Matthew Lars Kuiper (NPI# 1407817349, PAC ID# 5092784496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1407817349 |
| PAC ID by PECOS | 5092784496 |
| Professional Enrollment ID | I20041001000705 |
| Full Name | Matthew Lars Kuiper |
| Organization Legal Name | SOUTHERN MICHIGAN PAIN CONSULTANTS PC |
| Address |
3770 Glenkerry Ct Portage MI 49024-0700 |
| Phone Number | 2693292887 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 3173590957 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 230117 | BORGESS MEDICAL CENTER |
| 230017 | BRONSON METHODIST HOSPITAL |
| 230078 | COMMUNITY HOSPITAL- WATERVLIET |
| Address | Phone | Organization |
|---|---|---|
| 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2693292887 | SOUTHERN MICHIGAN PAIN CONSULTANTS PC |
| 3950 Hollywood Rd, Suite 260, Saint Joseph, MI 49085-9151 | 2694293865 | SOUTHERN MICHIGAN PAIN CONSULTANTS PC |
| Organization Legal Name | SOUTHERN MICHIGAN PAIN CONSULTANTS PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Erik Voogd | Pain Management | Southern Michigan Pain Consultants PC | 4121 Shrestha Dr, Bay City, MI 48706-2171 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Street Address |
3770 GLENKERRY CT |
| City | PORTAGE |
| State | MI |
| Zip | 49024-0700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Berry | Audiologist | Three Rivers Health System Inc | 3850 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael Frederick Trexler | Hospice/palliative Care | Ascension Medical Group Promed | 7901 Angling Rd, Portage, MI 49024-0714 |
| William M Katz | Pulmonary Disease | Ascension Medical Group Promed | 7901 Angling Rd, Portage, MI 49024-0714 |
| Carolyn Amy Von Maur | Family Medicine | Ascension Medical Group Promed | 7901 Angling Rd, Portage, MI 49024-0714 |
| Patrick J Rowley | Chiropractic | Ascension Medical Group Promed | 7901 Angling Rd, Portage, MI 49024-0714 |
| Paul J Simpson | Family Medicine | Ascension Medical Group Promed | 7901 Angling Rd, Portage, MI 49024-0714 |
| Nathan Scott Elg | Emergency Medicine | Kalamazoo Emergency Associates, Plc | 7901 Angling Rd, Portage, MI 49024-0714 |
| Nadzieja N Pocheki | Nurse Practitioner | Ascension Borgess Hospital | 7901 Angling Rd, Portage, MI 49024-0714 |
| Michael T Curby | Physician Assistant | Ascension Medical Group Promed | 7901 Angling Rd, Portage, MI 49024-0714 |
| Christine M Lee | Physician Assistant | Ascension Medical Group Promed | 7901 Angling Rd, Portage, MI 49024-0714 |
| Find all physicians in zip 49024 | |||
| City | PORTAGE |
| Zip Code | 49024 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | PORTAGE + PAIN MANAGEMENT |
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| 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.