Louise A Justus (NPI# 1669508404, PAC ID# 4981750387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1669508404 |
| PAC ID by PECOS | 4981750387 |
| Professional Enrollment ID | I20090928000247 |
| Full Name | Louise A Justus |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Address |
400 N Main St A Onsted MI 49265-9203 |
| Phone Number | 5174677369 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012902265 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230005 | EMMA L BIXBY MEDICAL CENTER |
| 231334 | PROMEDICA HERRICK HOSPITAL |
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 N Main St A, Onsted, MI 49265-9203 | 5174677369 | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| 200 E Russell Rd, Unit C, Tecumseh, MI 49286-2072 | 5174243883 | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maura Ann Crescenzo | Nurse Practitioner | Promedica Central Corporation of Michigan | 500 E Pottawatamie, Tecumseh, MI 49286-2018 |
| Jennifer Lewis | Nurse Practitioner | Promedica Central Corporation of Michigan | 781 Lakeshire Trail, Adrian, MI 49221-1561 |
| Mary Beth Darling | Nurse Practitioner | Promedica Central Corporation of Michigan | 200 E Russell Rd C, Tecumseh, MI 49286-2072 |
| Mindy A Howard | Nurse Practitioner | Promedica Central Corporation of Michigan | 901 Kimole Ln, A4, Adrian, MI 49221-1491 |
| Shimea L Hunt | Physician Assistant | Promedica Central Corporation of Michigan | 200 E Russell Rd, Unit C, Tecumseh, MI 49286-2072 |
| Daniel R Doman | Family Medicine | Promedica Central Corporation of Michigan | 818 Riverside Ave 5th Floor Cardiology, Adrian, MI 49221-1446 |
| Konda B C Mouli | Urology | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| Jody C Rhames | Family Medicine | Promedica Central Corporation of Michigan | 901 Kimole Lane, A1, Adrian, MI 49221-1491 |
| Tariq Aqil Siddiqi | Family Medicine | Promedica Central Corporation of Michigan | 750 High St, Adrian, MI 49221-1443 |
| Sarah Marie Farmer | Nurse Practitioner | Promedica Central Corporation of Michigan | 901 Kimole Lane, A1, Adrian, MI 49221-1491 |
| Street Address |
400 N MAIN ST A |
| City | ONSTED |
| State | MI |
| Zip | 49265-9203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Aaron Hall | Physician Assistant | Promedica Central Corporation of Michigan | 400 N Main St A, Onsted, MI 49265-9203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole Bellfy | Clinical Social Worker | 401 N Main St, Onsted, MI 49265-9436 | |
| Danielle R Gooding | Nurse Practitioner | W A Foote Memorial Hospital Inc | 8958 M, Suite 50, Onsted, MI 49265-9461 |
| Melissa S Vansickle | Family Practice | W A Foote Memorial Hospital Inc | 8958 W M, 50 Henry Ford Allegiance Family Medicine Onsted, Onsted, MI 49265-9461 |
| Lisa Kristen Barancin | Physician Assistant | W A Foote Memorial Hospital Inc | 8958 M, Suite 50, Onsted, MI 49265-9461 |
| Eric Ryan Lamey | Chiropractic | 257 S Main St, Onsted, MI 49265-9763 |
| City | ONSTED |
| Zip Code | 49265 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ONSTED + PHYSICIAN ASSISTANT |
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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.