PENNOCK HOSPITAL BOARD OF TRUSTEES (NPI# 1124488812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124488812 |
| Entity Type | Organization |
| Organization Name | PENNOCK HOSPITAL BOARD OF TRUSTEES |
| Practice Address |
1005 W Green St Hastings MI 49058-1712 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2699483632 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | CONNIE DOWNS (CONTROLLER-FINANCE) |
| Authorized Official Telephone | 2699483122 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENNOCK HOSPITAL BOARD OF TRUSTEES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046227 | Pennock Hospital Board of Trustees | Obstetrics & Gynecology | 11275 Sprague Rd, Delton, MI 49046-8493 | 2016-03-23 |
| 1508225632 | Pennock Hospital Board of Trustees | Family Medicine | 1108 W State St, Hastings, MI 49058-9711 | 2016-02-17 |
| 1104291202 | Pennock Hospital Board of Trustees | Internal Medicine | 2776 S State Rd, Ionia, MI 48846-8472 | 2015-12-01 |
| 1053635359 | Pennock Hospital Board of Trustees | General Acute Care Hospital | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2010-03-16 |
| 1841488178 | Pennock Hospital Board of Trustees | Emergency Medicine | 1009 W Green Street, Hastings, MI 49058-1710 | 2007-10-11 |
| Street Address |
1005 W GREEN ST |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224700 | Steven George Wildern | Specialist | 1005 W Green St, Rm 301, Hastings, MI 49058-1729 | 2005-06-10 |
| 1235676651 | Tami Pettenger | Registered Nurse | 1005 W Green St, Ste 300, Hastings, MI 49058-1712 | 2017-01-24 |
| 1841644184 | Pennock Hospital | Clinic/Center | 1005 W Green St, Suite 301, Hastings, MI 49058-1712 | 2016-04-22 |
| 1821497223 | Diane Hart | Registered Nurse | 1005 W Green St, Hastings, MI 49058-1712 | 2014-08-21 |
| 1215351317 | Roxanne R Gaiski | Advanced Practice Midwife | 1005 W Green St, Ste 301, Hastings, MI 49058-1712 | 2014-02-10 |
| 1437594991 | West Michigan Heart | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2013-05-09 |
| 1649566076 | Jimmie Daniel Woodall | Obstetrics & Gynecology | 1005 W Green St, Ste 301, Hastings, MI 49058-1712 | 2011-06-23 |
| 1215221353 | Pennock Hospital | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2011-06-07 |
| 1265732366 | Spectrum Health Primary Care Partners | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2010-10-24 |
| 1023340981 | Pennock Hospital | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2010-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437130499 | David John Dargis | Surgery | 1005 W Green St Ste 300, Hastings, MI 49058-1725 | 2005-11-08 |
| 1518965391 | Robert Leroy Anderson | Surgery | 715 N Kansas Ave, Suite 205, Hastings, NE 68901-4453 | 2005-07-14 |
| 1295397750 | Caleb Schroeder Md LLC | Surgery | 618 N Denver Ave, Hastings, NE 68901-5122 | 2019-07-05 |
| 1255693453 | Garret Thomas Lechtenberg | Surgery | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2012-06-13 |
| 1356656417 | The Mary Lanning Memorial Hospital Association | Surgery | 223 E 14th St, Ste 100, Hastings, NE 68901-3200 | 2010-08-13 |
| 1073837639 | Caleb W Schroeder | Surgery | 618 N Denver Ave, Hastings, NE 68901-5122 | 2010-03-25 |
| 1699930008 | Robert L. Anderson, M.d., P.C. | Surgery | 2115 N Kansas Ave, Suite 205, Hastings, NE 68901-2615 | 2008-07-24 |
| 1417138116 | Surgery Adult Pediatric Vascular P.C. | Surgery | 2115 N Kansas Ave, Suite 107, Hastings, NE 68901-2615 | 2007-11-21 |
| 1033171376 | John C Carlson | Surgery | 1210 1st St W, Hastings, MN 55033-1147 | 2006-04-03 |
| 1104895986 | Kevin R. Roach | Surgery | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-03-15 |
| Find all providers in HASTINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.