Shannon K Twiddy (NPI# 1386899292, PAC ID# 9830235738) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386899292 |
| PAC ID by PECOS | 9830235738 |
| Professional Enrollment ID | I20091007000190 |
| Full Name | Shannon K Twiddy |
| Organization Legal Name | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Address |
2002 S 11th St Niles MI 49120-4074 |
| Phone Number | 2696870200 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416942750 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230078 | COMMUNITY HOSPITAL- WATERVLIET |
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 2002 S 11th St, Niles, MI 49120-4074 | 2696870200 | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| 2002 S 11th St, Southwestern Medical Clinic Niles, Niles, MI 49120-4074 | 2696870200 | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Organization Legal Name | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Suzanne Nearpass | Internal Medicine | Lakeland Community Hospital Watervliet | 525 S Ctr St, Hartford, MI 49057-1362 |
| Michele Marie Brock | Nurse Practitioner | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Jennifer A Layman Young | Nurse Practitioner | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Jonathan Nykamp | Nurse Practitioner | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Michael P Maskill | Podiatry | Lakeland Community Hospital Watervliet | 6701 Paw Paw Ave, Coloma, MI 49038-9519 |
| Jeffery T Postma | Orthopedic Surgery | Lakeland Community Hospital Watervliet | 6559 Paw Paw Ave, Coloma, MI 49038-8805 |
| Carly K Reising | Physician Assistant | Lakeland Community Hospital Watervliet | 7040 Red Arrow Hwy, Coloma, MI 49038-8720 |
| Amanda Leigh Mills | Nurse Practitioner | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Sean W Sullivan | Family Medicine | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Matthew John Garno | Physician Assistant | Lakeland Community Hospital Watervliet | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Street Address |
2002 S 11TH ST |
| City | NILES |
| State | MI |
| Zip | 49120-4074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Layman Young | Nurse Practitioner | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Amanda Leigh Mills | Nurse Practitioner | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Daniel M Metzger | Family Medicine | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Daniel Roger Jones | Family Medicine | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Brad S Ferrari | Family Medicine | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Jonathan R Steen | Family Medicine | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Jordan M Wagner | Physician Assistant | Lakeland Community Hospital Watervliet | 2002 S 11th St, Niles, MI 49120-4074 |
| Marcia Wiinamaki | Psychologist, Clinical | Lakeland Medical Practices | 2002 S 11th St, Niles, MI 49120-4074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Fox | Podiatry | 201 N 17th St, Niles, MI 49120-2100 | |
| Christopher L Holman | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Andrew C Wirebaugh | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Kevin A Hoffman | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Ryan T Hagley | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Denise C Brown | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Sam William Campbell | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Jereme Paul Long | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Megan Sobbry - Hagley | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Megan A Schrader | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Find all physicians in zip 49120 | |||
| City | NILES |
| Zip Code | 49120 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NILES + FAMILY MEDICINE |
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| 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.