Jason Fennema (NPI# 1174060537, PAC ID# 3274817747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1174060537 |
| PAC ID by PECOS | 3274817747 |
| Professional Enrollment ID | I20170228002124 |
| Full Name | Jason Fennema |
| Organization Legal Name | MACATAWA ANESTHESIA PC |
| Address |
602 Michigan Ave Holland MI 49423-4918 |
| Phone Number | 6163925141 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4183682883 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 602 Michigan Ave, Holland, MI 49423-4918 | 6163925141 | MACATAWA ANESTHESIA PC |
| 1700 Clinton St, Muskegon, MI 49442-5502 | 2317263511 | AMERICAN ANESTHESIOLOGY GROUP OF MICHIGAN PC |
| Organization Legal Name | MACATAWA ANESTHESIA PC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William James Zwiers | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Tyler J Loveless | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Austin B Rund | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Bradley J Norden | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Christopher L Wedeven | Anesthesiology | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Megan E Keyser | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Aaron M Rund | Anesthesiology | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Travis Jason Graham | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Timothy J Ufkes | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Ryan J Borr | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Street Address |
602 MICHIGAN AVE |
| City | HOLLAND |
| State | MI |
| Zip | 49423-4918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert F Cuff | Vascular Surgery | Spectrum Health Primary Care Partners | 602 Michigan Ave, Suite 102, Holland, MI 49423-4918 |
| William James Zwiers | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Tyler J Loveless | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Austin B Rund | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Jessica L White | Hospitalist | Holland Community Hospital | 602 Michigan Ave, Holland, MI 49423-4918 |
| Bradley J Norden | Certified Registered Nurse Anesthetist (crna) | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Daniel K Peshka | Gastroenterology | Spectrum Health Primary Care Partners | 602 Michigan Ave, Suite 102, Holland, MI 49423-4918 |
| Christopher L Wedeven | Anesthesiology | Macatawa Anesthesia PC | 602 Michigan Ave, Holland, MI 49423-4918 |
| Erin E Breuker | Clinical Social Worker | Holland Community Hospital | 602 Michigan Ave, Holland, MI 49423-4918 |
| Mary Hasenauer | Nurse Practitioner | Holland Community Hospital | 602 Michigan Ave, Holland, MI 49423-4918 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela L Jammer | Optometry | Rx Optical Laboratories, Inc. | 1148 S Washington, Holland, MI 49423 |
| Jonathan L Stevens | Clinical Social Worker | 426 Century Ln, Suite 100, Holland, MI 49423-2200 | |
| Carli M Luce | Clinical Social Worker | West Shore Counseling Services LLC | 426 Century Ln, Suite 100, Holland, MI 49423-2200 |
| Patricia Ann Baer | Clinical Social Worker | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Steven Thomas Johnson | Psychologist, Clinical | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Diana M Wiersma | Clinical Social Worker | 36 W 8th St, Suite 250, Holland, MI 49423-2708 | |
| Keith A Louwerse | Psychologist, Clinical | 186 S River Ave, Suite 5, Holland, MI 49423-2848 | |
| Jill S Vander Bent | Clinical Social Worker | 186 S River Ave, 5 Abundance of Hope LLC, Holland, MI 49423-2848 | |
| Suzanne Lee | Nurse Practitioner | Spectrum Health Primary Care Partners | 145 Columbia Ave, Holland, MI 49423-2981 |
| Nathan E Dykema | Physical Therapy | Simio Health Services, Pllc | 730 Chicago Dr, Holland, MI 49423-3004 |
| Find all physicians in zip 49423 | |||
| City | HOLLAND |
| Zip Code | 49423 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HOLLAND + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jason Fennema.
| 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.