Laura A Vandermolen (NPI# 1821039066, PAC ID# 8325177355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1821039066 |
PAC ID by PECOS | 8325177355 |
Professional Enrollment ID | I20100528000583 |
Full Name | Laura A Vandermolen |
Organization Legal Name | EXALTA HEALTH |
Address |
2060 Division Ave S Grand Rapids MI 49507-3029 |
Phone Number | 6164758446 |
Gender | F |
Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1995 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | PEDIATRIC MEDICINE |
Group Practice PAC ID | 4789936741 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
Address | Phone | Organization |
---|---|---|
2060 Division Ave S, Grand Rapids, MI 49507-3029 | 6164758446 | EXALTA HEALTH |
Organization Legal Name | EXALTA HEALTH |
Physicians | 1 |
Street Address |
2060 DIVISION AVE S |
City | GRAND RAPIDS |
State | MI |
Zip | 49507-3029 |
Name | Specialty | Organization | Address |
---|---|---|---|
Colleen Tillema | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 |
Vonzolla M Elliott | Clinical Social Worker | 1024 Adams St Se, Grand Rapids, MI 49507-1906 | |
Kahana Harrison | Clinical Social Worker | Family Outreach Center | 1939 Division S Ave, Grand Rapids, MI 49507-2459 |
Michele Seasly | Clinical Social Worker | Family Outreach Center | 1939 Division S Ave, Grand Rapids, MI 49507-2459 |
Michael R Rinker | Clinical Social Worker | Family Outreach Center | 1939 Division S Ave, Grand Rapids, MI 49507-2459 |
Russel V Brubaker | Psychiatry | Family Outreach Center | 1939 Division S Ave, Grand Rapids, MI 49507-2459 |
Rachel J. Rhodes | Clinical Social Worker | Family Outreach Center | 1939 Division S Ave, Grand Rapids, MI 49507-2459 |
Debbie K Wiersum | Clinical Social Worker | Family Outreach Center | 1939 Division S Ave, Grand Rapids, MI 49507-2459 |
Allison Kunde | Clinical Social Worker | Family Outreach Center | 1939 Division S Ave, Grand Rapids, MI 49507-2459 |
Kim A Johnston | Chiropractic | 34 Burton St Sw, Johnston Chiropractic Offices, Grand Rapids, MI 49507-2917 | |
Find all physicians in zip 49507 |
City | GRAND RAPIDS |
Zip Code | 49507 |
Specialty | INTERNAL MEDICINE |
City + Specialty | GRAND RAPIDS + INTERNAL MEDICINE |
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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.