Kathleen Viola (NPI# 1083971436, PAC ID# 0143512848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1083971436 |
| PAC ID by PECOS | 0143512848 |
| Professional Enrollment ID | I20161004001204 |
| Full Name | Kathleen Viola |
| Organization Legal Name | W A FOOTE MEMORIAL HOSPITAL INC |
| Address |
1125 E Michigan Ave Henry Ford Allegiance Surgery Center Jackson MI 49201-1801 |
| Phone Number | 5172051080 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0244136067 |
| Number of Group Practice Members | 414 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230092 | HENRY FORD ALLEGIANCE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1921 Stonecipher Dr, Ada, OK 74820-3439 | 5804363980 | CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER |
| 1125 E Michigan Ave, Henry Ford Allegiance Surgery Center, Jackson, MI 49201-1801 | 5172051080 | W A FOOTE MEMORIAL HOSPITAL INC |
| 3235 E Michigan Ave, 150 Henry Ford Allegiance Internal Medicine Jackson, Jackson, MI 49203-8605 | 5172051731 | W A FOOTE MEMORIAL HOSPITAL INC |
| 3333 Spring Arbor Rd, Suite 100, Jackson, MI 49203-8602 | 5172052775 | W A FOOTE MEMORIAL HOSPITAL INC |
| 3333 Spring Arbor Rd, Suite 500, Jackson, MI 49203-8605 | 5172052106 | W A FOOTE MEMORIAL HOSPITAL INC |
| 813 W Michigan Ave, Henry Ford Allegiance Wound Care Center Mi Ave., Jackson, MI 49201-4158 | 5172056430 | W A FOOTE MEMORIAL HOSPITAL INC |
| Organization Legal Name | W A FOOTE MEMORIAL HOSPITAL INC |
| Physicians | 420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Cardenas | Nurse Practitioner | W A Foote Memorial Hospital Inc | 130 N Sherman St, Henry Ford Allegiance Family Medicine Leslie, Leslie, MI 49251-9409 |
| Elizabeth Ann Shea | Nurse Practitioner | W A Foote Memorial Hospital Inc | 12369 E Michigan Ave, Henry Ford Allegiance Family Medicine Grass Lake, Grass Lake, MI 49240-9213 |
| Hannah Rae Chase | Qualified Audiologist | W A Foote Memorial Hospital Inc | 1111 Teneyck St, Suite 200, Jackson, MI 49201-2486 |
| Deborah Ann Mroczka | Nurse Practitioner | W A Foote Memorial Hospital Inc | 27931 C Dr N, Henry Ford Allegiance Family Medicine Ablion, Albion, MI 49224-8402 |
| Michael Stephen Somero | Infectious Disease | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Maria C Opolka | Family Medicine | W A Foote Memorial Hospital Inc | 810 Hogsback Rd, Suite A, Mason, MI 48854-9396 |
| Kasey Lyn Gamez | Nurse Practitioner | W A Foote Memorial Hospital Inc | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6152 |
| Joni Anne Frost | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2585 Spring Arbor Rd, Jackson, MI 49203-3655 |
| Eduardo Montoya | Psychologist, Clinical | W A Foote Memorial Hospital Inc | 1400 E Michigan Ave, Henry Ford Allegiance Neuropsychology, Jackson, MI 49202-3518 |
| Candice K Gates | Obstetrics/gynecology | W A Foote Memorial Hospital Inc | 3305 Spring Arbor Rd, Suite 500, Jackson, MI 49203-3795 |
| Street Address |
1125 E MICHIGAN AVE HENRY FORD ALLEGIANCE SURGERY CENTER |
| City | JACKSON |
| State | MI |
| Zip | 49201-1801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark R Henry | Family Medicine | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Bhavani Rangan | Physical Therapy | 1125 E Michigan Ave, Suite 2, Battle Creek, MI 49014-6832 | |
| Matthew G Moore | Family Medicine | W A Foote Memorial Hospital Inc | 1125 E Michigan Ave, Henry Ford Allegiance Surgery Center, Jackson, MI 49201-1801 |
| Michael S Mann | Nurse Practitioner | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Jennifer L Schaefer | Physician Assistant | Wattles Park Family Practice II PC | 1125 E Michigan Ave, Battle Creek, MI 49014-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura M Putney | Clinical Social Worker | 569 Wildwood Ave, Unit 4, Jackson, MI 49201-1048 | |
| Dorothy E Tetreault | Clinical Social Worker | 569 Wildwood Ave Unit, Suite 4, Jackson, MI 49201-1048 | |
| Cheryl A Colletti | Family Medicine | 517 Wildwood Ave, Jackson, MI 49201-1094 | |
| Beth E Vanderwalker | Clinical Social Worker | 432 Wildwood Ave, Jackson, MI 49201-1148 | |
| Michael P Vanderwalker | Clinical Social Worker | 432 Wildwood Ave, Jackson, MI 49201-1148 | |
| David R Krajewski | Clinical Social Worker | Crossroads Psychotherapy PC | 432 Wildwood Ave, Jackson, MI 49201-1148 |
| Rolando M Beredo | Internal Medicine | R M Beredo Md Pllc | 426 N Jackson St, Jackson, MI 49201-1235 |
| Monica J Hill | Obstetrics/gynecology | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Eliezer A Gomez | Family Medicine | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Nora Elizabeth Flood | Obstetrics/gynecology | Center for Family Health | 505 N Jackson St, Jackson, MI 49201-1266 |
| Find all physicians in zip 49201 | |||
| City | JACKSON |
| Zip Code | 49201 |
| Specialty | DERMATOLOGY |
| City + Specialty | JACKSON + DERMATOLOGY |
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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.