Scott D Holley (NPI# 1811994841, PAC ID# 7517911134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1811994841 |
| PAC ID by PECOS | 7517911134 |
| Professional Enrollment ID | I20101102000848 |
| Full Name | Scott D Holley |
| Organization Legal Name | PARAGON HEALTH, P.C. |
| Address |
8175 Creekside Dr Suite 100 Portage MI 49024-5370 |
| Phone Number | 2692221611 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 1658283007 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| 230117 | BORGESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8175 Creekside Dr, Suite 100, Portage, MI 49024-5370 | 2692221611 | PARAGON HEALTH, P.C. |
| Organization Legal Name | PARAGON HEALTH, P.C. |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellie Marie Bowen | Physician Assistant | Paragon Health, P.C. | 3770 Capital Ave Sw B, Battle Creek Location, Battle Creek, MI 49015-9411 |
| Holly M Weaver | Nurse Practitioner | Paragon Health, P.C. | 521 E Michigan Ave, 201 Nephrology Center, Kalamazoo, MI 49007-3889 |
| Casey T Ashby | Otolaryngology | Paragon Health, P.C. | 2889 S 11th St, Kalamazoo, MI 49009-2123 |
| Prince Sidhu | Nephrology | Paragon Health, P.C. | 527 E Michigan Ave, Fresenius Kalamazoo Pd, Kalamazoo, MI 49007-3815 |
| Ahsan Qureshi | Nephrology | Paragon Health, P.C. | 2901 E Kilgore Rd, Fresenius Kalamazoo East, Kalamazoo, MI 49001-5508 |
| Kevin L Beyer | Gastroenterology | Paragon Health, P.C. | 6565 W Main St C, West Main Location, Kalamazoo, MI 49009-9144 |
| William Ratigan Ranger | Vascular Surgery | Paragon Health, P.C. | 1815 Henson Ave, Kalamazoo, MI 49048-1510 |
| Jonathan A Rowe | Ophthalmology | Paragon Health, P.C. | 1052 Gull Rd, Kalamazoo, MI 49048-1734 |
| Martin J Clinard | Physician Assistant | Paragon Health, P.C. | 2889 S 11th St, Kalamazoo, MI 49009-2123 |
| Valerie S Duhn | Nephrology | Paragon Health, P.C. | 521 E Michigan Ave, Kalamazoo, MI 49007-3889 |
| Street Address |
8175 CREEKSIDE DR SUITE 100 |
| City | PORTAGE |
| State | MI |
| Zip | 49024-5370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Christine A Berry | Audiologist | Three Rivers Health System Inc | 3850 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Matthew Lars Kuiper | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Find all physicians in zip 49024 | |||
| City | PORTAGE |
| Zip Code | 49024 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PORTAGE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Scott D Holley.
| 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.