Crystal Kay Pennell (NPI# 1154783470, PAC ID# 3577852839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1154783470 |
PAC ID by PECOS | 3577852839 |
Professional Enrollment ID | I20160510001982 |
Full Name | Crystal Kay Pennell |
Organization Legal Name | CARDIOLOGY ASSOC OF PORT HURON |
Address |
4190 24th Ave Suite 203 Fort Gratiot MI 48059-3884 |
Phone Number | 8109897490 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1658348776 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230216 | MCLAREN PORT HURON |
230031 | LAKE HURON MEDICAL CENTER |
230193 | MCLAREN LAPEER REGION |
231314 | MCKENZIE HEALTH SYSTEM |
231311 | DECKERVILLE COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884 | 8109897490 | CARDIOLOGY ASSOC OF PORT HURON |
1222 10th Ave, Port Huron, MI 48060-3406 | 8109859681 | CARDIOLOGY ASSOC OF PORT HURON |
Organization Legal Name | CARDIOLOGY ASSOC OF PORT HURON |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elias Skaf | Cardiovascular Disease (cardiology) | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Caitlin Smith | Nurse Practitioner | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Ajay C Krishen | Cardiovascular Disease (cardiology) | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Bashar Samman | Cardiovascular Disease (cardiology) | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Suresh R Tumma | Cardiovascular Disease (cardiology) | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Tamara Dawn Yoas | Nurse Practitioner | Cardiology Assoc of Port Huron | 4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884 |
Sivaji Gundlapalli | Cardiovascular Disease (cardiology) | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Beeravolu R Reddy | Cardiovascular Disease (cardiology) | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Vrajmohan C Parikh | Cardiovascular Disease (cardiology) | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Jacqueline Beauregard | Physician Assistant | Cardiology Assoc of Port Huron | 1222 10th Ave, Port Huron, MI 48060-3406 |
Street Address |
4190 24TH AVE SUITE 203 |
City | FORT GRATIOT |
State | MI |
Zip | 48059-3884 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert J Sachs | Internal Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
Farrukh Zaman Naqvi | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
Daniel C Souphis | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
Philip Milan Matich | Family Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
Christopher John Borgiel | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
Omar Amin Turk | Neurology | 4190 24th Ave, Suite 210, Fort Gratiot, MI 48059-3882 | |
Stacie Lynne Hill | Physician Assistant | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
Gaurav Bhalla | Internal Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
Judith A Kaszyca | Nurse Practitioner | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
Tamara Dawn Yoas | Nurse Practitioner | Cardiology Assoc of Port Huron | 4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Randy J Plonka | Internal Medicine | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
Laura Winkelman | Nurse Practitioner | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
Heidi M Mccullah | Optometry | 4845 24th Ave, Fort Gratiot, MI 48059-3407 | |
Hargopal Tekumulla | Physical Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
Sushree Tekumulla | Occupational Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
Jennifer J Marlin | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
Ashley Carriveau | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
Syed H Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
Tina M Williams | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
Find all physicians in zip 48059 |
City | FORT GRATIOT |
Zip Code | 48059 |
Specialty | NURSE PRACTITIONER |
City + Specialty | FORT GRATIOT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystal Kay Pennell.
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.