Sara M Tavora (NPI# 1003001819, PAC ID# 8123284411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1003001819 |
| PAC ID by PECOS | 8123284411 |
| Professional Enrollment ID | I20120801000428 |
| Full Name | Sara M Tavora |
| Organization Legal Name | BLUE WATER MENTAL HEALTH CLINIC |
| Address |
1501 Krafft Rd Fort Gratiot MI 48059-3565 |
| Phone Number | 8109855125 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769477264 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 | 8109855125 | BLUE WATER MENTAL HEALTH CLINIC |
| Organization Legal Name | BLUE WATER MENTAL HEALTH CLINIC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April J Gardner | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Amy E Fabick | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Michele L Boyer | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Eva Waineo | Psychiatry | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Kimberly R Peltz | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Sandra Oswell | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Shannon E Mckeever | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Stacy M Wynn | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Megan Bennett-o'brien | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Lawrence J Zimmer | Psychiatry | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Street Address |
1501 KRAFFT RD |
| City | FORT GRATIOT |
| State | MI |
| Zip | 48059-3565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April J Gardner | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Amy E Fabick | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Michele L Boyer | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Eva Waineo | Psychiatry | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Kimberly R Peltz | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Sandra Oswell | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Shannon E Mckeever | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Stacy M Wynn | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Megan Bennett-o'brien | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Lawrence J Zimmer | Psychiatry | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy J Plonka | Internal Medicine | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Laura Winkelman | Nurse Practitioner | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Heidi M Mccullah | Optometry | 4845 24th Ave, Fort Gratiot, MI 48059-3407 | |
| Hargopal Tekumulla | Physical Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Sushree Tekumulla | Occupational Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Jennifer J Marlin | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Ashley Carriveau | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Syed H Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Tina M Williams | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Find all physicians in zip 48059 | |||
| City | FORT GRATIOT |
| Zip Code | 48059 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FORT GRATIOT + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Sara M Tavora.
| 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.