Quinn Michael Bosworth (NPI# 1063440592, PAC ID# 9234103292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063440592 |
| PAC ID by PECOS | 9234103292 |
| Professional Enrollment ID | I20040825000003 |
| Full Name | Quinn Michael Bosworth |
| Organization Legal Name | GRAND RIVER FAMILY CARE PC |
| Address |
1881 W Grand River Ave Okemos MI 48864-1840 |
| Phone Number | 5173392116 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628304516 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| 230167 | MCLAREN GREATER LANSING |
| Address | Phone | Organization |
|---|---|---|
| 1881 W Grand River, Okemos, MI 48864-1840 | 5173392100 | BOSWORTH URGENT CARE PC |
| 1881 W Grand River Ave, Okemos, MI 48864-1840 | 5173392116 | GRAND RIVER FAMILY CARE PC |
| Organization Legal Name | GRAND RIVER FAMILY CARE PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Neff | Family Medicine | Grand River Family Care PC | 1881 W Grand River Ave, Okemos, MI 48864-1840 |
| Street Address |
1881 W GRAND RIVER AVE |
| City | OKEMOS |
| State | MI |
| Zip | 48864-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Neff | Family Medicine | Grand River Family Care PC | 1881 W Grand River Ave, Okemos, MI 48864-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Delass | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Andrew Bult | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Eric L Luttig | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Megan Brew | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Alexzanda Jo Johnson | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Anthony P. Salvador | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Melissa B Kong | Optometry | Rx Optical Laboratories, Inc. | 2285 W Grand River, Okemos, MI 48864-1649 |
| Zachary Charles Smith | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Steven C Clerc | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Eghosa Aimuamwosa Olomu | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Find all physicians in zip 48864 | |||
| City | OKEMOS |
| Zip Code | 48864 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OKEMOS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Quinn Michael Bosworth.
| 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.