Crystal Kay Pennell
CARDIOLOGY ASSOC OF PORT HURON


Address: 4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884
Phone: 8109897490

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.

Physician Overview

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

Claims Based Hospital Affiliation

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

Other Locations

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 Information

Organization Legal Name CARDIOLOGY ASSOC OF PORT HURON
Physicians 12

Physicians with the same organization

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

Office Location

Street Address 4190 24TH AVE
SUITE 203
City FORT GRATIOT
State MI
Zip 48059-3884

Physicians in the same location

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
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Physicians in the same zip code

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

Competitor

Search similar physicians

City FORT GRATIOT
Zip Code 48059
Specialty NURSE PRACTITIONER
City + Specialty FORT GRATIOT + NURSE PRACTITIONER

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Dataset Information

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.

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