John G Vanderford, DO | |
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
(248) 849-3000 | |
Not Available |
Full Name | John G Vanderford |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 16001 W 9 Mile Rd, Southfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093755209 | NPI | - | NPPES |
113374659 | Medicaid | MI | |
5101010489 | Other | MI | MEDICAL LICENSE |
114357957 | Medicaid | MI | |
114298954 | Medicaid | MI | |
JV010489 | Other | MI | BC/BS OF MICHIGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 5101010489 (Michigan) | Primary |
Entity Name | Independent Emergency Physicians, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
Entity Name | Independent Observation Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
Mailing Address | Practice Location Address |
---|---|
John G Vanderford, DO 212 W Lincoln St, Birmingham, MI 48009-1960 Ph: () - | John G Vanderford, DO 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-3000 |
Dr. Lindsay Anne Richmond-pruneau, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. James Bishop Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Howard Fertel, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Ann Marsh-senic, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Gary Pilchak, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Nirmal Nandakumar, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Andrew Solway, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2407 |