Shattuck Family Physicians Pllc | |
1525 W Caro Rd Caro MI 48723-9686 | |
(989) 860-0088 | |
Not Available |
Full Name | Shattuck Family Physicians Pllc |
---|---|
Speciality | Internal Medicine |
Location | 1525 W Caro Rd, Caro, Michigan |
Authorized Official Name and Position | Naveed Mahfooz (OWNER) |
Authorized Official Contact | 9896722100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shattuck Family Physicians Pllc 1525 W Caro Rd Caro MI 48723-9686 Ph: (989) 865-9958 | Shattuck Family Physicians Pllc 1525 W Caro Rd Caro MI 48723-9686 Ph: (989) 860-0088 |
NPI Number | 1801251194 |
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Provider Enumeration Date | 12/31/2015 |
Last Update Date | 08/27/2020 |
Medicare PECOS PAC ID | 4486949807 |
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Medicare Enrollment ID | O20160824002708 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801251194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Naveed Mahfooz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780639450 PECOS PAC ID: 9830158609 Enrollment ID: I20050606000749 |
Provider Name | Imran Mir |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467628388 PECOS PAC ID: 3072688688 Enrollment ID: I20080815000684 |
Provider Name | Hilda Mbidzo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174968531 PECOS PAC ID: 2264673565 Enrollment ID: I20130730000248 |
Provider Name | Theresa I Jensen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639569916 PECOS PAC ID: 5496075939 Enrollment ID: I20150522001359 |
Provider Name | Steven A Holman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851718399 PECOS PAC ID: 0345540134 Enrollment ID: I20151201000656 |
Provider Name | Jillian S Rodney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205295573 PECOS PAC ID: 9133427172 Enrollment ID: I20160407001444 |
Provider Name | Jonathan W Hollis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205298262 PECOS PAC ID: 7719285378 Enrollment ID: I20160414000968 |
Provider Name | Diane Palm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376079426 PECOS PAC ID: 9234496977 Enrollment ID: I20171205001034 |
Provider Name | Krista Marie Heckert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306333927 PECOS PAC ID: 4385908276 Enrollment ID: I20180430002657 |
Provider Name | Judith Chepkemboi Yego |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760959431 PECOS PAC ID: 2567716103 Enrollment ID: I20181116001510 |
Provider Name | Courtney Lynn Atkinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164990669 PECOS PAC ID: 1658616636 Enrollment ID: I20181219001483 |
Provider Name | Lori Jane Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760946495 PECOS PAC ID: 6507104320 Enrollment ID: I20190220001731 |
Provider Name | Rabeea Mirza |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1679993216 PECOS PAC ID: 3577866649 Enrollment ID: I20190531000026 |
Provider Name | Kimberly Truckner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538635842 PECOS PAC ID: 7911231485 Enrollment ID: I20190703001078 |
Provider Name | Rachel Lynn Curtis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639636996 PECOS PAC ID: 7315273380 Enrollment ID: I20190729002891 |
Provider Name | Alicia A Mclaren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629602909 PECOS PAC ID: 5395165914 Enrollment ID: I20201021001195 |
Provider Name | Cynthia C Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881238517 PECOS PAC ID: 4284049834 Enrollment ID: I20210212001958 |
Provider Name | Jeremy Spencer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174998371 PECOS PAC ID: 1153794839 Enrollment ID: I20230228000542 |
Provider Name | Syed Umer Mohsin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366954406 PECOS PAC ID: 9133486392 Enrollment ID: I20230411002635 |
Provider Name | Mohamad Ali Saad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740913201 PECOS PAC ID: 2365807344 Enrollment ID: I20230426001117 |
Provider Name | Maryum Shoukat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619536729 PECOS PAC ID: 1153789359 Enrollment ID: I20230621000383 |
Provider Name | Ashley R Tolliver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578348322 PECOS PAC ID: 8820444185 Enrollment ID: I20231024001400 |
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