Kevin Gene Drew (NPI# 1275538373, PAC ID# 0345207064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1275538373 |
| PAC ID by PECOS | 0345207064 |
| Professional Enrollment ID | I20090115000588 |
| Full Name | Kevin Gene Drew |
| Organization Legal Name | MICHIANA SPINE, SPORTS AND OCCUPATIONAL REHAB, PC |
| Address |
3740 Edison Lakes Pkwy Mishawaka IN 46545-3448 |
| Phone Number | 5742524150 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 3375500093 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 230017 | BRONSON METHODIST HOSPITAL |
| 230117 | BORGESS MEDICAL CENTER |
| 230078 | COMMUNITY HOSPITAL- WATERVLIET |
| 231332 | BRONSON LAKEVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 | 2695321590 | MICHIANA SPINE, SPORTS AND OCCUPATIONAL REHAB, PC |
| 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 | 5742524150 | MICHIANA SPINE, SPORTS AND OCCUPATIONAL REHAB, PC |
| 24 N Saint Joseph Ave B, Niles, MI 49120-2263 | 2696846870 | MICHIANA SPINE, SPORTS AND OCCUPATIONAL REHAB, PC |
| 2946 Division St, Saint Joseph, MI 49085-2437 | 2694281550 | MICHIANA SPINE, SPORTS AND OCCUPATIONAL REHAB, PC |
| Organization Legal Name | MICHIANA SPINE, SPORTS AND OCCUPATIONAL REHAB, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin M Vlaeminck | Nurse Practitioner | Michiana Spine, Sports and Occupational Rehab, PC | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 |
| Mary Moore | Physical Therapy | Michiana Spine, Sports and Occupational Rehab, PC | 24 N Saint Joseph Ave B, Niles, MI 49120-2263 |
| Jonathan D Sanner | Physical Therapy | Michiana Spine, Sports and Occupational Rehab, PC | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 |
| Loraine A Fisher | Nurse Practitioner | Michiana Spine, Sports and Occupational Rehab, PC | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 |
| Cynthia Marie Turner | Physical Therapy | Michiana Spine, Sports and Occupational Rehab, PC | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 |
| Tamara K Jardine | Physical Therapy | Michiana Spine, Sports and Occupational Rehab, PC | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 |
| John L Kittredge | Physician Assistant | Michiana Spine, Sports and Occupational Rehab, PC | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 |
| Timothy Swartz | Internal Medicine | Michiana Spine, Sports and Occupational Rehab, PC | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 |
| Street Address |
3740 EDISON LAKES PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-3448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin M Vlaeminck | Nurse Practitioner | Michiana Spine, Sports and Occupational Rehab, PC | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 |
| Loraine A Fisher | Nurse Practitioner | Michiana Spine, Sports and Occupational Rehab, PC | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 |
| John L Kittredge | Physician Assistant | Michiana Spine, Sports and Occupational Rehab, PC | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | MISHAWAKA + INTERVENTIONAL PAIN MANAGEMENT |
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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.