| Henry Ford Physician Partners | |
|
133 S Main St Mount Clemens MI 48043-2308 | |
| (586) 468-1600 | |
| (586) 465-0329 |
| Full Name | Henry Ford Physician Partners |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 S Main St, Mount Clemens, Michigan |
| Authorized Official Name and Position | Kelly Ratowski (DIR-OFFICE OF PROVIDER AFFAIRS) |
| Authorized Official Contact | 2483250283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Physician Partners 1 Ford Pl Detroit MI 48202-3450 Ph: (313) 874-4806 | Henry Ford Physician Partners 133 S Main St Mount Clemens MI 48043-2308 Ph: (586) 468-1600 |
| NPI Number | 1427703602 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 8921482605 |
|---|---|
| Medicare Enrollment ID | O20220830000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427703602 | NPI | - | NPPES |
| Provider Name | Steven M Taormina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134111065 PECOS PAC ID: 0244130490 Enrollment ID: I20040113000112 |
| Provider Name | Kyle W Sundblad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205813797 PECOS PAC ID: 9436128501 Enrollment ID: I20040927000679 |
| Provider Name | James Cameron Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285653170 PECOS PAC ID: 8628047644 Enrollment ID: I20040927001149 |
| Provider Name | Rudyard L Dimson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700956356 PECOS PAC ID: 9537128582 Enrollment ID: I20041006000684 |
| Provider Name | Adil Yousif Arabbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316936008 PECOS PAC ID: 2264480409 Enrollment ID: I20050105000173 |
| Provider Name | Robert A Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093712093 PECOS PAC ID: 1658325428 Enrollment ID: I20050304000626 |
| Provider Name | John A Vollmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932113628 PECOS PAC ID: 3173569449 Enrollment ID: I20050708000268 |
| Provider Name | Natesh Lingam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801005145 PECOS PAC ID: 9830127596 Enrollment ID: I20050803000133 |
| Provider Name | Gary W Stencel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740209675 PECOS PAC ID: 5890711220 Enrollment ID: I20051014000791 |
| Provider Name | Sheetal A Varde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861411159 PECOS PAC ID: 1052327822 Enrollment ID: I20060302000683 |
| Provider Name | Omokayode A Osobamiro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518951672 PECOS PAC ID: 3274540547 Enrollment ID: I20060310000276 |
| Provider Name | Abimbola Modupe Osobamiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356335418 PECOS PAC ID: 8325055593 Enrollment ID: I20060313000535 |
| Provider Name | Donald B Muir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245229525 PECOS PAC ID: 3274502430 Enrollment ID: I20060605000185 |
| Provider Name | Bradley Carl Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720077712 PECOS PAC ID: 6901707389 Enrollment ID: I20060613000274 |
| Provider Name | Kristen E Kavanagh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174562482 PECOS PAC ID: 4183636970 Enrollment ID: I20060616000190 |
| Provider Name | Rajindar Sikand |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427035773 PECOS PAC ID: 9335146935 Enrollment ID: I20061024000327 |
| Provider Name | Grant A Lange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427051127 PECOS PAC ID: 1355432386 Enrollment ID: I20070806000712 |
| Provider Name | Frank L Fenton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215081211 PECOS PAC ID: 8123012879 Enrollment ID: I20081009000296 |
| Provider Name | Mark P Karchon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699861088 PECOS PAC ID: 7315912417 Enrollment ID: I20090615000345 |
| Provider Name | Ronald James Pierskalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700878618 PECOS PAC ID: 6800975939 Enrollment ID: I20090618000653 |
| Provider Name | Thomas S Piazza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548252471 PECOS PAC ID: 1355420480 Enrollment ID: I20090618000700 |
| Provider Name | Antonio Morreale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609868520 PECOS PAC ID: 8628157757 Enrollment ID: I20090618000719 |
| Provider Name | Firas Yazigi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245477108 PECOS PAC ID: 2668524455 Enrollment ID: I20090708000484 |
| Provider Name | Wael Hejjo Refai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205926789 PECOS PAC ID: 8820047558 Enrollment ID: I20100218000586 |
| Provider Name | Angela M Popoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962643593 PECOS PAC ID: 4082741137 Enrollment ID: I20100421000174 |
| Provider Name | Joseph B Naoum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376540401 PECOS PAC ID: 2264421015 Enrollment ID: I20100707000275 |
| Provider Name | Pasquale B Iaderosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962409094 PECOS PAC ID: 4284600826 Enrollment ID: I20100708000561 |
| Provider Name | Ruth A Rydstedt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326045584 PECOS PAC ID: 9436148285 Enrollment ID: I20100708000579 |
| Provider Name | Kenneth E Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962409961 PECOS PAC ID: 2466429725 Enrollment ID: I20100709000707 |
| Provider Name | Chaker Hamad Diab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477522381 PECOS PAC ID: 1052508975 Enrollment ID: I20101203001262 |
| Provider Name | Jaclyn S Kournoian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386970739 PECOS PAC ID: 7113116807 Enrollment ID: I20110111000876 |
| Provider Name | Matthew Mcgee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811982804 PECOS PAC ID: 5395851737 Enrollment ID: I20110113000427 |
| Provider Name | Dennis Giannini |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750376745 PECOS PAC ID: 0547376501 Enrollment ID: I20110113000476 |
| Provider Name | Kianna M Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134435878 PECOS PAC ID: 2062694300 Enrollment ID: I20110308000905 |
| Provider Name | Sima Salman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356581680 PECOS PAC ID: 2365612744 Enrollment ID: I20110822000265 |
| Provider Name | Leo Toomajian |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1477649762 PECOS PAC ID: 7012188667 Enrollment ID: I20110912000719 |
| Provider Name | Klaudia Plawny Lebenbom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972698835 PECOS PAC ID: 5092859348 Enrollment ID: I20120220000983 |
| Provider Name | Katherine R Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417143553 PECOS PAC ID: 9931391695 Enrollment ID: I20121116000392 |
| Provider Name | Matthew D Andrews |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326317785 PECOS PAC ID: 4789837279 Enrollment ID: I20130111000466 |
| Provider Name | Erin M Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114230133 PECOS PAC ID: 1658514955 Enrollment ID: I20130906000141 |
| Provider Name | Garry Ting Guide Ng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053579581 PECOS PAC ID: 9931320710 Enrollment ID: I20141020001894 |
| Provider Name | Kevin P Skidmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275921033 PECOS PAC ID: 8628396090 Enrollment ID: I20150415000293 |
| Provider Name | Carly Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396160503 PECOS PAC ID: 9739408584 Enrollment ID: I20150429002286 |
| Provider Name | Vijay R Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407066350 PECOS PAC ID: 4183790033 Enrollment ID: I20150625000201 |
| Provider Name | Roshni S Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962705004 PECOS PAC ID: 6204147663 Enrollment ID: I20150625002230 |
| Provider Name | Stephanie Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508241357 PECOS PAC ID: 4486968500 Enrollment ID: I20150804003240 |
| Provider Name | Nicole C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396111860 PECOS PAC ID: 0547577553 Enrollment ID: I20150923000664 |
| Provider Name | Michael J Di Loreto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275882334 PECOS PAC ID: 0244547206 Enrollment ID: I20150923002792 |
| Provider Name | Katherine M Marston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013273960 PECOS PAC ID: 8123251360 Enrollment ID: I20151027000993 |
| Provider Name | Heather R Bade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386918696 PECOS PAC ID: 0547565061 Enrollment ID: I20160222001627 |
| Provider Name | Alexandra Noelle Hayosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003354952 PECOS PAC ID: 9739464504 Enrollment ID: I20170316002317 |
| Provider Name | Tara Deryavoush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851718092 PECOS PAC ID: 3577783232 Enrollment ID: I20170522000933 |
| Provider Name | Chad R Stencel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386056208 PECOS PAC ID: 3476843426 Enrollment ID: I20170531001239 |
| Provider Name | Nikhil V Ambulgekar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497074264 PECOS PAC ID: 4082982731 Enrollment ID: I20170621001204 |
| Provider Name | Christopher M Czapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972997443 PECOS PAC ID: 4880907187 Enrollment ID: I20180517003040 |
| Provider Name | Samantha L Cloutier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871985606 PECOS PAC ID: 6103139415 Enrollment ID: I20180720000731 |
| Provider Name | Matthew Storey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164879441 PECOS PAC ID: 7012264724 Enrollment ID: I20180725003004 |
| Provider Name | Mohanad Suede |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720436843 PECOS PAC ID: 3476847898 Enrollment ID: I20181015002295 |
| Provider Name | Jessica Elizabeth Finnerty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730530270 PECOS PAC ID: 4284928706 Enrollment ID: I20190625003797 |
| Provider Name | Michael Austin Savalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972952836 PECOS PAC ID: 3971838012 Enrollment ID: I20190711003367 |
| Provider Name | Emily Cieslik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669833927 PECOS PAC ID: 7315231321 Enrollment ID: I20190712000102 |
| Provider Name | Kathryn Loren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669973194 PECOS PAC ID: 5890125801 Enrollment ID: I20200415000586 |
| Provider Name | Aaron W Cloutier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013448067 PECOS PAC ID: 5991075053 Enrollment ID: I20200805001591 |
| Provider Name | Kyle Edward Antosiek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376926972 PECOS PAC ID: 2062703101 Enrollment ID: I20220426002016 |
| Provider Name | Sotirios Peter Kalliantasis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780244483 PECOS PAC ID: 7214262484 Enrollment ID: I20220524000262 |
| Provider Name | David Paul Schmittou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972064301 PECOS PAC ID: 9234464405 Enrollment ID: I20220608000914 |
| Provider Name | Steven Leonowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497378301 PECOS PAC ID: 4587086285 Enrollment ID: I20220801001163 |
| Provider Name | Caitlin Jayne Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104477405 PECOS PAC ID: 0244613586 Enrollment ID: I20220818001612 |
| Provider Name | Lauren Nicole Sparks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205499910 PECOS PAC ID: 5799109690 Enrollment ID: I20220825000405 |
| Provider Name | Amy Salomone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861874513 PECOS PAC ID: 0042682189 Enrollment ID: I20230217001908 |
| Provider Name | Patricia Donna Jurek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497258503 PECOS PAC ID: 3678992963 Enrollment ID: I20230602000306 |
| Provider Name | Kara Lynn Mcgahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861263741 PECOS PAC ID: 3072957828 Enrollment ID: I20240220002280 |
Midwest Hospitalists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Inpatient Solutions Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St, Suite 3, Mount Clemens, MI 48043 Phone: 586-465-2879 Fax: 586-465-5424 | |
Mycare Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 Market Street, Suite C, Mount Clemens, MI 48043 Phone: 586-783-2222 Fax: 586-783-6944 | |
Internal Medicine Associates Of Mt. Clemens, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 | |
Mcrmc Professional Oncology Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 Harrington Blvd, Suite 201, Mount Clemens, MI 48043 Phone: 586-493-7575 Fax: 586-493-7576 | |
Gladstone A. Payton, D.o.,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 247 Northbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-468-8088 |