Andre Hollingsworth (NPI# 1801184247, PAC ID# 8921235961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1801184247 |
| PAC ID by PECOS | 8921235961 |
| Professional Enrollment ID | I20150615001915 |
| Full Name | Andre Hollingsworth |
| Organization Legal Name | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Address |
2373 64th St Sw Suite 1300 Byron Center MI 49315-7975 |
| Phone Number | 6166851350 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 4082807961 |
| Number of Group Practice Members | 434 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| Address | Phone | Organization |
|---|---|---|
| 2373 64th St Sw, Suite 1300, Byron Center, MI 49315-7975 | 6166851350 | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 6166858650 | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Organization Legal Name | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Physicians | 453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaipreet Singh Suri | Radiation Oncology | Advantage Health/saint Mary's Medical Group | 250 Cherry St Se, Grand Rapids, MI 49503-4608 |
| Megan Amber Deboer | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 6050 Northland Dr Ne, Suite 1159, Rockford, MI 49341-8279 |
| Lara Baatenburg | Family Medicine | Advantage Health/saint Mary's Medical Group | 950 36th St Sw, Wyoming, MI 49509-3587 |
| Colleen Tillema | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 |
| Melissa Devroy | Clinical Social Worker | Advantage Health/saint Mary's Medical Group | 801 Broadway Ave Nw, Suite 105, Grand Rapids, MI 49504-4462 |
| Paul Dieleman | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Christopher James Davis | Family Medicine | Advantage Health/saint Mary's Medical Group | 1175 Wilson Ave Nw, Walker, MI 49534-6407 |
| Nicole Markiewicz | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 933 3 Mile Rd Nw, Suite 210, Grand Rapids, MI 49544-1673 |
| Brianna Kilner | Internal Medicine | Advantage Health/saint Mary's Medical Group | 359 Division Ave S, Grand Rapids, MI 49503-4537 |
| Julia K Walters | Registered Dietitian Or Nutrition Professional | Advantage Health/saint Mary's Medical Group | 10047 Crossroad Sect, Caledonia, MI 49316-7316 |
| Street Address |
2373 64TH ST SW SUITE 1300 |
| City | BYRON CENTER |
| State | MI |
| Zip | 49315-7975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas B Foster | Internal Medicine | Advantage Health/saint Mary's Medical Group | 2373 64th St Sw, Suite 1300, Byron Center, MI 49315-7975 |
| Carrie Ann Holland | Family Medicine | Advantage Health/saint Mary's Medical Group | 2373 64th St Sw, Suite 1300, Byron Center, MI 49315-7975 |
| Morad M Tehrani | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 2373 64th St Sw, Byron Center, MI 49315-7974 |
| Nicole Rae Bibbee | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 2373 64th St Sw, Byron Center, MI 49315-7974 |
| William A Wilson | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 2373 64th St Sw, Byron Center, MI 49315-7974 |
| Astrid Wingard | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 2373 64th St Sw, Byron Center, MI 49315-7974 |
| Chad Mills Shelner | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 2373 64th St Sw, Suite 1300, Byron Center, MI 49315-7975 |
| Kelsey Mae Copus | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 2373 64th St Sw, Byron Center, MI 49315-7974 |
| David T Rispler | Orthopedic Surgery | River Valley Orthopedics, P.C. | 2373 64th St Sw, Suite 2500, Byron Center, MI 49315-7978 |
| Benjamin L Harper | Orthopedic Surgery | River Valley Orthopedics, P.C. | 2373 64th St Sw, Suite 2500, Byron Center, MI 49315-7978 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Daniel Thornton | Chiropractic | Byron Center Chiropractic | 8194 Byron Ctr Ave Sw, Bryon Center, MI 49315 |
| Kelly Renee Thornton | Chiropractic | Byron Center Chiropractic | 8194 Byron Ctr Ave Sw, Bryon Center, MI 49315 |
| Timothy J Tobolic | Family Medicine | Timothy J. Tobolic, Md, Pllc | 7740 Byron Ctr Swave, Suite 202, Byron Center, MI 49315-6929 |
| Scott K Duemler | Family Medicine | Timothy J. Tobolic, Md, Pllc | 7740 Byron Ctr Swave, Suite 202, Byron Center, MI 49315-6929 |
| James P Bares | Diagnostic Radiology | Advanced Radiology Services PC | 7178 Nantucket Dr Sw C/o J Bares, Byron Center, MI 49315-7966 |
| Truc Tran | Emergency Medicine | Grand River Emergency Medical Group Plc | 2373 64th St Sw, Byron Center, MI 49315-7974 |
| Angela Andrews | Internal Medicine | Advantage Health/saint Mary's Medical Group | 2373 64th St Sw, Suite 1300, Byron Center, MI 49315-7975 |
| Karen R Thompson | Clinical Social Worker | Hackley Life Counseling | 2373 64th St Sw, Suite 1300, Byron Center, MI 49315-7975 |
| Jeffery L Chamberlain | Family Medicine | Advantage Health/saint Mary's Medical Group | 2373 64th St Sw, Suite 1300, Byron Center, MI 49315-7975 |
| Uchebike N Nwankwo | Internal Medicine | Advantage Health/saint Mary's Medical Group | 2373 64th St Sw, Suite 1300, Byron Center, MI 49315-7975 |
| Find all physicians in zip 49315 | |||
| City | BYRON CENTER |
| Zip Code | 49315 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BYRON CENTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Andre Hollingsworth.
| 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.