| Omt Mi Pc | |
|
38525 8 Mile Rd Livonia MI 48152-1012 | |
| (586) 994-1816 | |
| (734) 542-3115 |
| Full Name | Omt Mi Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 38525 8 Mile Rd, Livonia, Michigan |
| Authorized Official Name and Position | John Maarouf (PRESIDENT) |
| Authorized Official Contact | 5869941816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omt Mi Pc 38525 8 Mile Rd Livonia MI 48152-1012 Ph: (586) 994-1816 | Omt Mi Pc 38525 8 Mile Rd Livonia MI 48152-1012 Ph: (586) 994-1816 |
| NPI Number | 1801506381 |
|---|---|
| Provider Enumeration Date | 11/25/2022 |
| Last Update Date | 03/24/2023 |
| Medicare PECOS PAC ID | 7911376900 |
|---|---|
| Medicare Enrollment ID | O20221214001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801506381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Andrew J Borin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346212800 PECOS PAC ID: 1052390267 Enrollment ID: I20040720000168 |
| Provider Name | Ali Ghasham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881894459 PECOS PAC ID: 9931379864 Enrollment ID: I20110831000553 |
| Provider Name | Tony Abood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194165829 PECOS PAC ID: 9931429206 Enrollment ID: I20150528000582 |
| Provider Name | John S Maarouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174478 PECOS PAC ID: 1658679972 Enrollment ID: I20160419002401 |
| Provider Name | Klajdi Ndini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891239026 PECOS PAC ID: 7214210061 Enrollment ID: I20170202000052 |
| Provider Name | Jason John Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487217931 PECOS PAC ID: 8921436478 Enrollment ID: I20200316000770 |
| Provider Name | Stephanie A Bonelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821647108 PECOS PAC ID: 7517299423 Enrollment ID: I20210824000705 |
| Provider Name | Megan Mazurek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770200552 PECOS PAC ID: 9830567312 Enrollment ID: I20221115002609 |
| Provider Name | Kimberly Ann Ison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215654710 PECOS PAC ID: 4486025491 Enrollment ID: I20230130000324 |
| Provider Name | Lisa Levone Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124651047 PECOS PAC ID: 1254706955 Enrollment ID: I20230411002821 |
| Provider Name | Jamie Mary Yono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326646365 PECOS PAC ID: 4688038102 Enrollment ID: I20230915001735 |
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