Gloria M Klaassen Witt (NPI# 1851715536, PAC ID# 9234369430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851715536 |
| PAC ID by PECOS | 9234369430 |
| Professional Enrollment ID | I20140310001071 |
| Full Name | Gloria M Klaassen Witt |
| Organization Legal Name | EAST JORDAN FAMILY HEALTH CENTER |
| Address |
601 Bridge St East Jordan MI 49727-9383 |
| Phone Number | 2315362206204 |
| Gender | F |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325932510 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231301 | KALKASKA MEMORIAL HEALTH CENTER |
| 230097 | MUNSON MEDICAL CENTER |
| 231322 | CHARLEVOIX AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 601 Bridge St, East Jordan, MI 49727-9383 | 2315362206204 | EAST JORDAN FAMILY HEALTH CENTER |
| Organization Legal Name | EAST JORDAN FAMILY HEALTH CENTER |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri A Lamia | Clinical Social Worker | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Keith J Moody | Internal Medicine | East Jordan Family Health Center | 4955s M 88 Hwy, Bellaire, MI 49615-9082 |
| Laurence Yung | Family Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| April M North | Family Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Cynthia Ann Pepin | Clinical Social Worker | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Terrell K Hebert | Internal Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| William R Webb | Family Practice | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Jeanette E Dolmetsch | Physician Assistant | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Mitchell C Carey | Family Practice | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Street Address |
601 BRIDGE ST |
| City | EAST JORDAN |
| State | MI |
| Zip | 49727-9383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri A Lamia | Clinical Social Worker | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Laurence Yung | Family Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| April M North | Family Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Cynthia Ann Pepin | Clinical Social Worker | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Terrell K Hebert | Internal Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| William R Webb | Family Practice | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Jeanette E Dolmetsch | Physician Assistant | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Mitchell C Carey | Family Practice | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martina C Peterson | Chiropractic | 306 Main St, East Jordan, MI 49727-5127 | |
| Daniel J Thomas | Chiropractic | 101 Bridge St, East Jordan, MI 49727-9301 | |
| Timothy Vorgias | Optometry | Senior Vision Services LLC | 1728 S Peninsula Rd, Grandvue Jordanvue, East Jordan, MI 49727-9410 |
| City | EAST JORDAN |
| Zip Code | 49727 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAST JORDAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gloria M Klaassen Witt.
| 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.