Lee O Stuart
PENNOCK HOSPITAL


Address: 4294 Laurel Dr, Lake Odessa, MI 48849-8430
Phone: 6163747660

Lee O Stuart (NPI# 1225147804, PAC ID# 8224018262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1225147804
PAC ID by PECOS 8224018262
Professional Enrollment ID I20040721001057
Full Name Lee O Stuart
Organization Legal Name PENNOCK HOSPITAL
Address 4294 Laurel Dr
Lake Odessa
MI 48849-8430
Phone Number 6163747660
Gender M
Credential MD
Medical School MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year 1976
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4587551015
Number of Group Practice Members 23
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
231339
230038 SPECTRUM HEALTH-BUTTERWORTH CAMPUS
230230 EDWARD W SPARROW HOSPITAL

Other Locations

Address Phone Organization
1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725 2699488411 PENNOCK HOSPITAL
4294 Laurel Dr, Lake Odessa, MI 48849-8430 6163747660 PENNOCK HOSPITAL

Organization Information

Organization Legal Name PENNOCK HOSPITAL
Physicians 29

Physicians with the same organization

Name Specialty Organization Address
Daniel Adam Blasch Physician Assistant Pennock Hospital 1009 W Green St, Hastings, MI 49058-1710
Donald Gingerich Family Medicine Pennock Hospital 2776 S State Rd, Spectrum Health Pennock Family Med, Ionia, MI 48846-8472
Susan E Haasch Occupational Therapy Pennock Hospital 155 E Cross St, Clarksville, MI 48815-9621
Laurie S Braker Family Medicine Pennock Hospital 4294 Laurel Dr, Lake Odessa, MI 48849-8430
Douglas Smendik Family Practice Pennock Hospital 12851 W M 179 Hwy, Spectrum Health Pennock Family Med, Wayland, MI 49348-9318
Bryan S Kamps Orthopedic Surgery Pennock Hospital 1009 W Green St, Hastings, MI 49058-1710
Cindy Marie Bigler Nurse Practitioner Pennock Hospital 1009 W Green St, Hastings, MI 49058-1710
Eric S Leep Pain Management Pennock Hospital 1005 W Green St, 300 Spectrum Health Pennock Surg Serv, Hastings, MI 49058-1725
Tami Lynn Pettenger Nurse Practitioner Pennock Hospital 1009 W Green St, Hastings, MI 49058-1710
Max D Rappaport General Surgery Pennock Hospital 1009 W Green St, Hastings, MI 49058-1710

Office Location

Street Address 4294 LAUREL DR
City LAKE ODESSA
State MI
Zip 48849-8430

Physicians in the same location

Name Specialty Organization Address
Laurie S Braker Family Medicine Pennock Hospital 4294 Laurel Dr, Lake Odessa, MI 48849-8430
Kristy Laura Penick Physical Therapy Total Health Center Inc 4294 Laurel Dr, Lake Odessa, MI 48849-8430
Mohinder P Chawdhry Physical Therapy Total Health Center Inc 4294 Laurel Dr, Lake Odessa, MI 48849-8430

Physicians in the same zip code

Name Specialty Organization Address
Clarence R Barnett Family Medicine 1020 4th Ave, Lake Odessa, MI 48849-1004
Sandeep Khurana Cardiovascular Disease (cardiology) 1020 4th Ave, Lake Odessa, MI 48849-1004
Julie Michelle Powell Optometry Lansing Ophthalmology, PC 1170 Jordan Lake St, Lake Odessa, MI 48849-1212
Chad R Hickey Chiropractic 7857 Velte Rd, Lake Odessa, MI 48849-9497

Competitor

Search similar physicians

City LAKE ODESSA
Zip Code 48849
Specialty FAMILY MEDICINE
City + Specialty LAKE ODESSA + FAMILY MEDICINE

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Dataset Information

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.

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