Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Hawblitz, PA-C

Individual provider Physician Assistant · NPI 1104416437

Jonathan Hawblitz, PA-C is a Physician Assistant in Portage, Michigan. Qualified in 2020, 6 years ago. Practices with Bronson Methodist Hospital, a 719-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2700 E Centre Ave
Portage, MI 49002-5500
Phone: (269) 286-7050
Fax: (269) 286-7051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1234 Napier Ave, Saint Joseph, MI 49085-2112 — (269) 983-8300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010412 (MI)

Record details

NPI number1104416437
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address15020 Ranson Rd, Huntersville, NC 28078-7016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bronson Methodist Hospital — 719 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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