Tami Lynn Pettenger (NPI# 1235676651, PAC ID# 7113201039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1235676651 |
PAC ID by PECOS | 7113201039 |
Professional Enrollment ID | I20170221001450 |
Full Name | Tami Lynn Pettenger |
Organization Legal Name | PENNOCK HOSPITAL |
Address |
1009 W Green St Hastings MI 49058-1710 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4587551015 |
Number of Group Practice Members | 23 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
231339 |
Address | Phone | Organization |
---|---|---|
1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 | 2699488411 | PENNOCK HOSPITAL |
1009 W Green St, Hastings, MI 49058-1710 | PENNOCK HOSPITAL |
Organization Legal Name | PENNOCK HOSPITAL |
Physicians | 29 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Adam Blasch | Physician Assistant | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Donald Gingerich | Family Medicine | Pennock Hospital | 2776 S State Rd, Spectrum Health Pennock Family Med, Ionia, MI 48846-8472 |
Susan E Haasch | Occupational Therapy | Pennock Hospital | 155 E Cross St, Clarksville, MI 48815-9621 |
Laurie S Braker | Family Medicine | Pennock Hospital | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 |
Douglas Smendik | Family Practice | Pennock Hospital | 12851 W M 179 Hwy, Spectrum Health Pennock Family Med, Wayland, MI 49348-9318 |
Bryan S Kamps | Orthopedic Surgery | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Cindy Marie Bigler | Nurse Practitioner | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Eric S Leep | Pain Management | Pennock Hospital | 1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 |
Lee O Stuart | Family Medicine | Pennock Hospital | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 |
Max D Rappaport | General Surgery | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Street Address |
1009 W GREEN ST |
City | HASTINGS |
State | MI |
Zip | 49058-1710 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Adam Blasch | Physician Assistant | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Peter Andrea Beaulieu | Vascular Surgery | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
John R Parker | Physician Assistant | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
Bryan S Kamps | Orthopedic Surgery | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Cindy Marie Bigler | Nurse Practitioner | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Julie Kehdi | Infectious Disease | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
Jennifer J Watson | Vascular Surgery | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
Max D Rappaport | General Surgery | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Edward Erbter | Internal Medicine | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
Anna Jaclyn Conterato | Pulmonary Disease | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott B Bloom | Optometry | 1510 N Broadway, Hastings, MI 49058-1007 | |
Michael W Macleod | Chiropractic | 327 W Apple St, Hastings, MI 49058-1601 | |
Danielle Kay Bercier | Chiropractic | Bercier Family Chiropractic, LLC | 502 W State St, Hastings, MI 49058-1642 |
Robert George Bercier | Chiropractic | Bercier Family Chiropractic, LLC | 502 W State St, Hastings, MI 49058-1642 |
Kelly Marie James | Optometry | Rx Optical Laboratories, Inc. | 803 W State St, Hastings, MI 49058-1660 |
Bruce E Sandifer | Optometry | Rx Optical Laboratories, Inc. | 803 W State St, Hastings, MI 49058-1660 |
Jerinda K Schell | Physician Assistant | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
James W Patenge | Obstetrics/gynecology | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
Lyndi Jo Henry | Nurse Practitioner | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
Wesley Vonseggern | Emergency Medicine | Hastings Emergency Physicians Plc | 1009 W Green St, Hastings, MI 49058-1710 |
Find all physicians in zip 49058 |
City | HASTINGS |
Zip Code | 49058 |
Specialty | NURSE PRACTITIONER |
City + Specialty | HASTINGS + NURSE PRACTITIONER |
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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.