| Infinity Primary Care Llc | |
|
17197 N Laurel Park Dr Suite 540 Livonia MI 48152-2680 | |
| (734) 464-8300 | |
| (734) 853-4900 |
| Full Name | Infinity Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17197 N Laurel Park Dr Suite 540, Livonia, Michigan |
| Authorized Official Name and Position | David Steinberger (PRESIDENT) |
| Authorized Official Contact | 7347932470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Primary Care Llc 17197 N Laurel Park Dr Suite 540 Livonia MI 48152-2680 Ph: (734) 464-8300 | Infinity Primary Care Llc 17197 N Laurel Park Dr Suite 540 Livonia MI 48152-2680 Ph: (734) 464-8300 |
| NPI Number | 1235106360 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 07/26/2018 |
| Medicare PECOS PAC ID | 0345227773 |
|---|---|
| Medicare Enrollment ID | O20040702001024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235106360 | NPI | - | NPPES |
| Provider Name | Anjana M Barad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639161334 PECOS PAC ID: 0143115584 Enrollment ID: I20040216001061 |
| Provider Name | Anita T Bodiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619944741 PECOS PAC ID: 8729065065 Enrollment ID: I20040702001169 |
| Provider Name | Robert R Boomer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982672606 PECOS PAC ID: 6709863046 Enrollment ID: I20040702001181 |
| Provider Name | Ala S Shuker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346217627 PECOS PAC ID: 0941287999 Enrollment ID: I20040707000714 |
| Provider Name | Maribeth Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083681365 PECOS PAC ID: 7012994080 Enrollment ID: I20040707000928 |
| Provider Name | Abhinav Raina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649214974 PECOS PAC ID: 2062499031 Enrollment ID: I20040707000973 |
| Provider Name | Amy Goldfaden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801863188 PECOS PAC ID: 0941288500 Enrollment ID: I20040709001119 |
| Provider Name | Sushma Sadasivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609843739 PECOS PAC ID: 3971581554 Enrollment ID: I20040709001204 |
| Provider Name | David Steinberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275501207 PECOS PAC ID: 4183601511 Enrollment ID: I20040709001236 |
| Provider Name | Glenn E Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689675878 PECOS PAC ID: 3375521966 Enrollment ID: I20040709001255 |
| Provider Name | Gayla Zoghlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417924549 PECOS PAC ID: 8628056215 Enrollment ID: I20040709001274 |
| Provider Name | Stephanie Linden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891762175 PECOS PAC ID: 2062490659 Enrollment ID: I20040709001290 |
| Provider Name | Frank Parrinello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548238579 PECOS PAC ID: 5193703791 Enrollment ID: I20040709001334 |
| Provider Name | Steven Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508834227 PECOS PAC ID: 0648257071 Enrollment ID: I20040709001362 |
| Provider Name | Laurie Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174590459 PECOS PAC ID: 2961480561 Enrollment ID: I20040709001384 |
| Provider Name | Lisa Elconin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124095880 PECOS PAC ID: 4486632098 Enrollment ID: I20040709001410 |
| Provider Name | Bethany Clary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598732257 PECOS PAC ID: 0840278453 Enrollment ID: I20040709001415 |
| Provider Name | Robert Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063480788 PECOS PAC ID: 2365420098 Enrollment ID: I20040709001418 |
| Provider Name | Coleen Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467421958 PECOS PAC ID: 9830177443 Enrollment ID: I20040709001420 |
| Provider Name | Randall Sternberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487617957 PECOS PAC ID: 3779561261 Enrollment ID: I20040712000223 |
| Provider Name | Lisa Harston Ledoux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821066853 PECOS PAC ID: 5395723803 Enrollment ID: I20040712000311 |
| Provider Name | Michael L Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073589867 PECOS PAC ID: 7315918588 Enrollment ID: I20040802001414 |
| Provider Name | Christine Brenner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013983899 PECOS PAC ID: 3870521081 Enrollment ID: I20050729000253 |
| 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 | Kristin M Kamienecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912119207 PECOS PAC ID: 2163514704 Enrollment ID: I20070827000795 |
| Provider Name | Nicole L Rothenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609093491 PECOS PAC ID: 3173661469 Enrollment ID: I20091106000035 |
| Provider Name | Shalini Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275534208 PECOS PAC ID: 3577604891 Enrollment ID: I20100108000718 |
| Provider Name | William J Sulaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639309131 PECOS PAC ID: 6800043589 Enrollment ID: I20120831000356 |
| Provider Name | Meghna Shailesh Pathak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609004662 PECOS PAC ID: 6204087752 Enrollment ID: I20121112000026 |
| Provider Name | Sarah S Burkett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821309451 PECOS PAC ID: 9436393543 Enrollment ID: I20130911000346 |
| Provider Name | Elias J Antypas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013171941 PECOS PAC ID: 0648401448 Enrollment ID: I20140718001525 |
| Provider Name | Mark Michaels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740546837 PECOS PAC ID: 5193945459 Enrollment ID: I20141008001842 |
| Provider Name | Jennifer Kuc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912383944 PECOS PAC ID: 1658689252 Enrollment ID: I20151001000361 |
| Provider Name | Ryan Wolok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215377791 PECOS PAC ID: 3274822358 Enrollment ID: I20160512000760 |
| Provider Name | Sangeetha Nanthabalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477843431 PECOS PAC ID: 0042528093 Enrollment ID: I20160616001924 |
| Provider Name | Reehan Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619289501 PECOS PAC ID: 6901197805 Enrollment ID: I20160623002477 |
| Provider Name | Nicole Kohnen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992965651 PECOS PAC ID: 0840584926 Enrollment ID: I20160812000093 |
| Provider Name | Christine Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336560366 PECOS PAC ID: 8426345984 Enrollment ID: I20160927001379 |
| Provider Name | Megan Schram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043763006 PECOS PAC ID: 3375811854 Enrollment ID: I20171226001943 |
| Provider Name | David Michael Smeenge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225415169 PECOS PAC ID: 7416251822 Enrollment ID: I20180627001116 |
| Provider Name | Tassia M Samona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891175048 PECOS PAC ID: 6901159342 Enrollment ID: I20181031002825 |
| Provider Name | Michael Wowk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366805210 PECOS PAC ID: 0042508947 Enrollment ID: I20190515001384 |
| Provider Name | Pranay Reddy Korpole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538553433 PECOS PAC ID: 1052629318 Enrollment ID: I20190520002368 |
| Provider Name | Haley Lian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043772098 PECOS PAC ID: 3678808961 Enrollment ID: I20190709001627 |
| Provider Name | Andrew Gush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043743131 PECOS PAC ID: 9335413012 Enrollment ID: I20200717002814 |
Premier Urgent Care Of Livonia Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18320 Farmington Rd, Livonia, MI 48152 Phone: 248-476-9200 | |
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