Jay A Lugthart (NPI# 1215059241, PAC ID# 5193989804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1215059241 |
PAC ID by PECOS | 5193989804 |
Professional Enrollment ID | I20120608000523 |
Full Name | Jay A Lugthart |
Organization Legal Name | GEORGETOWN MEDICAL CENTER LLC |
Address |
670 Baldwin Jenison MI 49428-9757 |
Phone Number | 6164574610 |
Gender | M |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1977 |
Primary Specialty | GENERAL PRACTICE |
Secondary Specialties | GERIATRIC MEDICINE |
Group Practice PAC ID | 0941464655 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230236 | METRO HEALTH HOSPITAL |
230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
230059 | MERCY HEALTH SAINT MARY'S |
Address | Phone | Organization |
---|---|---|
670 Baldwin, Jenison, MI 49428-9757 | 6164574610 | GEORGETOWN MEDICAL CENTER LLC |
Organization Legal Name | GEORGETOWN MEDICAL CENTER LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
William M Tenhaaf | General Practice | Georgetown Medical Center LLC | 670 Baldwin, Jenison, MI 49428-9757 |
Street Address |
670 BALDWIN |
City | JENISON |
State | MI |
Zip | 49428-9757 |
Name | Specialty | Organization | Address |
---|---|---|---|
William M Tenhaaf | General Practice | Georgetown Medical Center LLC | 670 Baldwin, Jenison, MI 49428-9757 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric R Hartman | Chiropractic | Eric R Hartman, Dc, Pllc | 302 Baldwin St, Jenison, MI 49428-7909 |
Rebecca Lyn Warnecke | Chiropractic | Eric R Hartman, Dc, Pllc | 302 Baldwin St, Jenison, MI 49428-7909 |
Bethany Soule Duyser | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
Mary Manilla | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
Allen R Smith | Optometry | Lifetime Eyecare PC | 597 Baldwin St, Jenison, MI 49428-7994 |
Nicole Marie Bennett Gdowski | Optometry | Lifetime Eyecare PC | 597 Baldwin St, Jenison, MI 49428-7994 |
Marek A Stawiski | Dermatology | Psoriasis and Eczema Treatment Center of Western Michigan Pllc | 597 Baldwin St, Jenison, MI 49428-7994 |
Matthew W Medley | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
Robert C Huizenga | Optometry | 7673 Georgetown Ctr Dr, Jenison, MI 49428-8101 | |
Megan K Mouser | Nurse Practitioner | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
Find all physicians in zip 49428 |
City | JENISON |
Zip Code | 49428 |
Specialty | GENERAL PRACTICE |
City + Specialty | JENISON + GENERAL PRACTICE |
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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.