Douglas R Vanderjagt (NPI# 1730121880, PAC ID# 7810809555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1730121880 |
| PAC ID by PECOS | 7810809555 |
| Professional Enrollment ID | I20040406001309 |
| Full Name | Douglas R Vanderjagt |
| Organization Legal Name | CAPITAL INTERNAL MEDICINE ASSOCIATES P.C. |
| Address |
839 S Putnam St Williamston Primary Care Williamston MI 48895-1623 |
| Phone Number | 5176553515 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8022097963 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| 230167 | MCLAREN GREATER LANSING |
| 230121 | MEMORIAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 839 S Putnam St, Williamston Primary Care, Williamston, MI 48895-1623 | 5176553515 | CAPITAL INTERNAL MEDICINE ASSOCIATES P.C. |
| Organization Legal Name | CAPITAL INTERNAL MEDICINE ASSOCIATES P.C. |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher John Alvarado | Internal Medicine | Capital Internal Medicine Associates P.C. | 1650 Haslett Rd, Suite 1, Haslett, MI 48840-7615 |
| Sherman Gorbis | Osteopathic Manipulative Medicine | Capital Internal Medicine Associates P.C. | 3955 Patient Care Way, Lansing, MI 48911-4299 |
| Elizabeth M Kozlowski | Family Medicine | Capital Internal Medicine Associates P.C. | 1003 E Mount Hope Ave, Kozmic Family Practice, Lansing, MI 48910-1822 |
| Nicolas Stoyanovich | Internal Medicine | Capital Internal Medicine Associates P.C. | 3955 Patient Care Way, Lansing, MI 48911-4299 |
| Mary A Werkman | Internal Medicine | Capital Internal Medicine Associates P.C. | 3955 Patient Care Way, Lansing, MI 48911-4299 |
| Kristal Shontae Richardson-aubrey | Nurse Practitioner | Capital Internal Medicine Associates P.C. | 3955 Patient Care Way, Lansing, MI 48911-4299 |
| Anthony J Meier | Internal Medicine | Capital Internal Medicine Associates P.C. | 1650 Haslett Rd, Suite 1, Haslett, MI 48840-7615 |
| William J Jordan | Physician Assistant | Capital Internal Medicine Associates P.C. | 3955 Patient Care Way, Lansing, MI 48911-4299 |
| Michelle A Gormas | Physician Assistant | Capital Internal Medicine Associates P.C. | 3955 Patient Care Way, Lansing, MI 48911-4299 |
| Matthew Griffin | Internal Medicine | Capital Internal Medicine Associates P.C. | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Street Address |
839 S PUTNAM ST WILLIAMSTON PRIMARY CARE |
| City | WILLIAMSTON |
| State | MI |
| Zip | 48895-1623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne E Campbell | Nurse Practitioner | Capital Internal Medicine Associates P.C. | 839 S Putnam St, Williamston Primary Care, Williamston, MI 48895-1623 |
| Sundeev Singh Gill | Internal Medicine | Capital Internal Medicine Associates P.C. | 839 S Putnam St, Williamston Primary Care, Williamston, MI 48895-1623 |
| John A Picone | Family Practice | Capital Internal Medicine Associates P.C. | 839 S Putnam St, Williamston, MI 48895-1623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Robert Zimmerman | Chiropractic | 425 W Grand River Ave D, Williamston, MI 48895-1343 | |
| Ann M Pushies | Chiropractic | 832 E Grand River Ave, Williamston, MI 48895-1538 | |
| Simone N Ranes | Chiropractic | 1235 E Grand River Rd, Suite 1a, Williamston, MI 48895-8303 | |
| Salara B Masti | Family Medicine | Mclaren Greater Lansing | 1288 W Grand River Ave, Mgl Williamston Family Medicine, Williamston, MI 48895-8305 |
| Michael H Zaroukian | Internal Medicine | Edward W Sparrow Hospital Association | 301 Williamston Ctr Rd, Sparrow Medical Group Williamston, Williamston, MI 48895-8502 |
| Elizabeth A Gurecki | Physician Assistant | Edward W Sparrow Hospital Association | 301 Williamston Ctr Rd, Sparrow Medical Group Williamston, Williamston, MI 48895-8502 |
| Selena A Horner | Physical Therapy | 1218 E Grand River Rd, Williamston, MI 48895-9335 |
| City | WILLIAMSTON |
| Zip Code | 48895 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WILLIAMSTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Douglas R Vanderjagt.
| 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.