Jacob C Coughlin (NPI# 1396025805, PAC ID# 7214101781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1396025805 |
| PAC ID by PECOS | 7214101781 |
| Professional Enrollment ID | I20111118000075 |
| Full Name | Jacob C Coughlin |
| Organization Legal Name | BRONSON METHODIST HOSPITAL |
| Address |
4613 W Main St A Bronson Im and Peds Lifetime Wellness Kalamazoo MI 49006-2698 |
| Phone Number | 2694888672 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244148633 |
| Number of Group Practice Members | 450 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1634 Gull Rd, Kalamazoo, MI 49048-1632 | 2699032835 | HOMETOWN URGENT CARE OF MICHIGAN PC |
| 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 | 2694888672 | BRONSON METHODIST HOSPITAL |
| 601 John St, Kalamazoo, MI 49007-5377 | BRONSON METHODIST HOSPITAL | |
| 5142 S Westnedge Ave, Portage, MI 49002-0403 | 2692167169 | HOMETOWN URGENT CARE OF MICHIGAN PC |
| Organization Legal Name | BRONSON METHODIST HOSPITAL |
| Physicians | 507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Faling | Clinical Social Worker | Bronson Methodist Hospital | 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 |
| Judy Whitehurst | Clinical Social Worker | Bronson Methodist Hospital | 6938 Elm Valley Dr, 101 Bronson Family Medicine The Groves, Kalamazoo, MI 49009-7447 |
| Jennifer Ann Soper | Nurse Practitioner | Bronson Methodist Hospital | 3300 W Centre Ave, Bronson Ob Gyn Associates, Portage, MI 49024-4666 |
| Sarah Anne Wasserman | Gastroenterology | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Rebecca Jean Carter | Nurse Practitioner | Bronson Methodist Hospital | 6220 W Main St, Kalamazoo, MI 49009-8925 |
| Catherine I Brandau | Nurse Practitioner | Bronson Methodist Hospital | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
| Jill Hess | Clinical Social Worker | Bronson Methodist Hospital | 5629 Stadium Dr D, Kalamazoo, MI 49009-1952 |
| Xiaogang Zhang | Internal Medicine | Bronson Methodist Hospital | 404 Hazen St, Suite 100, Paw Paw, MI 49079-1076 |
| Amanda K Walker | Obstetrics/gynecology | Bronson Methodist Hospital | 601 John St, N1200, Kalamazoo, MI 49007-5318 |
| John N Blixt | Pulmonary Disease | Bronson Methodist Hospital | 535 S Burdick St, 160 Bronson Pulmonary Medicine, Kalamazoo, MI 49007-6113 |
| Street Address |
4613 W MAIN ST A BRONSON IM AND PEDS LIFETIME WELLNESS |
| City | KALAMAZOO |
| State | MI |
| Zip | 49006-2698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Faling | Clinical Social Worker | Bronson Methodist Hospital | 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 |
| Brigitte Jaqueline Engelmann | Internal Medicine | Bronson Methodist Hospital | 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 |
| Kathleen Rankin | Physician Assistant | Bronson Methodist Hospital | 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 |
| Rebecca Lucile Schreiner | Pediatric Medicine | Bronson Methodist Hospital | 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 |
| Geneva A Sagun | Internal Medicine | Bronson Methodist Hospital | 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 |
| Melissa A Davidson | Internal Medicine | Bronson Methodist Hospital | 4613 W Main St A, Bronson Im and Peds Lifetime Wellness, Kalamazoo, MI 49006-2698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah E Search Willoughby | Clinical Social Worker | 1410 Turwill Ln, Kalamazoo, MI 49006-1931 | |
| Christine M Roach-brown | Clinical Social Worker | 1410 Turwill Ln, Kalamazoo, MI 49006-1931 | |
| Tatjana Maric | Psychiatry | Pine Rest Christian Mental Health Services | 1530 Nicholas Rd, Kalamazoo, MI 49006-2065 |
| Ronald J De Vries | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 1530 Nichols Rd, Pine Rest Kalamazoo Clinic, Kalamazoo, MI 49006-2065 |
| Alberto R Rivera Gutierrez | Psychiatry | Pine Rest Christian Mental Health Services | 1530 Nicholas Rd, Kalamazoo, MI 49006-2065 |
| Shannon L Thompson | Clinical Social Worker | Pine Rest Christian Mental Health Services | 1530 Nicholas Rd, Kalamazoo, MI 49006-2065 |
| Randall Estes | Clinical Social Worker | Pine Rest Christian Mental Health Services | 1530 Nicholas Rd, Kalamazoo, MI 49006-2065 |
| Karin A Kennedy | Clinical Social Worker | Pine Rest Christian Mental Health Services | 1530 Nicholas Rd, Kalamazoo, MI 49006-2065 |
| Susanne L Boyd | Physician Assistant | Pine Rest Christian Mental Health Services | 1530 Nicholas Rd, Kalamazoo, MI 49006-2065 |
| Sarah K Christian | Clinical Social Worker | Pine Rest Christian Mental Health Services | 1530 Nicholas Rd, Kalamazoo, MI 49006-2065 |
| Find all physicians in zip 49006 | |||
| City | KALAMAZOO |
| Zip Code | 49006 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KALAMAZOO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacob C Coughlin.
| 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.