| Envision Diagnostic Center Pllc | |
|
39475 Lewis Dr Ste 200 Novi MI 48377-2980 | |
| (248) 715-3000 | |
| Not Available |
| Full Name | Envision Diagnostic Center Pllc |
|---|---|
| Speciality | Radiology |
| Location | 39475 Lewis Dr Ste 200, Novi, Michigan |
| Authorized Official Name and Position | Anthony Munaco (MANAGING MEMBER) |
| Authorized Official Contact | 2484762420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Diagnostic Center Pllc 39475 Lewis Dr Ste 200 Novi MI 48377-2980 Ph: (248) 471-0675 | Envision Diagnostic Center Pllc 39475 Lewis Dr Ste 200 Novi MI 48377-2980 Ph: (248) 715-3000 |
| NPI Number | 1144543562 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 01/25/2021 |
| Medicare PECOS PAC ID | 9335264472 |
|---|---|
| Medicare Enrollment ID | O20100914000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144543562 | NPI | - | NPPES |
| Provider Name | Salwan L Toma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548279763 PECOS PAC ID: 7911805775 Enrollment ID: I20031230000738 |
| Provider Name | Edsa M Negussie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821021486 PECOS PAC ID: 6800798273 Enrollment ID: I20040126000166 |
| Provider Name | Jehan Barbat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114974060 PECOS PAC ID: 2668455965 Enrollment ID: I20040609000266 |
| Provider Name | Jamal X Zarghami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598748063 PECOS PAC ID: 1153304928 Enrollment ID: I20040611000635 |
| Provider Name | David H Mcaree |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922160993 PECOS PAC ID: 9436133998 Enrollment ID: I20040614001453 |
| Provider Name | David P Gowman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710967658 PECOS PAC ID: 4789661752 Enrollment ID: I20040707000885 |
| Provider Name | Abhinav Raina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649214974 PECOS PAC ID: 2062499031 Enrollment ID: I20040707000973 |
| Provider Name | David L Osher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285662718 PECOS PAC ID: 6608857206 Enrollment ID: I20040719000096 |
| Provider Name | Denis R Lincoln |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427094929 PECOS PAC ID: 4789665373 Enrollment ID: I20040719000344 |
| Provider Name | James E Selis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396769378 PECOS PAC ID: 4880675479 Enrollment ID: I20040719000419 |
| Provider Name | Roger L Gonda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821032277 PECOS PAC ID: 0042291643 Enrollment ID: I20040719000638 |
| Provider Name | Roger M Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811924129 PECOS PAC ID: 1850370222 Enrollment ID: I20040719000684 |
| Provider Name | Lisa Govila |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891710158 PECOS PAC ID: 6507838786 Enrollment ID: I20040809000749 |
| Provider Name | Daniel M Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629038526 PECOS PAC ID: 9931177805 Enrollment ID: I20040918000132 |
| Provider Name | Michael J Swofford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588678049 PECOS PAC ID: 4688623754 Enrollment ID: I20050114000703 |
| Provider Name | Carole W Roseland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033132576 PECOS PAC ID: 1951353796 Enrollment ID: I20050224000106 |
| Provider Name | Brian J Puzsar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164468179 PECOS PAC ID: 9335177591 Enrollment ID: I20050728001134 |
| Provider Name | Robert S Grodman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164495313 PECOS PAC ID: 6507898970 Enrollment ID: I20050907000244 |
| Provider Name | Salwan P Anton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982676433 PECOS PAC ID: 3870525249 Enrollment ID: I20050927001311 |
| Provider Name | Angela Christine Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609810530 PECOS PAC ID: 5597783225 Enrollment ID: I20051110000557 |
| Provider Name | J Adam Kellman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386624187 PECOS PAC ID: 1759393622 Enrollment ID: I20060613000290 |
| Provider Name | James A Golden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548261878 PECOS PAC ID: 3870590417 Enrollment ID: I20061025000074 |
| Provider Name | Alan Jeffrey Bloch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477551893 PECOS PAC ID: 7517064694 Enrollment ID: I20070524000418 |
| Provider Name | Robert C Maynard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952525917 PECOS PAC ID: 4486754017 Enrollment ID: I20070712000149 |
| Provider Name | Hamid Sattar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598879496 PECOS PAC ID: 9537237789 Enrollment ID: I20081001000582 |
| Provider Name | Michael D Rebock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982796355 PECOS PAC ID: 1557433000 Enrollment ID: I20090401000231 |
| Provider Name | Jeffrey R Gerken |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851504203 PECOS PAC ID: 2264582055 Enrollment ID: I20090617000356 |
| Provider Name | Anthony C Munaco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922068899 PECOS PAC ID: 5597756064 Enrollment ID: I20100226000387 |
| Provider Name | Sandra M Sabb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891764080 PECOS PAC ID: 6901941129 Enrollment ID: I20100226000449 |
| Provider Name | Lawrence Macdonald |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104868967 PECOS PAC ID: 5193869956 Enrollment ID: I20100325000192 |
| Provider Name | Michael Stephen Wayne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629177035 PECOS PAC ID: 7517096381 Enrollment ID: I20100604000014 |
| Provider Name | Mathew N Chakko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619190790 PECOS PAC ID: 4789716788 Enrollment ID: I20100709000107 |
| Provider Name | Jason Postula-stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710915905 PECOS PAC ID: 0345372033 Enrollment ID: I20100715000523 |
| Provider Name | Nathan Joseph Bloch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255345930 PECOS PAC ID: 4789586025 Enrollment ID: I20100726000813 |
| Provider Name | Gary Michael Hollander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902896749 PECOS PAC ID: 0749264208 Enrollment ID: I20100916000894 |
| Provider Name | Mohammed Z Abu Mahfouz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992873418 PECOS PAC ID: 4587850557 Enrollment ID: I20101202000478 |
| Provider Name | Nedi Gari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598887457 PECOS PAC ID: 7517149115 Enrollment ID: I20110302000951 |
| Provider Name | Alula K Kenfe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154512895 PECOS PAC ID: 9537338074 Enrollment ID: I20110817000835 |
| Provider Name | Omar Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760665863 PECOS PAC ID: 6507022589 Enrollment ID: I20120718000830 |
| Provider Name | Laurie M Vance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891992574 PECOS PAC ID: 3971769266 Enrollment ID: I20120801000395 |
| Provider Name | Evita Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720101462 PECOS PAC ID: 1254519648 Enrollment ID: I20120806000285 |
| Provider Name | Assad Sattar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154554590 PECOS PAC ID: 4981916004 Enrollment ID: I20150702000947 |
| Provider Name | Vikram A Kinni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528293917 PECOS PAC ID: 9830321777 Enrollment ID: I20150922000377 |
| Provider Name | Jason Joseph George |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962728253 PECOS PAC ID: 1153552674 Enrollment ID: I20160804000136 |
| Provider Name | Karl F Kado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497030233 PECOS PAC ID: 4880962927 Enrollment ID: I20170614001759 |
| Provider Name | Adam Cary Hull |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174942817 PECOS PAC ID: 4587929708 Enrollment ID: I20180517001277 |
| Provider Name | Zaiba Mapkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336567379 PECOS PAC ID: 9739420795 Enrollment ID: I20190708001504 |
| Provider Name | Eric K Rinker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396087797 PECOS PAC ID: 8527291988 Enrollment ID: I20190725001207 |
| Provider Name | Megan Linehan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154785095 PECOS PAC ID: 4880986272 Enrollment ID: I20200727002123 |
| Provider Name | Hadi Abou-rass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407396252 PECOS PAC ID: 5092083691 Enrollment ID: I20210304000564 |
Silverton Medical Partners Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21333 Haggerty Rd, Suite 150, Novi, MI 48375 Phone: 248-662-0250 Fax: 248-662-9845 | |
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P & A Of Farmington Hills, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44150 W 12 Mile Rd, Ste 100, Novi, MI 48377 Phone: 248-867-8706 | |
Brookside Internal Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24230 Karim Blvd, Suite 130, Novi, MI 48375 Phone: 248-919-1100 | |
Medfix P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47601 Grand River Ave, Suite B-230, Novi, MI 48374 Phone: 248-465-4444 | |
General Medicine Of Mo Physicians, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21333 Haggerty Rd, Suite 150, Novi, MI 48375 Phone: 248-662-0250 Fax: 248-662-9844 | |
Family Care Physicians, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39500 W. Ten Mile Rd, Suite 100, Novi, MI 48375 Phone: 248-476-0035 Fax: 248-476-2418 |