Gary J Theisen (NPI# 1689649519, PAC ID# 6507762614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1689649519 |
| PAC ID by PECOS | 6507762614 |
| Professional Enrollment ID | I20060508000379 |
| Full Name | Gary J Theisen |
| Organization Legal Name | KALAMAZOO ANESTHESIOLOGY PC |
| Address |
125 W Walnut St Bronson Outpatient Surgery Cener Kalamazoo MI 49007-5239 |
| Phone Number | 2693431381 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1982 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3375449473 |
| Number of Group Practice Members | 111 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| 230117 | BORGESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 125 W Walnut St, Bronson Outpatient Surgery Cener, Kalamazoo, MI 49007-5239 | 2693431381 | KALAMAZOO ANESTHESIOLOGY PC |
| 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2692267000 | KALAMAZOO ANESTHESIOLOGY PC |
| 1815 Henson Ave, Suite 2, Kalamazoo, MI 49048-1510 | 2694926500 | KALAMAZOO ANESTHESIOLOGY PC |
| Organization Legal Name | KALAMAZOO ANESTHESIOLOGY PC |
| Physicians | 117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle G. Hiestand | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 125 W Walnut St, Bronson Outpatient Surgery Center, Kalamazoo, MI 49007-5239 |
| Jessica Rose Zoccoli | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 900 Peeler St, Kalamazoo, MI 49008-2300 |
| Sophia Kuma Quartey | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 601 John St, E012, Kalamazoo, MI 49007-5341 |
| Kevin A. Moon | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 900 Peeler St, Kalamazoo, MI 49008-2300 |
| Gregory R Koning | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 900 Peeler St, Kalamazoo, MI 49008-2300 |
| David Williamson | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 900 Peeler St, Kalamazoo, MI 49008-2300 |
| Courtney Kolanowski | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 900 Peeler St, Kalamazoo, MI 49008-2300 |
| Nolan H. Ashley | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 900 Peeler St, Kalamazoo, MI 49008-2300 |
| Derek Paul Rouse | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 900 Peeler St, Kalamazoo, MI 49008-2300 |
| David Karr | Anesthesiology | Kalamazoo Anesthesiology PC | 900 Peeler St, Kalamazoo, MI 49008-2300 |
| Street Address |
125 W WALNUT ST BRONSON OUTPATIENT SURGERY CENER |
| City | KALAMAZOO |
| State | MI |
| Zip | 49007-5239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle G. Hiestand | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 125 W Walnut St, Bronson Outpatient Surgery Center, Kalamazoo, MI 49007-5239 |
| Abby J Wegener | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 125 W Walnut St, Bronson Outpatient Surgery Center, Kalamazoo, MI 49007-5239 |
| Patrick J Sandell | Anesthesiology | Kalamazoo Anesthesiology PC | 125 W Walnut St, Bronson Outpatient Surgery Cener, Kalamazoo, MI 49007-5239 |
| Charles Orrin Blades Ii | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 125 W Walnut St, Bronson Outpatient Surgery Center, Kalamazoo, MI 49007-5239 |
| James R Bray | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 125 W Walnut St, Bronson Outpatient Surgery Center, Kalamazoo, MI 49007-5239 |
| Angela L Christner | Nurse Practitioner | 125 W Walnut St, Walnut Street Health and Wellness, Ogden, IA 50212-2046 | |
| Brandy N. Pryor | Certified Registered Nurse Anesthetist (crna) | Kalamazoo Anesthesiology PC | 125 W Walnut St, Bronson Outpatient Surgery Center, Kalamazoo, MI 49007-5239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Jevert Eichorn | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Lauren Sloan Piper | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Joseph M Salvatore | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Angela Marie Henry-delapaz | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Peter J Ziemkowski | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Uyen Thai Budzinski | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Kristi L Vanderkolk | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Roxana Alcaraz | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Wesley R Eichorn | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Elizabeth J Salvatore | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Find all physicians in zip 49007 | |||
| City | KALAMAZOO |
| Zip Code | 49007 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | KALAMAZOO + ANESTHESIOLOGY |
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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.