Jan T Liu (NPI# 1164805685, PAC ID# 6305191834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1164805685 |
PAC ID by PECOS | 6305191834 |
Professional Enrollment ID | I20180625000395 |
Full Name | Jan T Liu |
Organization Legal Name | MEMORIAL HOSPITAL |
Address |
3337 Britton Rd Perry MI 48872-9706 |
Phone Number | 5176253004 |
Gender | M |
Medical School | MICHIGAN COLLEGE OF MEDICINE AND SURGERY |
Graduation Year | 2015 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8527976497 |
Number of Group Practice Members | 110 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230121 | MEMORIAL HEALTHCARE |
Address | Phone | Organization |
---|---|---|
3337 Britton Rd, Perry, MI 48872-9706 | 5176253004 | MEMORIAL HOSPITAL |
Organization Legal Name | MEMORIAL HOSPITAL |
Physicians | 200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynn M Larson | Internal Medicine | Memorial Hospital | 826 W King St, Memorial Medical Associates, Owosso, MI 48867-2120 |
Amanda Brooke Ariss | Nurse Practitioner | Memorial Hospital | 9099 E Lansing Rd B, Durand Urgent Care, Durand, MI 48429-1083 |
Kimberly S Macdermott | Nurse Practitioner | Memorial Hospital | 3073 White Mountain Hwy, No Conway, NH 03860-7101 |
Malena I Forgach | Physician Assistant | Memorial Hospital | 9099 E Lansing Rd A, Durand, MI 48429-1083 |
Ali Saeed | Neurology | Memorial Hospital | 9000 Peet Rd, Chesaning, MI 48616-1752 |
Tarek R Pacha | Urology | Memorial Hospital | 503 E Main St, Memorial Healthcare Urology Owosso, Owosso, MI 48867-3140 |
Narender R Thatikonda | Internal Medicine | Memorial Hospital | 9900 W M 21, 101 Ovid Elsie Primary Care, Ovid, MI 48866-9798 |
Ira Stanley Frye | Obstetrics/gynecology | Memorial Hospital | 1457 N M 52, 2 Memorial Healthcare Ob/gyn Owosso, Owosso, MI 48867-1519 |
Vivek S Sahgal | Internal Medicine | Memorial Hospital | 1201 Michigan Ave, Suite 170, Logansport, IN 46947-1585 |
Tammy Woods | Orthopedic Surgery | Memorial Hospital | 113 E Williams St, Mid Michigan Orthopedics, Owosso, MI 48867-2360 |
Street Address |
3337 BRITTON RD |
City | PERRY |
State | MI |
Zip | 48872-9706 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diana L Hayes | Nurse Practitioner | Memorial Hospital | 3337 W Britton Rd, Perry, MI 48872-9706 |
Stacey I Matthews | Physical Therapy | Perry Physical Therapy Inc | 3737 Britton Rd, Perry, MI 48872-9716 |
Clay D Wielard | Physical Therapy | Perry Physical Therapy Inc | 3737 Britton Rd, Perry, MI 48872-9716 |
Alan Jeffrey Fredendall | Physical Therapy | Perry Physical Therapy Inc | 3737 Britton Rd, Perry, MI 48872-9716 |
Samantha Gene Miller | Physical Therapy | Perry Physical Therapy Inc | 3737 Britton Rd, Perry, MI 48872-9716 |
James Gilbert Morgan | Family Medicine | 3809 Lansing Rd, Perry, MI 48872-9773 | |
Jill M Larkin | Family Medicine | 3737 Lansing Rd, Perry, MI 48872-9773 |
City | PERRY |
Zip Code | 48872 |
Specialty | FAMILY MEDICINE |
City + Specialty | PERRY + 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.