Marek A Stawiski (NPI# 1679573331, PAC ID# 9335105196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679573331 |
| PAC ID by PECOS | 9335105196 |
| Professional Enrollment ID | I20050203000429 |
| Full Name | Marek A Stawiski |
| Organization Legal Name | PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC |
| Address |
597 Baldwin St Jenison MI 49428-7994 |
| Phone Number | 6164574251 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1970 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7214988625 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| 230059 | MERCY HEALTH SAINT MARY'S |
| 230093 | SPECTRUM HEALTH BIG RAPIDS HOSPITAL |
| 230035 | SPECTRUM HEALTH UNITED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 833 Michigan St Ne, Suite 102, Grand Rapids, MI 49503-2578 | 6164598209 | PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC |
| 597 Baldwin St, Jenison, MI 49428-7994 | 6164574251 | PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% |
| Organization Legal Name | PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew T Zoeteman | Physician Assistant | Psoriasis and Eczema Treatment Center of Western Michigan Pllc | 833 Michigan St Ne, Suite 102, Grand Rapids, MI 49503-2578 |
| Jessica Lynn Zwolinski | Nurse Practitioner | Psoriasis and Eczema Treatment Center of Western Michigan Pllc | 833 Michigan St Ne, Suite 102, Grand Rapids, MI 49503-3523 |
| Kristi Hawley | Dermatology | Psoriasis and Eczema Treatment Center of Western Michigan Pllc | 833 Michigan St Ne, Suite 102, Grand Rapids, MI 49503-3523 |
| John R Vydareny | Dermatology | Psoriasis and Eczema Treatment Center of Western Michigan Pllc | 833 Michigan St Ne, Suite 102, Grand Rapids, MI 49503-3523 |
| Street Address |
597 BALDWIN ST |
| City | JENISON |
| State | MI |
| Zip | 49428-7994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen R Smith | Optometry | Lifetime Eyecare PC | 597 Baldwin St, Jenison, MI 49428-7994 |
| Nicole Marie Bennett Gdowski | Optometry | Lifetime Eyecare PC | 597 Baldwin St, Jenison, MI 49428-7994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric R Hartman | Chiropractic | Eric R Hartman, Dc, Pllc | 302 Baldwin St, Jenison, MI 49428-7909 |
| Rebecca Lyn Warnecke | Chiropractic | Eric R Hartman, Dc, Pllc | 302 Baldwin St, Jenison, MI 49428-7909 |
| Bethany Soule Duyser | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
| Mary Manilla | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
| Matthew W Medley | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
| Robert C Huizenga | Optometry | 7673 Georgetown Ctr Dr, Jenison, MI 49428-8101 | |
| Megan K Mouser | Nurse Practitioner | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
| Karl O Breitweiser | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
| Diana L Dillman | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
| James H Waswick | Chiropractic | 6491 B San Ru Ave, Jenison, MI 49428-8185 | |
| Find all physicians in zip 49428 | |||
| City | JENISON |
| Zip Code | 49428 |
| Specialty | DERMATOLOGY |
| City + Specialty | JENISON + DERMATOLOGY |
Please comment or provide details below to improve the information on Marek A Stawiski.
| 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.