Steven Robert Mogridge (NPI# 1518355437, PAC ID# 8224356860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1518355437 |
| PAC ID by PECOS | 8224356860 |
| Professional Enrollment ID | I20150413000201 |
| Full Name | Steven Robert Mogridge |
| Organization Legal Name | JUPITER FAMILY MEDICINE PC |
| Address |
6250 Jupiter Ave Ne A Belmont MI 49306-8712 |
| Phone Number | 6163012500 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 3173507506 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH - BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 | 6163012500 | JUPITER FAMILY MEDICINE PC |
| Organization Legal Name | JUPITER FAMILY MEDICINE PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose M Ramirez | Family Medicine | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Michael J Ahern | Physician Assistant | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Catherine H Hallenbeck | Physician Assistant | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Street Address |
6250 JUPITER AVE NE A |
| City | BELMONT |
| State | MI |
| Zip | 49306-8712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose M Ramirez | Family Medicine | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Michael J Ahern | Physician Assistant | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Catherine H Hallenbeck | Physician Assistant | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric D O'brien | Chiropractic | 2355 Belmont Ctr Dr Ne, 100 Novo Chiropractic, Belmont, MI 49306-8715 | |
| Mandy R Russell | Optometry | 6290 Jupiter Neave A, Belmont, MI 49306-8885 | |
| Phillip Joseph Gaca | Family Medicine | 6265 W River Dr Ne, Suite A, Belmont, MI 49306-9078 | |
| Warren C Hendrickson | Podiatry | 3074 Gold Dust St Ne, Belmont, MI 49306-9510 | |
| Thomas J Blakely I | Clinical Social Worker | 5250 Blakely Nedr, Belmont, MI 49306-9674 |
| City | BELMONT |
| Zip Code | 49306 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BELMONT + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Steven Robert Mogridge.
| 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.