Harry Lee Staley (NPI# 1952387573, PAC ID# 5799833216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1952387573 |
| PAC ID by PECOS | 5799833216 |
| Professional Enrollment ID | I20141024000117 |
| Full Name | Harry Lee Staley |
| Organization Legal Name | HOLLAND COMMUNITY HOSPITAL |
| Address |
415 Wiley Rd 102 Lakeshore Health Partners Dfm Douglas MI 49406-1234 |
| Phone Number | 2698573208 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 0446157291 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| 230174 | NORTH OTTAWA COMMUNITY HEALTH SYSTEM |
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 415 Wiley Rd, 102 Lakeshore Health Partners Dfm, Douglas, MI 49406-1234 | 2698573208 | HOLLAND COMMUNITY HOSPITAL |
| 415 Wiley Rd, 102 Lakeshore Health Partners Dwh, Douglas, MI 49406-5259 | 6167485785 | HOLLAND COMMUNITY HOSPITAL |
| 577 Michigan Ave, Holland, MI 49423-4911 | HOLLAND COMMUNITY HOSPITAL |
| Organization Legal Name | HOLLAND COMMUNITY HOSPITAL |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Jerich Wetterlin | Urology | Holland Community Hospital | 577 Michigan Ave, Suite 201, Holland, MI 49423-4911 |
| Courtney M Erickson-adams | Sports Medicine | Holland Community Hospital | 3299 N Wellness Dr, 150 Bone and Joint Center of Holland, Holland, MI 49424-7270 |
| Terri Duran | Nurse Practitioner | Holland Community Hospital | 8300 Westpark Way, Lakeshore Health Partners Zfm, Zeeland, MI 49464-7901 |
| Timothy Conlon | Internal Medicine | Holland Community Hospital | 3235 N Wellness Dr, 120b Lakeshore Health Partners Im, Holland, MI 49424-8035 |
| William B Bonzelaar | Family Medicine | Holland Community Hospital | 904 Washington Ave, 210 Lakeshore Health Partners Swfm, Holland, MI 49423-7724 |
| Michael A Jansen | Psychologist, Clinical | Holland Community Hospital | 854 Washington Ave, Suite 330, Holland, MI 49423-7141 |
| Barbara Jo Depree | Obstetrics/gynecology | Holland Community Hospital | 844 S Washington Ave, 2700 Lakeshore Health Partners Highrisk, Holland, MI 49423-7139 |
| Thomas W Kuhn | Psychiatry | Holland Community Hospital | 854 S Washington Ave, Suite 330, Holland, MI 49423-7141 |
| Angela S Burch | Physician Assistant | Holland Community Hospital | 415 Wiley Rd, 102 Lakeshore Health Partners Dfm, Douglas, MI 49406-1234 |
| Jessica L White | Hospitalist | Holland Community Hospital | 602 Michigan Ave, Holland, MI 49423-4918 |
| Street Address |
415 WILEY RD 102 LAKESHORE HEALTH PARTNERS DFM |
| City | DOUGLAS |
| State | MI |
| Zip | 49406-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela S Burch | Physician Assistant | Holland Community Hospital | 415 Wiley Rd, 102 Lakeshore Health Partners Dfm, Douglas, MI 49406-1234 |
| Jennifer M Anderson | Physician Assistant | Holland Community Hospital | 415 Wiley Rd, 102 Lakeshore Health Partners Dfm, Douglas, MI 49406-1234 |
| William M Bartoli | Physician Assistant | Holland Community Hospital | 415 Wiley Rd, 102 Lakeshore Health Partners Dfm, Douglas, MI 49406-1234 |
| Amanda Kay Mishler | Physician Assistant | Holland Community Hospital | 415 Wiley Rd, 102 Lakeshore Health Partners Dfm, Douglas, MI 49406-1234 |
| Pamela S Gregg | Nurse Practitioner | Holland Community Hospital | 415 Wiley Rd, 102 Lakeshore Health Partners Dwh, Douglas, MI 49406-5259 |
| Lauren Lee Swartz | Physician Assistant | Holland Community Hospital | 415 Wiley Rd, 102 Lakeshore Health Partners Dfm, Douglas, MI 49406-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Annis Iii | Optometry | 114 Blue Star Hwy, Douglas, MI 49406-5262 |
| City | DOUGLAS |
| Zip Code | 49406 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | DOUGLAS + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Harry Lee Staley.
| 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.