Mark Radigan (NPI# 1871973784, PAC ID# 6406161660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1871973784 |
| PAC ID by PECOS | 6406161660 |
| Professional Enrollment ID | I20180718002294 |
| Full Name | Mark Radigan |
| Organization Legal Name | SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC |
| Address |
408 Hazen St Paw Paw MI 49079-1019 |
| Phone Number | 2696573141 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1456265891 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| 230085 | BRONSON SOUTH HAVEN HOSPITAL |
| 231332 | BRONSON LAKEVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 408 Hazen St, Paw Paw, MI 49079-1019 | 2696573141 | SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC |
| 955 S Bailey Ave, South Haven, MI 49090-6743 | 2696375271 | SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC |
| Organization Legal Name | SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Joseph Dolney | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Timothy O Vanderkooy | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Jonathan R. Dadurian | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 601 John St, Kalamazoo, MI 49007-5341 |
| William D Fales | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Scott C Gibson | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Janet Eng | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Aaron Lee Hisel | Nurse Practitioner | Southwestern Michigan Emergency Services, PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Mark J Dzwik | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Thomas J Mikulski | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Paul Shing Fong Lin | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Street Address |
408 HAZEN ST |
| City | PAW PAW |
| State | MI |
| Zip | 49079-1019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Joseph Dolney | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Scott C Gibson | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Mark J Dzwik | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Paul Shing Fong Lin | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Nadeem M Mirza | Psychiatry | Bronson Lakeview Hospital | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Mary P Wilkins | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Wael Hakmeh | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Bryan S Parks | Certified Registered Nurse Anesthetist | Kalamazoo Anesthesiology PC | 408 Hazen St, Paw Paw, MI 49079-1019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Xiaogang Zhang | Internal Medicine | Bronson Methodist Hospital | 404 Hazen St, Suite 100, Paw Paw, MI 49079-1076 |
| Joshua R Hines | Chiropractic | Maple Lake Chiropractic | 109 W Michigan Ave, Paw Paw, MI 49079-1415 |
| Brittany M Gregory | Chiropractic | Maple Lake Chiropractic | 109 W Michigan Ave, Paw Paw, MI 49079-1415 |
| Peter S Caroselli | Optometry | Hiemstra Optical Company | 133 E Michigan Ave, Paw Paw, MI 49079-1429 |
| David A Cleary | Optometry | Hiemstra Optical Company | 133 E Michigan Ave, Paw Paw, MI 49079-1429 |
| Grant C Morrison | Optometry | Hiemstra Optical Company | 133 E Michigan Ave, Paw Paw, MI 49079-1429 |
| Emily N Schwengel | Optometry | Hiemstra Optical Company | 133 E Michigan Ave, Paw Paw, MI 49079-1429 |
| Raymond C Tattersall | Chiropractic | 309 S Kalamazoo St, Paw Paw, MI 49079-1527 | |
| Cindy Lou Newberry | Clinical Social Worker | Van Buren Community Mental Health Authority | 801 Hazen St C, Paw Paw, MI 49079-2008 |
| Reema Sarkar | Clinical Social Worker | Van Buren Community Mental Health Authority | 801 Hazen St C, Paw Paw, MI 49079-2008 |
| Find all physicians in zip 49079 | |||
| City | PAW PAW |
| Zip Code | 49079 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PAW PAW + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark Radigan.
| 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.