Lawrence I Mallon (NPI# 1194788943, PAC ID# 3577525435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1194788943 |
| PAC ID by PECOS | 3577525435 |
| Professional Enrollment ID | I20041103000213 |
| Full Name | Lawrence I Mallon |
| Organization Legal Name | MUSKEGON SURGICAL ASSOCIATES PC |
| Address |
1700 Clinton St Muskegon MI 49442-5502 |
| Phone Number | 2317263571 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 0941262877 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| 231320 | MERCY HEALTH LAKESHORE CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2317399461 | MUSKEGON SURGICAL ASSOCIATES PC |
| 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2317399341 | MUSKEGON SURGICAL ASSOCIATES PC |
| 1700 Clinton St, Muskegon, MI 49442-5502 | 2317263571 | MUSKEGON SURGICAL ASSOCIATES PC |
| Organization Legal Name | MUSKEGON SURGICAL ASSOCIATES PC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Cole Hunter | Nurse Practitioner | Muskegon Surgical Associates PC | 1675 Patriot Dr, Muskegon, MI 49444-7807 |
| Joel B Anderson | General Surgery | Muskegon Surgical Associates PC | 1316 Mercy Dr, Muskegon, MI 49444-1835 |
| Dena W Thayer | Plastic and Reconstructive Surgery | Muskegon Surgical Associates PC | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 |
| Daniel M Alterman | Vascular Surgery | Muskegon Surgical Associates PC | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Jennifer L Bradley | General Surgery | Muskegon Surgical Associates PC | 1316 Mercy Dr, Muskegon, MI 49444-1835 |
| Michelle L Yates | Nurse Practitioner | Muskegon Surgical Associates PC | 1316 Mercy Dr, Muskegon, MI 49444-1835 |
| Srdjan A Ostric | Plastic and Reconstructive Surgery | Muskegon Surgical Associates PC | 1675 Patriot Dr, Muskegon, MI 49444-7807 |
| Stephen N Zonca | Plastic and Reconstructive Surgery | Muskegon Surgical Associates PC | 1675 Patriot Dr, Muskegon, MI 49444-7807 |
| Karyn R Mccollum | Nurse Practitioner | Muskegon Surgical Associates PC | 1675 Patriot Dr, Muskegon, MI 49444-7807 |
| Amy Maloley | Occupational Therapy | Muskegon Surgical Associates PC | 1675 Patriot Dr, Muskegon, MI 49444-7807 |
| Street Address |
1700 CLINTON ST |
| City | MUSKEGON |
| State | MI |
| Zip | 49442-5502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Dunn | Anesthesiology | American Anesthesiology Group of Michigan PC | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Roni K Devlin | Infectious Disease | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| David A Cree | Obstetrics/gynecology | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Nicholas J Petrinec | Anesthesiology | American Anesthesiology Group of Michigan PC | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Octavia B Graur | Pathology | Westshore Diagnostics, PC | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Thea N Clouse Gawronski | Physician Assistant | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Nicholas Mcmanus | Emergency Medicine | Lake Michigan Emergency Specialists | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Elaine Ann Engelsman | Nurse Practitioner | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Cutler Erhardt Ludington | Physician Assistant | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Daniel A Osborn | Diagnostic Radiology | Radiology Muskegon, PC | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette Orr | Clinical Social Worker | 349 Jackson Ave, Muskegon, MI 49442-1114 | |
| Shawn Patrick Reidy | Family Medicine | Mercy Urgent Care | 1700 Oak Ave, Muskegon, MI 49442-2407 |
| Ronald Craig Chusid | Internal Medicine | 1762 Oak Ave, Muskegon, MI 49442-2407 | |
| Ross A Reynolds | Physician Assistant | Mercy Urgent Care | 1700 Oak Ave, Muskegon, MI 49442-2407 |
| Tressa L Kellogg | Nurse Practitioner | Mercy Urgent Care | 1700 Oak Ave, Muskegon, MI 49442-2407 |
| Mark E Berndt | Family Medicine | Mercy Urgent Care | 1700 Oak Ave, Muskegon, MI 49442-2407 |
| Tammy L Provatas | Emergency Medicine | Mercy Urgent Care | 1700 Oak Ave, Muskegon, MI 49442-2407 |
| James D Salisbury | Emergency Medicine | Mercy Urgent Care | 1700 Oak Ave, Muskegon, MI 49442-2407 |
| Angela M Waller | Nurse Practitioner | Mercy Urgent Care | 1700 Oak Ave, Muskegon, MI 49442-2407 |
| Jamie L Phillipich | Physician Assistant | Mercy Urgent Care | 1700 Oak Ave, Muskegon, MI 49442-2407 |
| Find all physicians in zip 49442 | |||
| City | MUSKEGON |
| Zip Code | 49442 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | MUSKEGON + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Lawrence I Mallon.
| 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.