Jesse S Kogelman (NPI# 1144503491, PAC ID# 3577793876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1144503491 |
| PAC ID by PECOS | 3577793876 |
| Professional Enrollment ID | I20151221001957 |
| Full Name | Jesse S Kogelman |
| Organization Legal Name | NORTHWESTERN MICHIGAN DERMATOLOGY P.C. |
| Address |
550 Munson Ave Suite 200 Traverse City MI 49686-3580 |
| Phone Number | 2319358717 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921037805 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230156 | ST JOSEPH MERCY HOSPITAL |
| 230097 | MUNSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 550 Munson Ave, Suite 200, Traverse City, MI 49686-3580 | 2319358717 | NORTHWESTERN MICHIGAN DERMATOLOGY P.C. |
| Organization Legal Name | NORTHWESTERN MICHIGAN DERMATOLOGY P.C. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula Lyn Cahill | Dermatology | Northwestern Michigan Dermatology P.C. | 550 Munson Ave, Suite 200, Traverse City, MI 49686-3580 |
| Maria Colligan Carroll | Dermatology | Northwestern Michigan Dermatology P.C. | 550 Munson Ave, Suite 200, Traverse City, MI 49686-3580 |
| Brittany Channing-noble Lister | Dermatology | Northwestern Michigan Dermatology P.C. | 550 Munson Ave, Suite 200, Traverse City, MI 49686-3580 |
| Susan Cline Noble | Dermatology | Northwestern Michigan Dermatology P.C. | 550 Munson Ave, Suite 200, Traverse City, MI 49686-3580 |
| Mark Ronald Pomaranski | Dermatology | Northwestern Michigan Dermatology P.C. | 550 Munson Ave, Suite 200, Traverse City, MI 49686-3580 |
| Street Address |
550 MUNSON AVE SUITE 200 |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49686-3580 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha A Frankowski | Neurology | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Kirt Baab | Clinical Social Worker | Munson Home Care | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Ronald L Sanders | Physician Assistant | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Carol Ann Holmden | Nurse Practitioner | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Bonnie J Kruszka | Nurse Practitioner | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Erica L Oakley | Internal Medicine | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Fred J Vanalstine | Family Medicine | Munson Home Care | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Anne Broad | Family Medicine | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Todd Allan Myers | Family Medicine | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Erik Lindstrom | Family Medicine | Munson Medical Center | 550 Munson Ave, Traverse City, MI 49686-3580 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Robert Frew Jr. | Family Medicine | 814 S Garfield Ave C, Frew Care Clinic, Traverse City, MI 49686-2401 | |
| Lindsay M Best | Family Medicine | Best Medical Services Plc | 814 S Garfield Ave, Suite C, Traverse City, MI 49686-2401 |
| Mary A Joslin | Clinical Social Worker | 814 S Garfield Ave, Suite B, Traverse City, MI 49686-2401 | |
| David Kenneth Best | Family Medicine | Best Medical Services Plc | 814 S Garfield Ave, Suite C, Traverse City, MI 49686-2401 |
| Judy G Hayes Daly | Clinical Social Worker | 814 S Garfield Ave, Suite B, Traverse City, MI 49686-2401 | |
| Bruce G Douglass | Psychologist, Clinical | 934 S Garfield Ave C, Traverse City, MI 49686-2402 | |
| Peter J Zoutendyk Jr. | Clinical Social Worker | 810 S Garfield Ave, Suite B, Traverse City, MI 49686-2406 | |
| Dustine K Murphy | Chiropractic | Murphy Chiropractic, Plc. | 616 E 8th St, Suite 1, Traverse City, MI 49686-2505 |
| Michael P Murphy | Chiropractic | Murphy Chiropractic, Plc. | 616 E 8th St, Suite 1, Traverse City, MI 49686-2505 |
| Amy Irene Mummert | Optometry | 522 E 8th St, Traverse City, MI 49686-2629 | |
| Find all physicians in zip 49686 | |||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TRAVERSE CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jesse S Kogelman.
| 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.