Eric S Hibma, PA-C
Individual provider Active NPI Physician Assistant · Plainwell, MI
NPI 1073608972 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1073608972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601003874 (MI)
- Practice address
- 345 Naomi St
Plainwell, MI 49080-1257 - Phone
- (269) 552-0100
- Fax
- (269) 552-0111
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050301000316 | MI | Practitioner - Physician Assistant | 2567415607 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003874 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Promed | Current |
Accepting new patients | |
| Ascension Borgess Hospital | Current |
Accepting new patients | |
| Promed Healthcare | Current |
Accepting new patients | |
| Ascension Borgess Hospital | Current |
Accepting new patients | |
| Ascension Borgess Hospital | Physician Assistant | Past | Accepting new patients |
Locations
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
345 Naomi St
Plainwell, MI 49080
Phone (269) 552-0100
7895 Currier Dr
Portage, MI 49002
Phone (269) 321-7120
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003874 | MI | Yes |
Addresses
Primary practice location
345 Naomi St
Plainwell, MI 49080-1257
Mailing address
345 Naomi St
Plainwell, MI 49080-1257
Phone (269) 552-0100
Other providers in Plainwell, MI
- Harmony Enterprises, Inc
- Elizabeth Harper
- Paralee Veronica P Harris
- Nancy Heed
- Gabrielle Hensley
- Christina K Hoard
- Wesley Hoffmaster
- Homelife, Inc
- Hosack, Bieszka, Halverson, PLLC
- Robert Hosack
All providers in Plainwell, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.