Gerald S Witherell (NPI# 1114970126, PAC ID# 0840294658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114970126 |
| PAC ID by PECOS | 0840294658 |
| Professional Enrollment ID | I20060911000291 |
| Full Name | Gerald S Witherell |
| Organization Legal Name | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Address |
3290 N Wellness Dr Suite 220 Holland MI 49424-7261 |
| Phone Number | 6166857450 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082807961 |
| Number of Group Practice Members | 434 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3290 N Wellness Dr, Suite 220, Holland, MI 49424-7261 | 6166857450 | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Organization Legal Name | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Physicians | 453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaipreet Singh Suri | Radiation Oncology | Advantage Health/saint Mary's Medical Group | 250 Cherry St Se, Grand Rapids, MI 49503-4608 |
| Megan Amber Deboer | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 6050 Northland Dr Ne, Suite 1159, Rockford, MI 49341-8279 |
| Lara Baatenburg | Family Medicine | Advantage Health/saint Mary's Medical Group | 950 36th St Sw, Wyoming, MI 49509-3587 |
| Colleen Tillema | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 |
| Melissa Devroy | Clinical Social Worker | Advantage Health/saint Mary's Medical Group | 801 Broadway Ave Nw, Suite 105, Grand Rapids, MI 49504-4462 |
| Paul Dieleman | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Christopher James Davis | Family Medicine | Advantage Health/saint Mary's Medical Group | 1175 Wilson Ave Nw, Walker, MI 49534-6407 |
| Nicole Markiewicz | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 933 3 Mile Rd Nw, Suite 210, Grand Rapids, MI 49544-1673 |
| Brianna Kilner | Internal Medicine | Advantage Health/saint Mary's Medical Group | 359 Division Ave S, Grand Rapids, MI 49503-4537 |
| Julia K Walters | Registered Dietitian Or Nutrition Professional | Advantage Health/saint Mary's Medical Group | 10047 Crossroad Sect, Caledonia, MI 49316-7316 |
| Street Address |
3290 N WELLNESS DR SUITE 220 |
| City | HOLLAND |
| State | MI |
| Zip | 49424-7261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Hutson | Allergy/immunology | Lakeshore Allergy PC | 3290 N Wellness Dr, Suite 180, Holland, MI 49424-8047 |
| James A Chamness | Pediatric Medicine | Lakeshore Allergy PC | 3290 N Wellness Dr, Suite 180, Holland, MI 49424-8047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Jon Blauwkamp | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Blake R Spooner | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Ronald H Rabineau | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| Jacqueline L Prins | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Suite 10, Holland, MI 49424-1826 |
| David D Brelinski Iii | Chiropractic | Lakeshore Family Chiropractic Plc | 258 James St, Holland, MI 49424-1826 |
| Lauren Stouffer | Nurse Practitioner | Intercare Community Health Network | 285 James St, Holland, MI 49424-1849 |
| Matthew C Ziesemer | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Craig A Kingsbury | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Louis Christian Boven | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Curtis W Miller | Chiropractic | 84 E Lakewood Blvd, Holland, MI 49424-2000 | |
| Find all physicians in zip 49424 | |||
| City | HOLLAND |
| Zip Code | 49424 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOLLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gerald S Witherell.
| 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.