Holly Kathleen Hutton (NPI# 1215586698, PAC ID# 9032542097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1215586698 |
PAC ID by PECOS | 9032542097 |
Professional Enrollment ID | I20191204002684 |
Full Name | Holly Kathleen Hutton |
Organization Legal Name | GREAT LAKES GASTROENTEROLOGY, LLC |
Address |
8877 Mentor Ave Mentor OH 44060-6211 |
Phone Number | 4402051225204 |
Gender | F |
Graduation Year | 2019 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6305815739 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360098 | LAKE HEALTH |
Address | Phone | Organization |
---|---|---|
8877 Mentor Ave, Mentor, OH 44060-6211 | 4402051225204 | GREAT LAKES GASTROENTEROLOGY, LLC |
Organization Legal Name | GREAT LAKES GASTROENTEROLOGY, LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Keith A Friedenberg | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Don Brinberg | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Sayed S Khatami | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Robert Alan Gildone | Nurse Practitioner | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Keyur Parikh | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Eshwar Punjabi | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Street Address |
8877 MENTOR AVE |
City | MENTOR |
State | OH |
Zip | 44060-6211 |
Name | Specialty | Organization | Address |
---|---|---|---|
Keith A Friedenberg | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Don Brinberg | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Sayed S Khatami | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Robert Alan Gildone | Nurse Practitioner | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Keyur Parikh | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Eshwar Punjabi | Gastroenterology | Great Lakes Gastroenterology, LLC | 8877 Mentor Ave, Mentor, OH 44060-6211 |
Name | Specialty | Organization | Address |
---|---|---|---|
Don Martin | Psychologist, Clinical | 8472 Lake Shore Blvd, Mentor, OH 44060-1515 | |
Vyacheslav Isakov | Family Medicine | 9150 Lake Shore Blvd, Mentor, OH 44060-1672 | |
Gregory C Morris | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
Kari T Craig | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
James Stephen Washek | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
Katherine Long | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
Tina M Butt | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
Carli A Carnish | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
Mihaela Donca | Internal Medicine | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
Christine Vavro | Clinical Social Worker | Crossroads Lake County Adolescent Counseling Services | 8445 Munson Rd, Mentor, OH 44060-2410 |
Find all physicians in zip 44060 |
City | MENTOR |
Zip Code | 44060 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MENTOR + NURSE PRACTITIONER |
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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.