Diane Barbara Ebaugh (NPI# 1215997796, PAC ID# 9335297993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215997796 |
| PAC ID by PECOS | 9335297993 |
| Professional Enrollment ID | I20090508000347 |
| Full Name | Diane Barbara Ebaugh |
| Organization Legal Name | THORNAPPLE VALLEY FAMILY PHYSICIANS PC |
| Address |
1005 W Green St Suite 304 Hastings MI 49058-1725 |
| Phone Number | 2699488057 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5698823250 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231339 | |
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1005 W Green St, Suite 304, Hastings, MI 49058-1725 | 2699488057 | THORNAPPLE VALLEY FAMILY PHYSICIANS PC |
| Organization Legal Name | THORNAPPLE VALLEY FAMILY PHYSICIANS PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana L Lightfoot | Physician Assistant | Thornapple Valley Family Physicians PC | 1005 W Green St, Suite 304, Hastings, MI 49058-1725 |
| Diana C Diemer | Nurse Practitioner | Thornapple Valley Family Physicians PC | 1005 W Green St, Suite 304, Hastings, MI 49058-1725 |
| Street Address |
1005 W GREEN ST SUITE 304 |
| City | HASTINGS |
| State | MI |
| Zip | 49058-1725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana L Lightfoot | Physician Assistant | Thornapple Valley Family Physicians PC | 1005 W Green St, Suite 304, Hastings, MI 49058-1725 |
| Diana C Diemer | Nurse Practitioner | Thornapple Valley Family Physicians PC | 1005 W Green St, Suite 304, Hastings, MI 49058-1725 |
| Steven G Wildern | Internal Medicine | 1005 W Green St, Suite 201, Hastings, MI 49058-1726 | |
| Eric S Leep | Pain Management | Pennock Hospital | 1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 |
| Andrew Stanley | Family Medicine | Pennock Hospital | 1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 |
| Andrew M Parsons | General Surgery | Pennock Hospital | 1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 |
| Norman M Davidson | Physician Assistant | Pennock Hospital | 1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 |
| Maty Yakoby | Internal Medicine | Pennock Hospital | 1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 |
| Scott B Brasseur | Internal Medicine | Pennock Hospital | 1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 |
| Sarah Elizabeth Verburg | Nurse Practitioner | Hastings Internal Medicine Plc | 1005 W Green St, Suite 202, Hastings, MI 49058-1712 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott B Bloom | Optometry | 1510 N Broadway, Hastings, MI 49058-1007 | |
| Michael W Macleod | Chiropractic | 327 W Apple St, Hastings, MI 49058-1601 | |
| Danielle Kay Bercier | Chiropractic | Bercier Family Chiropractic, LLC | 502 W State St, Hastings, MI 49058-1642 |
| Robert George Bercier | Chiropractic | Bercier Family Chiropractic, LLC | 502 W State St, Hastings, MI 49058-1642 |
| Kelly Marie James | Optometry | Rx Optical Laboratories, Inc. | 803 W State St, Hastings, MI 49058-1660 |
| Bruce E Sandifer | Optometry | Rx Optical Laboratories, Inc. | 803 W State St, Hastings, MI 49058-1660 |
| Daniel Adam Blasch | Physician Assistant | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
| Peter Andrea Beaulieu | Vascular Surgery | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
| John R Parker | Physician Assistant | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
| Bryan S Kamps | Orthopedic Surgery | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
| Find all physicians in zip 49058 | |||
| City | HASTINGS |
| Zip Code | 49058 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HASTINGS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Diane Barbara Ebaugh.
| 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.