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

Mr. Jonathan Alvaro

Individual provider Physician Assistant · NPI 1184370827

Mr. Jonathan Alvaro is a Physician Assistant in Lake Odessa, Michigan. Qualified in 2021, 5 years ago. Practices with Pennock Hospital, a 76-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022

Practice location Address checks out

4294 Laurel Dr
Lake Odessa, MI 48849-8430
Phone: (616) 374-7660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011075 (MI)

Record details

NPI number1184370827
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address100 Michigan St Ne, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pennock Hospital — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Odessa