Jack O Derks (NPI# 1134144413, PAC ID# 7517092778) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1134144413 |
PAC ID by PECOS | 7517092778 |
Professional Enrollment ID | I20100315000035 |
Full Name | Jack O Derks |
Address |
601 Michigan Ave Suite 104 Holland MI 49423-4951 |
Gender | M |
Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
Graduation Year | 1968 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230072 | HOLLAND COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
601 Michigan Ave, Suite 104, Holland, MI 49423-4951 |
Street Address |
601 MICHIGAN AVE SUITE 104 |
City | HOLLAND |
State | MI |
Zip | 49423-4951 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey A Lindhout | Maxillofacial Surgery | West Michigan Oral and Maxillofacial Surgery PC | 601 Michigan Ave, Suite 200, Holland, MI 49423-4951 |
Corneilius W Hoekstra | Maxillofacial Surgery | West Michigan Oral and Maxillofacial Surgery PC | 601 Michigan Ave, Suite 200, Holland, MI 49423-4951 |
Frank Kilian | Physical Therapy | Alliance Physical Therapy Group LLC | 601 Michigan Ave, Suite 220, Holland, MI 49423-4951 |
Megan Sievers | Physical Therapy | Alliance Physical Therapy Group LLC | 601 Michigan Ave, Suite 220, Holland, MI 49423-4951 |
Cathy Piper | Nurse Practitioner | Excela Health Physician Practices, Inc | 601 Michigan Ave, Jeannette, PA 15644-2433 |
Kathryn F Bender | Family Medicine | Excela Health Physician Practices, Inc | 601 Michigan Ave, Jeannette, PA 15644-2433 |
Erik C Heinlein | Physical Therapy | Alliance Physical Therapy Group LLC | 601 Michigan Ave, Suite 220, Holland, MI 49423-4951 |
Rebecca Ann Watt | Nurse Practitioner | Excela Health Physician Practices, Inc | 601 Michigan Ave, Jeannette, PA 15644-2433 |
Ford Reinink | Physical Therapy | Alliance Physical Therapy Group LLC | 601 Michigan Ave, Suite 220, Holland, MI 49423-4951 |
Corey Sobeck | Physical Therapy | Alliance Physical Therapy Group LLC | 601 Michigan Ave, Suite 220, Holland, MI 49423-4951 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela L Jammer | Optometry | Rx Optical Laboratories, Inc. | 1148 S Washington, Holland, MI 49423 |
Jonathan L Stevens | Clinical Social Worker | 426 Century Ln, Suite 100, Holland, MI 49423-2200 | |
Carli M Luce | Clinical Social Worker | West Shore Counseling Services LLC | 426 Century Ln, Suite 100, Holland, MI 49423-2200 |
Patricia Ann Baer | Clinical Social Worker | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
Steven Thomas Johnson | Psychologist, Clinical | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
Diana M Wiersma | Clinical Social Worker | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
Keith A Louwerse | Psychologist, Clinical | 186 S River Ave, Suite 5, Holland, MI 49423-2848 | |
Jill S Vander Bent | Clinical Social Worker | 186 S River Ave, 5 Abundance of Hope LLC, Holland, MI 49423-2848 | |
Suzanne Lee | Nurse Practitioner | Spectrum Health Primary Care Partners | 145 Columbia Ave, Holland, MI 49423-2981 |
Nathan E Dykema | Physical Therapy | Simio Health Services, Pllc | 730 Chicago Dr, Holland, MI 49423-3004 |
Find all physicians in zip 49423 |
City | HOLLAND |
Zip Code | 49423 |
Specialty | FAMILY MEDICINE |
City + Specialty | HOLLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jack O Derks.
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.