Theodore A Bash (NPI# 1215987235, PAC ID# 5092619254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1215987235 |
PAC ID by PECOS | 5092619254 |
Professional Enrollment ID | I20050715000150 |
Full Name | Theodore A Bash |
Organization Legal Name | MCLAREN PRIMARY CARE |
Address |
2990 Campbell Rd Rose City MI 48654-9724 |
Phone Number | 9896852333 |
Gender | M |
Credential | DO |
Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1850327487 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230095 | WEST BRANCH REGIONAL MEDICAL CENTER |
230041 | MCLAREN BAY REGION |
230058 | MUNSON HEALTHCARE GRAYLING HOSPITAL |
230036 | MIDMICHIGAN MEDICAL CENTER - ALPENA |
230180 | MIDMICHIGAN MEDICAL CENTER-CLARE |
Address | Phone | Organization |
---|---|---|
2990 Campbell Rd, Rose City, MI 48654-9724 | 9896852333 | MCLAREN PRIMARY CARE |
1360 N Saint Helen Rd, Saint Helen, MI 48656-9521 | 9893894944 | MCLAREN PRIMARY CARE |
13600 N Saint Helen Rd, Primary Care Inc, Saint Helen, MI 48656-9521 | 9893894944 | MCLAREN PRIMARY CARE |
2110 S M, 76 Suite 6, West Branch, MI 48661-8737 | 9893451184 | MCLAREN PRIMARY CARE |
2463 S M, 30 West Branch Regional Medical Center, West Branch, MI 48661-9312 | 9893453660 | MCLAREN PRIMARY CARE |
Organization Legal Name | MCLAREN PRIMARY CARE |
Physicians | 14 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel L Vanwormer | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
Deborah L Richardson | Nurse Practitioner | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
Tamyra A Henigan | Nurse Practitioner | Mclaren Primary Care | 558 Lockwood Ln, Mio, MI 48647-9387 |
Jessica R Bennett | Nurse Practitioner | Mclaren Primary Care | 2463 S M, 30 West Branch Regional Medical Center, West Branch, MI 48661-9312 |
Jenny K David | Nurse Practitioner | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
Kerri A Stephens | Nurse Practitioner | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Kelsie L Passmore | Physician Assistant | Mclaren Primary Care | 558 Lockwood Ln, Mio, MI 48647-9387 |
Michelle E Vanoosten | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
John P Wilkins | Family Medicine | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Kimberly K Provoast | Physician Assistant | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Street Address |
2990 CAMPBELL RD |
City | ROSE CITY |
State | MI |
Zip | 48654-9724 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel L Vanwormer | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
Michelle E Vanoosten | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
Wayne S Wahl | Family Practice | Primary Care Inc | 2990 Campbell Rd, Rose City, MI 48654-9724 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kendall R Paulson | Chiropractic | 3292 N, M33, Rose City, MI 48654-9416 |
City | ROSE CITY |
Zip Code | 48654 |
Specialty | FAMILY MEDICINE |
City + Specialty | ROSE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Theodore A Bash.
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.