Jeff Gietzen (NPI# 1871061085, PAC ID# 6406191766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1871061085 |
| PAC ID by PECOS | 6406191766 |
| Professional Enrollment ID | I20181214002350 |
| Full Name | Jeff Gietzen |
| Organization Legal Name | LAKEWOOD FAMILY MEDICINE PLC |
| Address |
382 N 120th Ave Holland MI 49424-2169 |
| Phone Number | 6163966516 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749290740 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 382 N 120th Ave, Holland, MI 49424-2169 | 6163966516 | LAKEWOOD FAMILY MEDICINE PLC |
| Organization Legal Name | LAKEWOOD FAMILY MEDICINE PLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon Kroeze | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Jill K Miedema | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Eric K Gustafson | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Sara Post | Nurse Practitioner | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Charlotte A Johnson | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Timothy Smith | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Beth Ann Peter | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Robert Bruxvoort | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Cecilia E Decook | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Kurt Lindberg | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Street Address |
382 N 120TH AVE |
| City | HOLLAND |
| State | MI |
| Zip | 49424-2169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon Kroeze | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Jill K Miedema | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Eric K Gustafson | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Sara Post | Nurse Practitioner | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Charlotte A Johnson | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Timothy Smith | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Beth Ann Peter | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Robert Bruxvoort | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Cecilia E Decook | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Kurt Lindberg | Family Medicine | Lakewood Family Medicine Plc | 382 N 120th Ave, Holland, MI 49424-2169 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Jon Blauwkamp | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Blake R Spooner | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Ronald H Rabineau | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Jacqueline L Prins | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| David D Brelinski Iii | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Holland, MI 49424-1826 |
| Lauren Stouffer | Nurse Practitioner | Intercare Community Health Network | 285 James St, Holland, MI 49424-1849 |
| Matthew C Ziesemer | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Craig A Kingsbury | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Louis Christian Boven | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Curtis W Miller | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Find all physicians in zip 49424 | |||
| City | HOLLAND |
| Zip Code | 49424 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOLLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeff Gietzen.
| 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.