Nicholas L Minnaar (NPI# 1851517619, PAC ID# 9830275742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851517619 |
| PAC ID by PECOS | 9830275742 |
| Professional Enrollment ID | I20080318000459 |
| Full Name | Nicholas L Minnaar |
| Organization Legal Name | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| Address |
1600 W Grand River Ave Suite 4 Okemos MI 48864-2394 |
| Phone Number | 5173816880 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709799166 |
| Number of Group Practice Members | 420 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 W Grand River Ave, Suite 4, Okemos, MI 48864-2394 | 5173816880 | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| Organization Legal Name | EDWARD W SPARROW HOSPITAL ASSOCIATION |
| Physicians | 382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali H Sheikh | Cardiovascular Disease (cardiology) | Edward W Sparrow Hospital Association | 1500 S Main St, Thoracic and Cardiovascular Institute, Eaton Rapids, MI 48827-1952 |
| Rita M Aouad | Psychiatry | Edward W Sparrow Hospital Association | 1210 W Saginaw Hwy 2nd Fl, Lansing, MI 48915-1927 |
| Alicia M Filler | Obstetrics/gynecology | Edward W Sparrow Hospital Association | 1651 W Lake Lansing Rd, Suite 300, East Lansing, MI 48823-6337 |
| Paige Wiegel | Physician Assistant | Edward W Sparrow Hospital Association | 1600 W Grand River Ave, Okemos, MI 48864-2394 |
| Kelly L Gries | Family Medicine | Edward W Sparrow Hospital Association | 230 Temple St, Mason, MI 48854-1851 |
| Daniel J Triezenberg | Family Medicine | Edward W Sparrow Hospital Association | 430 N Larch St, Suite B, Lansing, MI 48912-1266 |
| Patricia M Setnicky | Nurse Practitioner | Edward W Sparrow Hospital Association | 1703 E Michigan Ave, Smg Nephrology, Lansing, MI 48912-2824 |
| Deanna L Wennberg | Nurse Practitioner | Edward W Sparrow Hospital Association | 716 N Clippert St, Sparrow Fastcare, Lansing, MI 48912-4733 |
| Joseph William Villard | Interventional Radiology | Edward W Sparrow Hospital Association | 1215 E Michigan Ave Fl, Suite 4, Lansing, MI 48912-1811 |
| Darcy A Dornbos | Nurse Practitioner | Edward W Sparrow Hospital Association | 1215 E Michigan Ave Ll, Lansing, MI 48912-1811 |
| Street Address |
1600 W GRAND RIVER AVE SUITE 4 |
| City | OKEMOS |
| State | MI |
| Zip | 48864-2394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paige Wiegel | Physician Assistant | Edward W Sparrow Hospital Association | 1600 W Grand River Ave, Okemos, MI 48864-2394 |
| Kathleen M Waldron | Family Medicine | Edward W Sparrow Hospital Association | 1600 W Grand River Ave, Okemos, MI 48864-2394 |
| Yemisrach A Beyene | Family Medicine | Edward W Sparrow Hospital Association | 1600 W Grand River Ave, Okemos, MI 48864-2394 |
| Melissa Kay Benbow | Pediatric Medicine | Michigan State University | 1600 W Grand River Ave, Suite 2, Okemos, MI 48864-2394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Delass | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Andrew Bult | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Eric L Luttig | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Megan Brew | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Alexzanda Jo Johnson | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Anthony P. Salvador | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Melissa B Kong | Optometry | Rx Optical Laboratories, Inc. | 2285 W Grand River, Okemos, MI 48864-1649 |
| Zachary Charles Smith | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Steven C Clerc | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Eghosa Aimuamwosa Olomu | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Find all physicians in zip 48864 | |||
| City | OKEMOS |
| Zip Code | 48864 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OKEMOS + 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.