Jonathan P Wulff (NPI# 1417913104, PAC ID# 6103713672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417913104 |
| PAC ID by PECOS | 6103713672 |
| Professional Enrollment ID | I20080620000666 |
| Full Name | Jonathan P Wulff |
| Address |
1501 Kyle St Eaton Rapids MI 48827-8949 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231324 | EATON RAPIDS MEDICAL CENTER |
| 230230 | EDWARD W SPARROW HOSPITAL |
| 230167 | MCLAREN GREATER LANSING |
| 231327 | HAYES GREEN BEACH MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1501 Kyle St, Eaton Rapids, MI 48827-8949 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
1501 KYLE ST |
| City | EATON RAPIDS |
| State | MI |
| Zip | 48827-8949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul David Hankenson | Family Medicine | 1501 Kyle St, Eaton Rapids, MI 48827-8949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle R Booher | Optometry | Eaton Rapids Eye Care PC | 136 S Main St, Eaton Rapids, MI 48827-1068 |
| Nicole Sparks | Optometry | Eaton Rapids Eye Care PC | 136 S Main St, Eaton Rapids, MI 48827-1068 |
| Susan L Courtnage | Internal Medicine | Susan L. Courtnage, Md, PC | 101e Spicerville Hwy, Suite 100, Eaton Rapids, MI 48827-1919 |
| Thomas A Kelly | General Practice | 1500 S Main St, Family Care Center, Eaton Rapids, MI 48827-1919 | |
| Joseph John Sheneman | Chiropractic | 1322 S Main St, Eaton Rapids, MI 48827-1921 | |
| Diann Gail Parker | Chiropractic | 1322 S Main St, Eaton Rapids, MI 48827-1921 | |
| Joseph P Van Ark | Family Medicine | Mclaren Greater Lansing | 301 Williams St, Eaton Rapids, MI 48827-1935 |
| Ali H Sheikh | Cardiovascular Disease (cardiology) | Edward W Sparrow Hospital Association | 1500 S Main St, Thoracic and Cardiovascular Institute, Eaton Rapids, MI 48827-1952 |
| Suresh Kumar Mukherji | Diagnostic Radiology | Michigan State University | 1500 S Main, Eaton Rapids, MI 48827-1952 |
| Larry J Lutz | Certified Registered Nurse Anesthetist (crna) | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Find all physicians in zip 48827 | |||
| City | EATON RAPIDS |
| Zip Code | 48827 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EATON RAPIDS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jonathan P Wulff.
| 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.