Michele Collins (NPI# 1124382403, PAC ID# 3173764560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124382403 |
| PAC ID by PECOS | 3173764560 |
| Professional Enrollment ID | I20141231000180 |
| Full Name | Michele Collins |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC. |
| Address |
611 E Douglas Rd 407 Family Medicine Center of Sjrmc Mishawaka IN 46545-1468 |
| Phone Number | 5743356500 |
| Gender | F |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476451790 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 5743355000 | SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC. |
| 611 E Douglas Rd, 407 Family Medicine Center of Sjrmc, Mishawaka, IN 46545-1468 | 5743356500 | SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC. |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah N Ortiz | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, Mishawaka, IN 46545-1464 |
| Theodore R Neumann | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 234 Chapin St, Suite I, South Bend, IN 46601-2570 |
| David T Wyncott | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, Mishawaka, IN 46545-1464 |
| Kevin R Ericson | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, 407 Family Medicine Center of Sjrmc, Mishawaka, IN 46545-1468 |
| Kelly Anne Marszalek | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, 407 Family Medicine Center of Sjrmc, Mishawaka, IN 46545-1468 |
| Louis J Pace | Certified Clinical Nurse Specialist (cns) | Saint Joseph Regional Medical Center South Bend Campus Inc. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Daniel J Curnyn | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, Mishawaka, IN 46545-1468 |
| Brian K Penrose | Podiatry | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, 101 Saint Joseph Foot and Ankle Center, Mishawaka, IN 46545-1464 |
| Michael J Poulsen | Nurse Practitioner | Saint Joseph Regional Medical Center South Bend Campus Inc. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Jason R Grove | Podiatry | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, 407 Family Medicine Center of Sjrmc, Mishawaka, IN 46545-1468 |
| Street Address |
611 E DOUGLAS RD 407 FAMILY MEDICINE CENTER OF SJRMC |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-1468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah N Ortiz | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, Mishawaka, IN 46545-1464 |
| Gina M Connolly | Nurse Practitioner | Beacon Medical Group Inc | 611 E Douglas Rd, 207 Bmg N Central Neurosugery Mishawaka, Mishawaka, IN 46545-1465 |
| Charbel F Maskiny | Critical Care (intensivists) | Pulmonary and Critical Care Associates, PC | 611 E Douglas Rd, Suite 309, Mishawaka, IN 46545-1463 |
| Richard A Stoldt | Family Medicine | Saint Joseph Regional Medical Center Inc | 611 E Douglas Rd, 309 Internal Medicine Associates, Mishawaka, IN 46545-1467 |
| Juan Galvan | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 611 E Douglas Rd, Mishawaka, IN 46545-1467 |
| Stephen Smith | Neurosurgery | Beacon Medical Group Inc | 611 E Douglas Rd, 207 Bmg N Central Neurosugery Mishawaka, Mishawaka, IN 46545-1465 |
| Ronald King Downs | Plastic and Reconstructive Surgery | The Centre PC | 611 E Douglas Rd, Suite 108, Mishawaka, IN 46545-1464 |
| Brett A Stephens | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464 |
| Madeline Louise Ryan | Physician Assistant | Saint Joseph Regional Medical Center Inc | 611 E Douglas Rd, Mishawaka, IN 46545-1465 |
| David T Wyncott | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, Mishawaka, IN 46545-1464 |
| Find all physicians in the same address | |||
| 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 | FAMILY MEDICINE |
| City + Specialty | MISHAWAKA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michele Collins.
| 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.