Elizabeth A Mcglothlin (NPI# 1124394945, PAC ID# 9931414000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1124394945 |
PAC ID by PECOS | 9931414000 |
Professional Enrollment ID | I20150818005941 |
Full Name | Elizabeth A Mcglothlin |
Organization Legal Name | LAKELAND MEDICAL PRACTICES |
Address |
1045 E Front St A Lakeland Medical Practice Buchanan Buchanan MI 49107-8474 |
Phone Number | 2696955540 |
Gender | F |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2012 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1658427042 |
Number of Group Practice Members | 197 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230078 | COMMUNITY HOSPITAL- WATERVLIET |
230021 | LAKELAND HOSPITAL, ST JOSEPH |
Address | Phone | Organization |
---|---|---|
1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 | 2696955540 | LAKELAND MEDICAL PRACTICES |
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 MEDICAL PRACTICES |
Physicians | 207 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul Daniel Judge | Otolaryngology | Lakeland Medical Practices | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 |
Deanna Margaret Rucano | Nurse Practitioner | Lakeland Medical Practices | 2500 Niles Ave, 1 Primary Care St Joseph, Saint Joseph, MI 49085-1924 |
Brandon R Cole | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
Kimberlee A Tomerlin | Internal Medicine | Lakeland Medical Practices | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9151 |
Deanna L Fulbright | Family Medicine | Lakeland Medical Practices | 9045 Us Hwy 31, Berrien Springs, MI 49103-1804 |
Laurie Ann Gee | Nurse Practitioner | Lakeland Medical Practices | 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208 |
Riddhi Jay Shah | Dermatology | Lakeland Medical Practices | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9136 |
Michael James Burton | Pulmonary Disease | Lakeland Medical Practices | 3904 Stonegate Park, Saint Joseph, MI 49085-9130 |
Pamela J Klint | Nurse Practitioner | Lakeland Medical Practices | 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 |
David Kraklau | Urology | Lakeland Medical Practices | 815 Saint Joseph Dr, Saint Joseph, MI 49085-2529 |
Street Address |
1045 E FRONT ST A LAKELAND MEDICAL PRACTICE BUCHANAN |
City | BUCHANAN |
State | MI |
Zip | 49107-8474 |
Name | Specialty | Organization | Address |
---|---|---|---|
Olivia Hemlock | Nurse Practitioner | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
Audrey L Carrier | Family Medicine | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
Julia Kostyuk | Nurse Practitioner | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
Rex Benjamin Guansing Cabaltica | Family Medicine | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven A Smoke | Optometry | Drs Steven and Brenda Smoke Od PC | 400 E Front St, Suite A, Buchanan, MI 49107-1403 |
Adam Kyle Urbanski | Optometry | Drs Steven and Brenda Smoke Od PC | 400 E Front St, Suite A, Buchanan, MI 49107-1403 |
Brenda D Smoke | Optometry | Drs Steven and Brenda Smoke Od PC | 400 E Front St, Suite A, Buchanan, MI 49107-1403 |
Rebecca S Roush | Physical Therapy | Redbud Health Services LLC | 500 E 3rd St, Buchanan, MI 49107-1404 |
Harold E Brown | General Practice | 804 E Front St, Buchanan, MI 49107-1444 | |
Jennifer L Lambart | Optometry | Southwest Vision Center Inc | 1045 E Front St, B4, Buchanan, MI 49107-8474 |
Roy B Parke | Family Practice | 1045 E Front St, Buchanan, MI 49107-8474 | |
John M Berecz | Clinical Psychologist | 2117 Grange Rd, Buchanan, MI 49107-9367 |
City | BUCHANAN |
Zip Code | 49107 |
Specialty | FAMILY MEDICINE |
City + Specialty | BUCHANAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Elizabeth A Mcglothlin.
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.