC | 426 Century Ln, Suite 100, Holland, MI 49423-2200 |
| Patricia Ann Baer | Clinical Social Worker | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Steven Thomas Johnson | Psychologist, Clinical | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Diana M Wiersma | Clinical Social Worker | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Keith A Louwerse | Psychologist, Clinical | 186 S River Ave, Suite 5, Holland, MI 49423-2848 | |
| Jill S Vander Bent | Clinical Social Worker | 186 S River Ave, 5 Abundance of Hope LLC, Holland, MI 49423-2848 | |
| Suzanne Lee | Nurse Practitioner | Spectrum Health Primary Care Partners | 145 Columbia Ave, Holland, MI 49423-2981 |
| Nathan E Dykema | Physical Therapy | Simio Health Services, Pllc | 730 Chicago Dr, Holland, MI 49423-3004 |
| Find all physicians in zip 49423 | |||
| City | HOLLAND |
| Zip Code | 49423 |
| Specialty | HOSPICE/PALLIATIVE CARE |
| City + Specialty | HOLLAND + HOSPICE/PALLIATIVE CARE |
Please comment or provide details below to improve the information on Tod A Wyn.
| 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.