Andrew J Long (NPI# 1558554808, PAC ID# 5799859864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558554808 |
| PAC ID by PECOS | 5799859864 |
| Professional Enrollment ID | I20080807000295 |
| Full Name | Andrew J Long |
| Organization Legal Name | KALKASKA MEMORIAL HEALTH CENTER |
| Address |
419 S Coral St Kalkaska MI 49646-2500 |
| Phone Number | 2312587500 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577536002 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231301 | KALKASKA MEMORIAL HEALTH CENTER |
| 230097 | MUNSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 419 S Coral St, Kalkaska, MI 49646-2500 | 2312587500 | KALKASKA MEMORIAL HEALTH CENTER |
| Organization Legal Name | KALKASKA MEMORIAL HEALTH CENTER |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan C Sailor | Family Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Michael H Vanderkolk | General Surgery | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Thomas Alfred Minor | Physician Assistant | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Jennifer Polanic | Family Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Sally A Ancel | Emergency Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Jeremy K Holmes | Family Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Natalie Jean Okerson-sparks | Family Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Marc A Frick | Family Practice | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Gary R Ziegler | Family Practice | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Mark E Brewster | Gastroenterology | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Street Address |
419 S CORAL ST |
| City | KALKASKA |
| State | MI |
| Zip | 49646-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Arthur Elliott | Interventional Cardiology | Munson Medical Group | 419 S Coral St, Traverse Heart and Vascular, Kalkaska, MI 49646-2503 |
| Nathan C Sailor | Family Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Alicia M Eby | Ophthalmology | Traverse City Eye Consultants PC | 419 S Coral St, Kalkaska, MI 49646-2503 |
| Michelle Strange | Physician Assistant | Munson Medical Group | 419 S Coral St, Traverse Heart and Vascular, Kalkaska, MI 49646-2503 |
| Michael H Vanderkolk | General Surgery | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Thomas Alfred Minor | Physician Assistant | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Jennifer Polanic | Family Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Sally A Ancel | Emergency Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Carolyn J Keith | Anesthesiology | Traverse Anesthesia Associates, PC | 419 S Coral St, Kalkaska, MI 49646-2503 |
| Jeremy K Holmes | Family Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Jean Okerson-sparks | Family Medicine | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Marc A Frick | Family Practice | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Gary R Ziegler | Family Practice | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Mark E Brewster | Gastroenterology | Kalkaska Memorial Health Center | 419 S Coral St, Kalkaska, MI 49646-2500 |
| Charles J Kerndt | Anesthesiology | Traverse Anesthesia Associates, PC | 419 S Coral St, Kalkaska, MI 49646-2503 |
| Kenneth B Gum | Ophthalmology | Traverse City Eye Consultants PC | 419 S Coral St, Kalkaska, MI 49646-2503 |
| Robert W Gaston | Chiropractic | Gaston Family Chiropractic LLC | 108 Northland Plaza, Gaston Family Chiropractic, Kalkaska, MI 49646-7408 |
| Kareen L Oosterhart | Chiropractic | 798 W Mile Rd, Kalkaska, MI 49646-8431 | |
| Maryellen M Bonacci | Clinical Social Worker | Catholic Human Services, Inc | 0438 County Rd 612 Ne, Kalkaska, MI 49646-8577 |
| Clayton G Skrzypczak | Optometry | 882 M72 Nw, Kalkaska Family Vision Care, Kalkaska, MI 49646-8787 | |
| Find all physicians in zip 49646 | |||
| City | KALKASKA |
| Zip Code | 49646 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KALKASKA + FAMILY MEDICINE |
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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.