Rex Antinozzi (NPI# 1427119429, PAC ID# 6002720299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1427119429 |
| PAC ID by PECOS | 6002720299 |
| Professional Enrollment ID | I20040522000227 |
| Full Name | Rex Antinozzi |
| Organization Legal Name | DIGESTIVE HEALTH ASSOCIATES OF NORTHERN MICHIGAN PC |
| Address |
4100 Park Forest Dr Suite 208 Traverse City MI 49684-7306 |
| Phone Number | 2313928705 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1982 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 2062403538 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230097 | MUNSON MEDICAL CENTER |
| 231300 | PAUL OLIVER MEMORIAL HOSPITAL |
| 230081 | MUNSON HEALTHCARE CADILLAC HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 | 2313928705 | DIGESTIVE HEALTH ASSOCIATES OF NORTHERN MICHIGAN PC |
| Organization Legal Name | DIGESTIVE HEALTH ASSOCIATES OF NORTHERN MICHIGAN PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark V Galan | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Glen H Henbest | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Montgomery Hegewald | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Jeffrey Howard Goldman | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Robert Barnes | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Kurt Sanford | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Heather Elizabeth Carroll | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Alexander J Weick | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Kathryn R Holmstrom Baker | Physician Assistant | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7258 |
| Street Address |
4100 PARK FOREST DR SUITE 208 |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-7306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark V Galan | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Mona L Mackey | Certified Registered Nurse Anesthetist (crna) | Traverse Anesthesia Associates, PC | 4100 Park Forest Dr, Traverse City, MI 49684-7331 |
| Glen H Henbest | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Derek Michael Gelven | Certified Registered Nurse Anesthetist (crna) | Traverse Anesthesia Associates, PC | 4100 Park Forest Dr, Traverse City, MI 49684-7331 |
| Montgomery Hegewald | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Jeffrey Howard Goldman | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Robert D Denyer | Anesthesiology Assistant | Traverse Anesthesia Associates, PC | 4100 Park Forest Dr, Traverse City, MI 49684-7331 |
| Robert Barnes | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Jennifer L Simons | Certified Registered Nurse Anesthetist (crna) | Traverse Anesthesia Associates, PC | 4100 Park Forest Dr, Traverse City, MI 49684-7331 |
| Kurt Sanford | Gastroenterology | Digestive Health Associates of Northern Michigan PC | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | TRAVERSE CITY + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Rex Antinozzi.
| 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.