Corey John Koll (NPI# 1649787128, PAC ID# 0143580696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1649787128 |
| PAC ID by PECOS | 0143580696 |
| Professional Enrollment ID | I20180201002132 |
| Full Name | Corey John Koll |
| Organization Legal Name | ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC |
| Address |
5900 Byron Ctr Ave Sw Wyoming MI 49519-9606 |
| Phone Number | 6162527200 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537136403 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230236 | METRO HEALTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 6164597101 | ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC |
| 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 | 6162527200 | ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC |
| Organization Legal Name | ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Bucks | Occupational Therapy | Orthopaedic Associates of Grand Rapids PC | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 |
| Justin Miller | Physician Assistant | Orthopaedic Associates of Grand Rapids PC | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Scott David Burgess | Hand Surgery | Orthopaedic Associates of Grand Rapids PC | 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 |
| Joseph N Pigorsh | Physician Assistant | Orthopaedic Associates of Grand Rapids PC | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 |
| Hilary May Austin | Physical Therapy | Orthopaedic Associates of Grand Rapids PC | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 |
| Tammy J Beckett | Nurse Practitioner | Orthopaedic Associates of Grand Rapids PC | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 |
| Dennis C Gregory | Physician Assistant | Orthopaedic Associates of Grand Rapids PC | 5900 Byron Ctr Swave, Wyoming, MI 49519-9606 |
| Mark De Haan | Hand Surgery | Orthopaedic Associates of Grand Rapids PC | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 |
| Erik C Hedlund | Sports Medicine | Orthopaedic Associates of Grand Rapids PC | 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 |
| Kelly L Pitzer | Physical Therapy | Orthopaedic Associates of Grand Rapids PC | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 |
| Street Address |
5900 BYRON CTR AVE SW |
| City | WYOMING |
| State | MI |
| Zip | 49519-9606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa L Jones | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Consultants, PC | 5900 Byron Ctr Ave Sw, Metro Health Hospital, Wyoming, MI 49519-9606 |
| Scott David Burgess | Hand Surgery | Orthopaedic Associates of Grand Rapids PC | 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 |
| Jeffrey Mark Ricketts | Anesthesiology | Anesthesia Medical Consultants, PC | 5900 Byron Ctr Ave Sw, Metro Health Hospital, Wyoming, MI 49519-9606 |
| John S Bradley | Emergency Medicine | Certified Emergency Medicine Specialists PC | 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 |
| Adam Michael Passeno | Emergency Medicine | Certified Emergency Medicine Specialists PC | 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 |
| Dana D Hop | Emergency Medicine | Certified Emergency Medicine Specialists PC | 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 |
| Erik C Hedlund | Sports Medicine | Orthopaedic Associates of Grand Rapids PC | 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 |
| Kristen Joy Kelting | Nurse Practitioner | Metropolitan Hospital | 5900 Byron Ctr Ave Sw, Wyoming, MI 49519-9606 |
| Bret Harwood Doud | Anesthesiology | Anesthesia Medical Consultants, PC | 5900 Byron Ctr Ave Sw, Metro Health Hospital, Wyoming, MI 49519-9606 |
| Steven N Martin | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Consultants, PC | 5900 Byron Ctr Ave Sw, Metro Health Hospital, Wyoming, MI 49519-9606 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Austin Vanderweide | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Kaitlynn Kristine Rosier | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Jared L Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Arnold Mark Koldenhoven Jr. | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Charles Scott Kooistra | Chiropractic | Kooistra Chiropractic Clinic Pllc | 2855 Byron Ctr Ave Sw, Wyoming, MI 49519-2415 |
| Linda S Bruinsma | Chiropractic | 3555 Byron Ctr Ave, Wyoming, MI 49519-3259 | |
| Bradley D Conrad | Chiropractic | 3651 Byron Ctr Ave Sw, Wyoming, MI 49519-3665 | |
| Tamara Brown | Clinical Social Worker | Portal Point Counseling LLC | 2663 44th Sw, Suite 106, Wyoming, MI 49519-4189 |
| Ashley K Yancho | Clinical Social Worker | 2663 44th St Sw, Suite 106, Wyoming, MI 49519-4189 | |
| Rachel Vanbuskirk | Clinical Social Worker | Portal Point Counseling LLC | 2663 44th Sw, Suite 106, Wyoming, MI 49519-4189 |
| Find all physicians in zip 49519 | |||
| City | WYOMING |
| Zip Code | 49519 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WYOMING + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Corey John Koll.
| 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.