George G Carothers (NPI# 1679531669, PAC ID# 8527039528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1679531669 |
| PAC ID by PECOS | 8527039528 |
| Professional Enrollment ID | I20080404000171 |
| Full Name | George G Carothers |
| Organization Legal Name | MICHIGAN UROLOGICAL CLINIC |
| Address |
4047 Saladin Sedr Grand Rapids MI 49546-6249 |
| Phone Number | 6169569577 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4183694870 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230236 | METRO HEALTH HOSPITAL |
| 231317 | SPECTRUM HEALTH KELSEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4047 Saladin Sedr, Grand Rapids, MI 49546-6249 | 6169569577 | MICHIGAN UROLOGICAL CLINIC |
| Organization Legal Name | MICHIGAN UROLOGICAL CLINIC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Maatman | Urology | Michigan Urological Clinic | 4047 E Hills Ct Se, Grand Rapids, MI 49546-6249 |
| Christopher M Laflure | Physician Assistant | Michigan Urological Clinic | 406 E Elm St, Carson City Hospital, Carson City, MI 48811-9693 |
| Michelle Elizabeth Firlit | Nurse Practitioner | Michigan Urological Clinic | 406 E Elm St, Carson City Hospital, Carson City, MI 48811-9693 |
| Kenneth F Shockley | Urology | Michigan Urological Clinic | 406 E Elm St, Carson City Hospital, Carson City, MI 48811-9693 |
| Street Address |
4047 SALADIN SEDR |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49546-6249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Mushlock | Clinical Social Worker | Pine Rest Christian Mental Health Services | 877 Forest Hills Ave Se, Pine Rest Forest Hills Clinic, Grand Rapids, MI 49546 |
| David W Hamilton | Psychologist, Clinical | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 | |
| Elizabeth Ruth Smith | Clinical Social Worker | 616 Counseling Professional Corporation | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546 |
| Shawn L Gauthier | Clinical Social Worker | 550 Cascade W Pkwy Se, Grand Rapids, MI 49546-2137 | |
| Emily M. English | Obstetrics/gynecology | Metropolitan Hospital | 4055 Cascade Rd Se, Metro Hlth Gynecologic Oncology, Grand Rapids, MI 49546-2149 |
| Lydia J Sutton | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Scott A Baar | Nurse Practitioner | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Nathan J Andrews | Emergency Medicine | Metropolitan Hospital | 4055 Cascade Rd Se, 100 Metro Health Park East Urgent Care, Grand Rapids, MI 49546-2149 |
| Lorraine M Therrien | Certified Registered Nurse Anesthetist | Anesthesia Medical Consultants, PC | 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 |
| George D Pommer | Psychologist, Clinical | 500 Cascade W Pkwy Se, Suite 100, Grand Rapids, MI 49546-2164 | |
| Find all physicians in zip 49546 | |||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
| Specialty | UROLOGY |
| City + Specialty | GRAND RAPIDS + UROLOGY |
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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.