Jordan Brooks (NPI# 1902225030, PAC ID# 5193018877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1902225030 |
| PAC ID by PECOS | 5193018877 |
| Professional Enrollment ID | I20180712003431 |
| Full Name | Jordan Brooks |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Address |
1007 Harbor Hills Dr Suite C Marquette MI 49855-8977 |
| Phone Number | 9062255458 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3779471701 |
| Number of Group Practice Members | 289 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230054 | MARQUETTE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3515 Murray St, Marinette, WI 54143-3367 | 7157320699 | FOREFRONT DERMATOLOGY SC |
| 1007 Harbor Hills Dr, Suite C, Marquette, MI 49855-8977 | 9062255458 | FOREFRONT DERMATOLOGY SC |
| 188 Rockwood Ln, Suite A, Neenah, WI 54956-1983 | 9207254100 | FOREFRONT DERMATOLOGY SC |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Wichterman | Dermatology | Forefront Dermatology Sc | 305 E Eisenhower Pkwy, Suite 320, Ann Arbor, MI 48108-3354 |
| Lindsay Michelle Stevens | Nurse Practitioner | Forefront Dermatology Sc | 2246 N Pointe Dr, Warsaw, IN 46582-9042 |
| Miriam Pearl Finkel | Dermatology | Forefront Dermatology Sc | 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 |
| Stephanie Mathews Kazantsev | Dermatology | Forefront Dermatology Sc | 2051 Plainfield Rd, Crest Hill, IL 60403-1865 |
| Sonam Rama | Dermatology | Forefront Dermatology Sc | 706 W Huron St, Ann Arbor, MI 48103-4212 |
| Danielle Marie Waymire | Dermatology | Forefront Dermatology Sc | 1320 Pabst Farms Cir, Unit 180, Oconomowoc, WI 53066-4878 |
| Marie Saxon Ford | Nurse Practitioner | Forefront Dermatology Sc | 2333 Ring Rd, Elizabethtown, KY 42701-9162 |
| Sarah Campbell | Dermatology | Forefront Dermatology Sc | 913 Menoher Blvd, Johnstown, PA 15905-2834 |
| Gregory Dougan | Physician Assistant | Forefront Dermatology Sc | 911 N Shelby St, Salem, IN 47167-2304 |
| Emily N Williams | Physician Assistant | Forefront Dermatology Sc | 100 N Town Ctr Rd, Suite C, Mooresville, IN 46158-2322 |
| Street Address |
1007 HARBOR HILLS DR SUITE C |
| City | MARQUETTE |
| State | MI |
| Zip | 49855-8977 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| August A Natalie | Dermatology | Forefront Dermatology Sc | 1007 Harbor Hills Dr, Suite C, Marquette, MI 49855-8977 |
| Eric M Hanson | Dermatology | Forefront Dermatology Sc | 1007 Harbor Hills Dr, Suite C, Marquette, MI 49855-8977 |
| Ryan Thomas Hubbard | Physical Therapy | 1007 Harbor Hills Dr, Suite B, Marquette, MI 49855-8977 |
| 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 | DERMATOLOGY |
| City + Specialty | MARQUETTE + DERMATOLOGY |
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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.