Craig Herbert Fountain (NPI# 1992759625, PAC ID# 7113956087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1992759625 |
| PAC ID by PECOS | 7113956087 |
| Professional Enrollment ID | I20050810001117 |
| Full Name | Craig Herbert Fountain |
| Organization Legal Name | CADILLAC ORAL SURGERY ASSOC |
| Address |
855 S Carmel St Cadillac MI 49601-2383 |
| Phone Number | 2317751268 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 2001 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 6204865538 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 855 S Carmel St, Cadillac, MI 49601-2383 | 2317751268 | CADILLAC ORAL SURGERY ASSOC |
| Organization Legal Name | CADILLAC ORAL SURGERY ASSOC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew W Olsen | Oral Surgery | Cadillac Oral Surgery Assoc | 855 S Carmel St, Cadillac, MI 49601-2383 |
| Ryan Thomas Dee | Oral Surgery | Cadillac Oral Surgery Assoc | 855 S Carmel St, Cadillac, MI 49601-2383 |
| Daniel C Madion | Oral Surgery | Cadillac Oral Surgery Assoc | 855 S Carmel St, Cadillac, MI 49601-2383 |
| Street Address |
855 S CARMEL ST |
| City | CADILLAC |
| State | MI |
| Zip | 49601-2383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur Ray Vanderhoef | Chiropractic | 855 S Carmel St, Suite B, Cadillac, MI 49601-2384 | |
| Andrew W Olsen | Oral Surgery | Cadillac Oral Surgery Assoc | 855 S Carmel St, Cadillac, MI 49601-2383 |
| Ryan Thomas Dee | Oral Surgery | Cadillac Oral Surgery Assoc | 855 S Carmel St, Cadillac, MI 49601-2383 |
| Daniel C Madion | Oral Surgery | Cadillac Oral Surgery Assoc | 855 S Carmel St, Cadillac, MI 49601-2383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satya Das | Physical Therapy | 1101 N Mitchell St, Cadillac, MI 49601-1200 | |
| Brian D Sims | Chiropractic | 1190 Plett Rd, Suite B, Cadillac, MI 49601-1296 | |
| Theresa Anne Evans | Clinical Social Worker | 201 N Mitchell St, Suite 204, Cadillac, MI 49601-1859 | |
| Karen M Chitwood | Clinical Social Worker | 121 N Mitchell St, Cadillac, MI 49601-1879 | |
| Jacob L Brown | Chiropractic | 119 N Shelby St, Active Chiro Cadil, Cadillac, MI 49601-1928 | |
| Helen Marie Kiomento | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Sergei V Shumaster | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Brandon Charles Peltier | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Alicia Tenney Elmore | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Kevin E Anderson | Family Medicine | Family Practice of Cadillac PC | 827 E Division St, Cadillac, MI 49601-2015 |
| Find all physicians in zip 49601 | |||
| City | CADILLAC |
| Zip Code | 49601 |
| Specialty | ORAL SURGERY |
| City + Specialty | CADILLAC + ORAL SURGERY |
Please comment or provide details below to improve the information on Craig Herbert Fountain.
| 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.