Evan Tank (NPI# 1124316054, PAC ID# 9931417813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1124316054 |
| PAC ID by PECOS | 9931417813 |
| Professional Enrollment ID | I20160623000568 |
| Full Name | Evan Tank |
| Organization Legal Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Address |
615 S Bower Greenville MI 48838-2614 |
| Phone Number | 6163913139 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 4587568647 |
| Number of Group Practice Members | 1248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| 230110 | SPECTRUM HEALTH LUDINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 605 Oak St, Big Rapids, MI 49307-2048 | 2315924433 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 212 S Sullivan Ave, Spectrum Health Gerber, Fremont, MI 49412-1548 | 6163913139 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 | SPECTRUM HEALTH PRIMARY CARE PARTNERS | |
| 100 Michigan St Ne Rm, 280 Helen Devos Children's Hospital, Grand Rapids, MI 49503-2560 | 6162670115 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 6168855000 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2561 | 6162677900 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | SPECTRUM HEALTH PRIMARY CARE PARTNERS | |
| 2750 E Beltline Ave Ne Fl, Grand Rapids, MI 49525-8614 | SPECTRUM HEALTH PRIMARY CARE PARTNERS | |
| 615 S Bower, Greenville, MI 48838-2614 | 6163913139 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 615 S Bower St, Shmg Cardiovascular Medicine Gree, Greenville, MI 48838-2614 | 6162257010 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 4444 Kalamazoo Ave Se, 200 Shmg Internal Medicine, Kentwood, MI 49508-4600 | 6163915600 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| 8333 Felch St, Zeeland, MI 49464-2608 | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Organization Legal Name | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| Physicians | 1352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather L Bur | Nurse Practitioner | Spectrum Health Primary Care Partners | 4100 Lake Dr Se, B01 Shmg Bariatric Surgery, Grand Rapids, MI 49546-8292 |
| Emily Elizabeth Fulton | Physician Assistant | Spectrum Health Primary Care Partners | 8501 Meadow Crk, Rockford, MI 49341-7524 |
| Erik Christopher Peterson | Nurse Practitioner | Spectrum Health Primary Care Partners | 230 Michigan St Ne, Suite 230, Grand Rapids, MI 49503-2550 |
| Bethany Soule Duyser | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
| Nichole Anne Bundschuh | Nurse Practitioner | Spectrum Health Primary Care Partners | 9090 S Rodgers Ct Se A, Shmg Family Medicine Caledonia, Caledonia, MI 49316-8052 |
| Sarah Anne Jongsma | Clinical Social Worker | Spectrum Health Primary Care Partners | 3152 Port Sheldon Rd, Hudsonville, MI 49426-9297 |
| Ora Darling | Physician Assistant | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Mudita Bhugra | Internal Medicine | Spectrum Health Primary Care Partners | 1900 Wealthy Se, Suite 200, Grand Rapids, MI 49506-2969 |
| Marcos Itamar Cordoba-munoz | Obstetrics/gynecology | Spectrum Health Primary Care Partners | 25 Michigan St Ne, Shmg Diabetes Education (25 Mich), Grand Rapids, MI 49503-2515 |
| Jason Biehl | Pulmonary Disease | Spectrum Health Primary Care Partners | 35 Michigan Ne, Grand Rapids, MI 49503-2508 |
| Street Address |
615 S BOWER |
| City | GREENVILLE |
| State | MI |
| Zip | 48838-2614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ora Darling | Physician Assistant | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Randall S Meisner | Gastroenterology | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Amy L Zomerlei | Nurse Practitioner | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Brian P Burns | Physician Assistant | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Jacob P Scott | Pulmonary Disease | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Ravichand Madala | Sleep Medicine | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Nadav Dujovny | Colorectal Surgery (proctology) | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| John A Key | Cardiovascular Disease (cardiology) | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Duane C Berkompas | Interventional Cardiology | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Nicholas Michael Hountras | Internal Medicine | Spectrum Health Primary Care Partners | 615 S Bower, Greenville, MI 48838-2614 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert John Seledotis | Neurosurgery | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 | |
| Lisa A Pullum | Pain Management | Michigan Pain Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Charles Bray | Physician Assistant | Michigan Pain Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Craig Vander Maas | Psychologist, Clinical | Michigan Behavioral Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Amanda Novak | Physician Assistant | Michigan Pain Consultants PC | 6896 S Greenville Rd, Suite 100, Greenville, MI 48838-1081 |
| Frank Paul Webber | Podiatry | 917 N Lafayette St, Greenville, MI 48838-1129 | |
| Charles Mcninch | Chiropractic | 1100 N Lafayette St, Greenville, MI 48838-1132 | |
| Domenico S Ausiello | Family Medicine | 200 S Franklin St, Greenville, MI 48838-1740 | |
| Nicole Brittany Scales | Optometry | Ec One Inc | 307 S Franklin St, Greenville, MI 48838-1759 |
| Danielle Marie Woodbridge | Optometry | Ec One Inc | 307 S Franklin St, Greenville, MI 48838-1759 |
| Find all physicians in zip 48838 | |||
| City | GREENVILLE |
| Zip Code | 48838 |
| Specialty | NEUROLOGY |
| City + Specialty | GREENVILLE + NEUROLOGY |
Please comment or provide details below to improve the information on Evan Tank.
| 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.