Catherine Diane Boomus (NPI# 1225250921, PAC ID# 9133200686) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1225250921 |
| PAC ID by PECOS | 9133200686 |
| Professional Enrollment ID | I20180816001512 |
| Full Name | Catherine Diane Boomus |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Address |
2500 Niles Ave 1 Primary Care St Joseph Saint Joseph MI 49085-1924 |
| Phone Number | 2692015566 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658427042 |
| Number of Group Practice Members | 197 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2500 Niles Ave, 1 Primary Care St Joseph, Saint Joseph, MI 49085-1924 | 2692015566 | LAKELAND MEDICAL PRACTICES |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Physicians | 207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Daniel Judge | Otolaryngology | Lakeland Medical Practices | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 |
| Deanna Margaret Rucano | Nurse Practitioner | Lakeland Medical Practices | 2500 Niles Ave, 1 Primary Care St Joseph, Saint Joseph, MI 49085-1924 |
| Brandon R Cole | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Kimberlee A Tomerlin | Internal Medicine | Lakeland Medical Practices | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9151 |
| Deanna L Fulbright | Family Medicine | Lakeland Medical Practices | 9045 Us Hwy 31, Berrien Springs, MI 49103-1804 |
| Laurie Ann Gee | Nurse Practitioner | Lakeland Medical Practices | 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208 |
| Riddhi Jay Shah | Dermatology | Lakeland Medical Practices | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9136 |
| Michael James Burton | Pulmonary Disease | Lakeland Medical Practices | 3904 Stonegate Park, Saint Joseph, MI 49085-9130 |
| Elizabeth A Mcglothlin | Family Medicine | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
| Pamela J Klint | Nurse Practitioner | Lakeland Medical Practices | 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 |
| Street Address |
2500 NILES AVE 1 PRIMARY CARE ST JOSEPH |
| City | SAINT JOSEPH |
| State | MI |
| Zip | 49085-1924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna Margaret Rucano | Nurse Practitioner | Lakeland Medical Practices | 2500 Niles Ave, 1 Primary Care St Joseph, Saint Joseph, MI 49085-1924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Bruce P Hackworth | Psychologist, Clinical | 811 Ship St, 4b, Saint Joseph, MI 49085-1171 | |
| Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
| Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
| Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
| Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
| Find all physicians in zip 49085 | |||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT JOSEPH + INTERNAL MEDICINE |
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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.