William Thomson Correll (NPI# 1154371581, PAC ID# 5799750618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1154371581 |
| PAC ID by PECOS | 5799750618 |
| Professional Enrollment ID | I20040901001286 |
| Full Name | William Thomson Correll |
| Organization Legal Name | SYNANON INC |
| Address |
1091 S Beacon Blvd Grand Haven MI 49417-2607 |
| Phone Number | 6168423600 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6204899172 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230174 | NORTH OTTAWA COMMUNITY HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 | 6168423600 | SYNANON INC |
| Organization Legal Name | SYNANON INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Hoekstra | Family Medicine | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| William Hubert Dukes | Family Medicine | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Susan E Eadelman | Nurse Practitioner | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Liza Marie Greene | Physician Assistant | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Chris R Juntunen | Physician Assistant | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Ryan S Klanseck | Family Medicine | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Julie J Gortsema | Physician Assistant | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Street Address |
1091 S BEACON BLVD |
| City | GRAND HAVEN |
| State | MI |
| Zip | 49417-2607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Hoekstra | Family Medicine | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| William Hubert Dukes | Family Medicine | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Susan E Eadelman | Nurse Practitioner | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Liza Marie Greene | Physician Assistant | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Chris R Juntunen | Physician Assistant | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Ryan S Klanseck | Family Medicine | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Julie J Gortsema | Physician Assistant | Synanon Inc | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek Thomas Meyers | Optometry | Rx Optical Laboratories, Inc. | 1125 S Beacon, Grand Haven, MI 49417 |
| Barbara M Harris | Clinical Social Worker | 41 Washington St, Suite 320, Grand Haven, MI 49417 | |
| Lynn A Huizinga | Optometry | Rx Optical Laboratories, Inc. | 1125 S Beacon, Grand Haven, MI 49417 |
| Walker M Parmelee | Psychologist, Clinical | Parmelee and Associates Psychological Consultants, 321 Fulton, Grand Haven, MI 49417-1231 | |
| Mary F Peterson | Chiropractic | 635 Fulton Ave, Grand Haven, MI 49417-1237 | |
| Michael T Vollink | Optometry | Vollink Eyecare Pllc | 4 Washington Ave, Grand Haven, MI 49417-1353 |
| Terrance L Draeger | Optometry | Vollink Eyecare Pllc | 4 Washington Ave, Grand Haven, MI 49417-1353 |
| Terry Lanigan | Clinical Social Worker | 233 Washington St, Suite 212, Grand Haven, MI 49417-1374 | |
| Joseph Merrell Iii | Clinical Social Worker | 41 Washington Ave, Suite 368, Grand Haven, MI 49417-1378 | |
| Cynthia J Crawford | Clinical Social Worker | 41 Washington Ave, Suite 368, Grand Haven, MI 49417-1378 | |
| Find all physicians in zip 49417 | |||
| City | GRAND HAVEN |
| Zip Code | 49417 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GRAND HAVEN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on William Thomson Correll.
| 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.