Paul R Kennedy (NPI# 1013063114, PAC ID# 5597817585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1013063114 |
| PAC ID by PECOS | 5597817585 |
| Professional Enrollment ID | I20090722000626 |
| Full Name | Paul R Kennedy |
| Organization Legal Name | GRAND RAPIDS OPHTHALMOLOGY |
| Address |
112 S Clay St Greenville MI 48838-1914 |
| Phone Number | 6169492600 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8820065618 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 80 68th St Se, Grand Rapids, MI 49438-6980 | 6169492600 | GRAND RAPIDS OPHTHALMOLOGY |
| 112 S Clay St, Greenville, MI 48838-1914 | 6169492600 | GRAND RAPIDS OPHTHALMOLOGY |
| Organization Legal Name | GRAND RAPIDS OPHTHALMOLOGY |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Morehouse | Ophthalmology | Grand Rapids Ophthalmology | 4475 Wilson Sw, Grandville, MI 49412-2368 |
| Lindsay M Weatherhead | Optometry | Grand Rapids Ophthalmology | 80 68th St Se, Grand Rapids, MI 49438-6980 |
| Thomas P Cowden | Ophthalmology | Grand Rapids Ophthalmology | 4475 Sw Wilson Ave, Grandville, MI 49418-2368 |
| Charlene I Hamilton | Optometry | Grand Rapids Ophthalmology | 6050 Northland Dr, Rockford, MI 49341-9244 |
| Laura J Piippo | Ophthalmology | Grand Rapids Ophthalmology | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 |
| Marcus S Muallem | Ophthalmology | Grand Rapids Ophthalmology | 537 W Main St, Ionia, MI 48846-1652 |
| Shannon K Stanek | Optometry | Grand Rapids Ophthalmology | 750 E Beltline Ne, Grand Rapids, MI 49525-6049 |
| Robert John Roosenberg | Ophthalmology | Grand Rapids Ophthalmology | 80 Se 68th St, Grand Rapids, MI 49548-6980 |
| Margaret Ann Baumgartner | Optometry | Grand Rapids Ophthalmology | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 |
| Cheryl Vincent-riemer | Optometry | Grand Rapids Ophthalmology | 112 S Clay St, Greenville, MI 48838-1914 |
| Street Address |
112 S CLAY ST |
| City | GREENVILLE |
| State | MI |
| Zip | 48838-1914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Vincent-riemer | Optometry | Grand Rapids Ophthalmology | 112 S Clay St, Greenville, MI 48838-1914 |
| Rachel G Hollenbeck | Optometry | Grand Rapids Ophthalmology | 112 S Clay St, Greenville, MI 48838-1914 |
| Russell S Weber | Ophthalmology | Grand Rapids Ophthalmology | 112 S Clay St, Greenville, MI 48838-1914 |
| Samuel Estes | Optometry | Grand Rapids Ophthalmology | 112 S Clay St, Greenville, MI 48838-1914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert John Seledotis | Neurosurgery | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 | |
| Lisa A Pullum | Pain Management | Michigan Pain Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Charles Bray | Physician Assistant | Michigan Pain Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Craig Vander Maas | Psychologist, Clinical | Michigan Behavioral Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Amanda Novak | Physician Assistant | Michigan Pain Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Frank Paul Webber | Podiatry | 917 N Lafayette St, Greenville, MI 48838-1129 | |
| Charles Mcninch | Chiropractic | 1100 N Lafayette St, Greenville, MI 48838-1132 | |
| Domenico S Ausiello | Family Medicine | 200 S Franklin St, Greenville, MI 48838-1740 | |
| Nicole Brittany Scales | Optometry | Ec One Inc | 307 S Franklin St, Greenville, MI 48838-1759 |
| Danielle Marie Woodbridge | Optometry | Ec One Inc | 307 S Franklin St, Greenville, MI 48838-1759 |
| Find all physicians in zip 48838 | |||
| City | GREENVILLE |
| Zip Code | 48838 |
| Specialty | OPTOMETRY |
| City + Specialty | GREENVILLE + OPTOMETRY |
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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.