Stephen Dehorn (NPI# 1801064449, PAC ID# 9830262526) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1801064449 |
| PAC ID by PECOS | 9830262526 |
| Professional Enrollment ID | I20080714000229 |
| Full Name | Stephen Dehorn |
| Organization Legal Name | GRAND RIVER EMERGENCY MEDICAL GROUP PLC |
| Address |
200 Jefferson Ave Se Grand Rapids MI 49503-4502 |
| Phone Number | 6167526781 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3274425905 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| Address | Phone | Organization |
|---|---|---|
| 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 6167526781 | GRAND RIVER EMERGENCY MEDICAL GROUP PLC |
| Organization Legal Name | GRAND RIVER EMERGENCY MEDICAL GROUP PLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly L English | Emergency Medicine | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Southeast, Grand Rapids, MI 49503-4502 |
| Trinh Le | Emergency Medicine | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Andrew J Weise | Emergency Medicine | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Audrey R Adkins | Emergency Medicine | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Virginia Stoll-tyrrell | Emergency Medicine | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Marilyn E Innes | Emergency Medicine | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Steven Tenelshof | Emergency Medicine | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Lori J Laviolette | Nurse Practitioner | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Truc Tran | Emergency Medicine | Grand River Emergency Medical Group Plc | 2373 64th St Sw, Byron Center, MI 49315-7974 |
| Ryan M Stringer | Emergency Medicine | Grand River Emergency Medical Group Plc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Street Address |
200 JEFFERSON AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49503-4502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Dieleman | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Steven Ritter | Nurse Practitioner | Kent Radiology PC | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Emily E Dietrich | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Jill K Onesti | Surgical Oncology | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Alysha Kirkwood | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Joanne L Jepsen | Nurse Practitioner | Saint Mary's Health Services | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Kari R Formsma | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Ashley Screws | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Kimberly G Turke | Hospitalist | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Aaron D Massie | Diagnostic Radiology | Kent Radiology PC | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw Appiagyei-dankah | Pediatric Medicine | Spectrum Health Primary Care Partners | 230 Michigan Ave Ne, Grand Rapids, MI 49503 |
| Steven G Hamming | Psychologist, Clinical | 85 Campau Nw, Suite 100, Grand Rapids, MI 49503 | |
| Scott Douglas Hadley | Physical Therapy | 1140 Monroe Ave Nw, Suite 5201, Grand Rapids, MI 49503-1070 | |
| Doreen T Berrios | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jaclyn Michelle Abbate | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Karen Georgianna O'strander | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Richard E Myers | Psychiatry | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Patrick J Handlin | Physician Assistant | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Courtney E Kozarian | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jillaine A Ruppel | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Find all physicians in zip 49503 | |||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GRAND RAPIDS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Stephen Dehorn.
| 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.