Scott Iler Hagedorn (NPI# 1669634788, PAC ID# 8123283215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1669634788 |
| PAC ID by PECOS | 8123283215 |
| Professional Enrollment ID | I20150430000433 |
| Full Name | Scott Iler Hagedorn |
| Organization Legal Name | MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES |
| Address |
1560 E Sherman Blvd Suite 250 Muskegon MI 49444-1854 |
| Phone Number | 2316728145 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE |
| Group Practice PAC ID | 3274504105 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| 230110 | SPECTRUM HEALTH LUDINGTON HOSPITAL |
| 231320 | MERCY HEALTH LAKESHORE CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1560 E Sherman Blvd, Suite 250, Muskegon, MI 49444-1854 | 2316728145 | MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES |
| Organization Legal Name | MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Kathryn Martin | Physician Assistant | Mercy Health Partners Sub-specialty Services | 1277 Mercy Dr, Muskegon, MI 49444-4605 |
| David R Heger | Pulmonary Disease | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 250, Muskegon, MI 49444-1854 |
| Tabatha J Barber | Obstetrics/gynecology | Mercy Health Partners Sub-specialty Services | 1445 Sheldon Rd, Suite 301, Grand Haven, MI 49417-2479 |
| Julie A Anderson | Physician Assistant | Mercy Health Partners Sub-specialty Services | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 |
| Sarah E Gunther | Pulmonary Disease | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 250, Muskegon, MI 49444-1854 |
| Thomas L Carter Jr. | Cardiac Surgery | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 309, Muskegon, MI 49444-1850 |
| Guy C Power | Gastroenterology | Mercy Health Partners Sub-specialty Services | 1310 Wisconsin St, Suite 204, Grand Haven, MI 49417-2472 |
| Margaret Louise Moen | Neurology | Mercy Health Partners Sub-specialty Services | 1277 Mercy Dr, Muskegon, MI 49444-4605 |
| Ena K Osterhouse | Physician Assistant | Mercy Health Partners Sub-specialty Services | 1277 Mercy Dr, Muskegon, MI 49444-4605 |
| Deborah Suzanne Skinner | Nurse Practitioner | Mercy Health Partners Sub-specialty Services | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 |
| Street Address |
1560 E SHERMAN BLVD SUITE 250 |
| City | MUSKEGON |
| State | MI |
| Zip | 49444-1854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Heger | Pulmonary Disease | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 250, Muskegon, MI 49444-1854 |
| Sarah E Gunther | Pulmonary Disease | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 250, Muskegon, MI 49444-1854 |
| Thomas L Carter Jr. | Cardiac Surgery | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 309, Muskegon, MI 49444-1850 |
| Hikmat Halasa | Internal Medicine | 1560 E Sherman Blvd, Suite 215, Muskegon, MI 49444-1850 | |
| Richard S Downey | Thoracic Surgery | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 309, Muskegon, MI 49444-1850 |
| Andrew C Kleaveland | Pulmonary Disease | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 250, Muskegon, MI 49444-1854 |
| Douglas E Hoch | Pulmonary Disease | 1560 E Sherman Blvd, 150 Douglas E Hoch Md, Muskegon, MI 49444-1849 | |
| Kathryn Rosemary Kleaveland | Pulmonary Disease | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 250, Muskegon, MI 49444-1854 |
| Kok H Lim | Thoracic Surgery | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 309, Muskegon, MI 49444-1850 |
| Christopher Michael Genco | Thoracic Surgery | Mercy Health Partners Sub-specialty Services | 1560 E Sherman Blvd, Suite 309, Muskegon, MI 49444-1850 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Vanheck | Certified Nurse Midwife (cnm) | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Frank Remington Sprague | Internal Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Timothy E Kval | Family Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Beth Ann Stille | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Racquel M Brockington | Family Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Mariela A Rich | Certified Nurse Midwife (cnm) | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Gaye L Paget | Physician Assistant | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Abigail M Rienstra | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Margaret Elizabeth R Wolter | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Traci L Jones | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Find all physicians in zip 49444 | |||
| City | MUSKEGON |
| Zip Code | 49444 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | MUSKEGON + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Scott Iler Hagedorn.
| 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.