Jonathan Gibson (NPI# 1245686161, PAC ID# 6709177553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245686161 |
| PAC ID by PECOS | 6709177553 |
| Professional Enrollment ID | I20160624001599 |
| Full Name | Jonathan Gibson |
| Organization Legal Name | RENAL ASSOCIATES OF WEST MICHIGAN PC |
| Address |
330 E Beltline Ne Suite 100 Grand Rapids MI 49506-1267 |
| Phone Number | 6167526235 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466348644 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 330 E Beltline Ne, Suite 100, Grand Rapids, MI 49506-1267 | 6167526235 | RENAL ASSOCIATES OF WEST MICHIGAN PC |
| Organization Legal Name | RENAL ASSOCIATES OF WEST MICHIGAN PC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald M Hofmann | Nephrology | Renal Associates of West Michigan PC | 649 Hastings Ave, Holland, MI 49423-5427 |
| Ramandeep S Banga | Nephrology | Renal Associates of West Michigan PC | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Michael Unruh | Nephrology | Renal Associates of West Michigan PC | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Bonita A Mohamed | Nephrology | Renal Associates of West Michigan PC | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Brett William Plattner | Internal Medicine | Renal Associates of West Michigan PC | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Kseniya V Filippova | Nephrology | Renal Associates of West Michigan PC | 649 Hastings Ave, Holland, MI 49423-5427 |
| Paul A Delyria | Nephrology | Renal Associates of West Michigan PC | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Gina R Peterson | Physician Assistant | Renal Associates of West Michigan PC | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Pritika Shrivastava | Internal Medicine | Renal Associates of West Michigan PC | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| James Andre Visser | Nephrology | Renal Associates of West Michigan PC | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Street Address |
330 E BELTLINE NE SUITE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49506-1267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne M Gratiot Deans | Nephrology | Renal Associates of West Michigan PC | 330 E Beltline Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Philip J Goushaw | Nephrology | Renal Associates of West Michigan PC | 330 E Beltline Ne, Suite 100, Grand Rapids, MI 49506-1267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin E Hess-eising | Clinical Social Worker | Counseling Center of West Michigan LLC | 360 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1214 |
| Thomas P Miller | Allergy/immunology | Allergy Associates of Western Michigan P.C. | 360 E Beltline Ne Ave, Suite 100, Grand Rapids, MI 49506-1214 |
| Kimberly D Stratton | Clinical Social Worker | Counseling Center of West Michigan LLC | 360 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1214 |
| Stacia L Fridley | Clinical Social Worker | Counseling Center of West Michigan LLC | 360 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1214 |
| Adrian J Denboer | Chiropractic | 2851 Michigan St Ne, 101 Dbc Natural Holistic Health Center, Grand Rapids, MI 49506-1215 | |
| Stacey L Fischer | Chiropractic | 2851 Michigan St Ne, Grand Rapids, MI 49506-1215 | |
| Katherine Mae Lyzenga | Chiropractic | 2851 Michigan St Ne, Grand Rapids, MI 49506-1215 | |
| Melissa L Owens | Physical Therapy | Owens Physical Therapy Specialists, LLC | 2849 Michigan St Ne, Suite 100, Grand Rapids, MI 49506-1216 |
| Kirk J Agerson | Family Medicine | 2849 Michigan St Ne, Suite 103, Grand Rapids, MI 49506-1216 | |
| Nicole M Earl | Physician Assistant | A F Associates Family Medicine PC | 2849 Michigan St Ne, Suite 102, Grand Rapids, MI 49506-1216 |
| Find all physicians in zip 49506 | |||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRAND RAPIDS + NURSE PRACTITIONER |
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| 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.