Jack O Derks


Address: 601 Michigan Ave, Suite 104, Holland, MI 49423-4951

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230072 HOLLAND COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
601 Michigan Ave, Suite 104, Holland, MI 49423-4951

Organization Information

Office Location

Street Address 601 MICHIGAN AVE
SUITE 104
City HOLLAND
State MI
Zip 49423-4951

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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
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Physicians in the same zip code

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
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Competitor

Search similar physicians

City HOLLAND
Zip Code 49423
Specialty FAMILY MEDICINE
City + Specialty HOLLAND + FAMILY MEDICINE

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Dataset Information

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.

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