John P Beavers (NPI# 1003066143, PAC ID# 9638230311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003066143 |
| PAC ID by PECOS | 9638230311 |
| Professional Enrollment ID | I20081213000098 |
| Full Name | John P Beavers |
| Organization Legal Name | VITALITY HEALTHCARE PC |
| Address |
5717 Oakland Dr Suite A Portage MI 49024-1116 |
| Phone Number | 2693234473 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911206131 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 | 2693234473 | VITALITY HEALTHCARE PC |
| 5717 Oakland Dr, Portage, MI 49024-1116 | 2693234473 | VITALITY HEALTHCARE PC |
| 6929 S Westnedge Ave, Medexpress Urgent Care Portage, Portage, MI 49002-3550 | 2693290202 | MEDEXPRESS URGENT CARE PC - MICHIGAN |
| 6929 S Westnedge Ave, Portage, MI 49002-3550 | 2693290202 | MEDEXPRESS URGENT CARE PC - MICHIGAN |
| 917 W Milham Ave, Portage, MI 49024-1248 | 2695679806 | VITALITY HOME HEALTH SERVICES INC |
| Organization Legal Name | VITALITY HEALTHCARE PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Osterhout | Chiropractic | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Meghan B Fought | Chiropractic | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Rocky S Saunders Jr. | Chiropractic | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Angela Marie Brannen | Nurse Practitioner | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Amanda V Morgan | Physician Assistant | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Street Address |
5717 OAKLAND DR SUITE A |
| City | PORTAGE |
| State | MI |
| Zip | 49024-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Osterhout | Chiropractic | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Meghan B Fought | Chiropractic | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Rocky S Saunders Jr. | Chiropractic | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Angela Marie Brannen | Nurse Practitioner | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Amanda V Morgan | Physician Assistant | Vitality Healthcare PC | 5717 Oakland Dr, Suite A, Portage, MI 49024-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Christine A Berry | Audiologist | Three Rivers Health System Inc | 3850 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Matthew Lars Kuiper | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Find all physicians in zip 49024 | |||
| City | PORTAGE |
| Zip Code | 49024 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTAGE + 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.