Kristian M Koller (NPI# 1760793368, PAC ID# 6305130238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1760793368 |
| PAC ID by PECOS | 6305130238 |
| Professional Enrollment ID | I20160816000100 |
| Full Name | Kristian M Koller |
| Organization Legal Name | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Address |
1465 E Parkdale Ave Manistee MI 49660-9785 |
| Phone Number | 2317233501 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3072414333 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230097 | MUNSON MEDICAL CENTER |
| 230303 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| 231300 | PAUL OLIVER MEMORIAL HOSPITAL |
| 231301 | KALKASKA MEMORIAL HEALTH CENTER |
| 230058 | MUNSON HEALTHCARE GRAYLING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1465 E Parkdale Ave, Manistee, MI 49660-9785 | 2317233501 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| 1105 6th St, Traverse City, MI 49684-2345 | 2319229000 | MUNSON MEDICAL CENTER |
| 217 S Madison St, Traverse City, MI 49684-2321 | 2313928400 | MUNSON MEDICAL CENTER |
| Organization Legal Name | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel A Vandenberg | Family Medicine | Munson Healthcare Manistee Hospital | 1400 E Parkdale Ave, 4 West Shore Medical Center Physician Services, Manistee, MI 49660-9776 |
| Vinson Consolacion Ulep | General Surgery | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, 2300 West Shore Medical Center Physician Services, Manistee, MI 49660-8904 |
| Kristin Watson | Physician Assistant | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| Brian J Mccomb | Family Medicine | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| Daniel Liendo | Physician Assistant | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| Amy L Kane | Nurse Practitioner | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, 2200 West Shore Medical Center Physician Services, Manistee, MI 49660-8904 |
| Robert Barry | Orthopedic Surgery | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| Dawn M Madsen | Clinical Social Worker | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| David Quimby | Pulmonary Disease | Munson Healthcare Manistee Hospital | 1465 E Parkdale Ave, Manistee, MI 49660-9785 |
| James C Buswinka | Neurology | Munson Healthcare Manistee Hospital | 1465 E Parkdale Ave, Manistee, MI 49660-9785 |
| Street Address |
1465 E PARKDALE AVE |
| City | MANISTEE |
| State | MI |
| Zip | 49660-9785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Alfred Raymond | Diagnostic Radiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | |
| Jesse Leah Keson | Nurse Practitioner | Ecs Lakeshore PC | 1465 E Parkdale Ave, Manistee, MI 49660-9709 |
| David J Fleszar | Diagnostic Radiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | |
| Rebecca Rae Ulep | Internal Medicine | Sound Inpatient Physicians-michigan Pllc | 1465 E Parkdale Ave, Munson Healthcare Manistee Hospital, Manistee, MI 49660-9709 |
| Rick Holland | Emergency Medicine | Ecs Lakeshore PC | 1465 E Parkdale Ave, Manistee, MI 49660-9709 |
| Corey Lawrence Fellows | Emergency Medicine | Ecs Lakeshore PC | 1465 E Parkdale Ave, Manistee, MI 49660-9709 |
| Pamela Teresa Peterson | Nurse Practitioner | Hospitalist Medicine Physicians of Michigan Pllc | 1465 E Parkdale Ave, Munson Healthcare Manistee Hospital, Manistee, MI 49660-9709 |
| Emma Collins | Physician Assistant | Sound Inpatient Physicians-michigan Pllc | 1465 E Parkdale Ave, Munson Healthcare Manistee Hospital, Manistee, MI 49660-9709 |
| David Quimby | Pulmonary Disease | Munson Healthcare Manistee Hospital | 1465 E Parkdale Ave, Manistee, MI 49660-9785 |
| James C Buswinka | Neurology | Munson Healthcare Manistee Hospital | 1465 E Parkdale Ave, Manistee, MI 49660-9785 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas M Richley | Dermatology | 315 Oakgrove St, Manistee, MI 49660-1176 | |
| Jessica A Stege | Chiropractic | 194 Cleveland St A, Manistee, MI 49660-1296 | |
| Jeffrey Scott Weber | Podiatry | 294 River St, Ofc 4, Manistee, MI 49660-1475 | |
| Randy G Hartman | Podiatry | 294 River St, Manistee, MI 49660-1475 | |
| Daniel T Lathrop | Podiatry | Birch Tree Podiatry Group PC | 294 River St, Manistee, MI 49660-1475 |
| Brian Arthur Allen | Optometry | Blue Coast Vision PC | 384 1st St, Manistee, MI 49660-1751 |
| Pamela D Lynch | Optometry | Blue Coast Vision PC | 384 1st St, Manistee, MI 49660-1751 |
| John E Veach | Optometry | Veach and Allen PC | 384 1st St, Manistee, MI 49660-1751 |
| Dawn M Engman | Clinical Social Worker | Manistee Benzie Community Mental Health | 310 Glocheski Dr, Manistee, MI 49660-2639 |
| Paul J Antal | Family Medicine | 72 Filer St, Manistee, MI 49660-2717 | |
| Find all physicians in zip 49660 | |||
| City | MANISTEE |
| Zip Code | 49660 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | MANISTEE + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Kristian M Koller.
| 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.