Theodor Asgeirsson (NPI# 1255480067, PAC ID# 7416145511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1255480067 |
| PAC ID by PECOS | 7416145511 |
| Professional Enrollment ID | I20101215001056 |
| Full Name | Theodor Asgeirsson |
| Organization Legal Name | WEST MICHIGAN SURGICAL SPECIALISTS PLC |
| Address |
1045 Gezon Pkwy Sw Wyoming MI 49509-9542 |
| Phone Number | 6164565311 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 3870583727 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| 230236 | METRO HEALTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 | 6164565311 | WEST MICHIGAN SURGICAL SPECIALISTS PLC |
| Organization Legal Name | WEST MICHIGAN SURGICAL SPECIALISTS PLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel A Titus | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Eric J Mitchell | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Daniel K Borreson | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Shanna B Williams | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Joel David Stracke | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Adam C Henke | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Michael John Dejong | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Joel A Green | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Wayne E Vanderkolk | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Michael C Leahy | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Street Address |
1045 GEZON PKWY SW |
| City | WYOMING |
| State | MI |
| Zip | 49509-9542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel A Titus | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Eric J Mitchell | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Daniel K Borreson | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Shanna B Williams | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Joel David Stracke | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Adam C Henke | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Michael John Dejong | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Joel A Green | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Wayne E Vanderkolk | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Michael C Leahy | General Surgery | West Michigan Surgical Specialists Plc | 1045 Gezon Pkwy Sw, Wyoming, MI 49509-9542 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leo P Thompson | Optometry | Rx Optical Laboratories, Inc. | 1717 28th St Sw, Wyoming, MI 49509 |
| Stacy Maier Noyes | Optometry | Rx Optical Laboratories, Inc. | 1717 28th St Sw, Wyoming, MI 49509 |
| William Boras Iii | Optometry | Rx Optical Laboratories, Inc. | 1717 28th St Sw, Wyoming, MI 49509 |
| Francis K Awere | Chiropractic | 945 Burton St Sw, Wyoming, MI 49509-1422 | |
| Matthew A Brown | Chiropractic | Elite Sports and Family Chiropractic, Plc | 970 28th St Sw, Wyoming, MI 49509-2851 |
| Lara Baatenburg | Family Medicine | Advantage Health/saint Mary's Medical Group | 950 36th St Sw, Wyoming, MI 49509-3587 |
| Gursharn S Dosanjh | Internal Medicine | 585 36th St Sw, Wyoming, MI 49509-4002 | |
| Laura Ann Kooy | Physician Assistant | Gursharn S Dosanjh Md PC | 585 36th St Sw, Wyoming, MI 49509-4002 |
| Mary E Gladish | Chiropractic | 4315 Clyde Park Ave Sw, Wyoming, MI 49509-4036 | |
| Claudell Md Cox | Otolaryngology | Thomas W Pfennig, Do | 1555 44th St Sw, Rapids Ear Nose Throat, Wyoming, MI 49509-4313 |
| Find all physicians in zip 49509 | |||
| City | WYOMING |
| Zip Code | 49509 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | WYOMING + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Theodor Asgeirsson.
| 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.