| Silver Pine Medical Group Plc | |
|
43455 Schoenherr Suite 2 Sterling Heights MI 48313 | |
| (586) 726-4823 | |
| (586) 726-8365 |
| Full Name | Silver Pine Medical Group Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 43455 Schoenherr, Sterling Heights, Michigan |
| Authorized Official Name and Position | Theodore L Tangalos (PRESIDENT) |
| Authorized Official Contact | 5867264823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Pine Medical Group Plc 43455 Schoenherr Suite 2 Sterling Heights MI 48313 Ph: (586) 726-4823 | Silver Pine Medical Group Plc 43455 Schoenherr Suite 2 Sterling Heights MI 48313 Ph: (586) 726-4823 |
| NPI Number | 1639105695 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 12/03/2008 |
| Medicare PECOS PAC ID | 8325020332 |
|---|---|
| Medicare Enrollment ID | O20040603000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639105695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Martin F Mcgough |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245233352 PECOS PAC ID: 9335037720 Enrollment ID: I20040308000804 |
| Provider Name | John S Heath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881697985 PECOS PAC ID: 8628966926 Enrollment ID: I20040309000014 |
| Provider Name | Sami E Asmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861466500 PECOS PAC ID: 3072401728 Enrollment ID: I20040323001157 |
| Provider Name | Tristan Guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366475063 PECOS PAC ID: 8022095488 Enrollment ID: I20040702000555 |
| Provider Name | Steven J Thibault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851373468 PECOS PAC ID: 8022098581 Enrollment ID: I20040723000982 |
| Provider Name | Theodore L Tangalos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760466585 PECOS PAC ID: 2567444581 Enrollment ID: I20040923000484 |
| Provider Name | Karen C Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053518514 PECOS PAC ID: 5698743912 Enrollment ID: I20040923000502 |
| Provider Name | Nicolas A Marsheh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962423657 PECOS PAC ID: 1951367069 Enrollment ID: I20041209000384 |
| Provider Name | Mahmoud M Al-shami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639279458 PECOS PAC ID: 4688623465 Enrollment ID: I20050119000557 |
| Provider Name | Naysha M Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821080359 PECOS PAC ID: 0547290629 Enrollment ID: I20050818000182 |
| Provider Name | Michael J Raad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063514693 PECOS PAC ID: 6608800933 Enrollment ID: I20050926000405 |
| Provider Name | John J Habicht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477513257 PECOS PAC ID: 4981639630 Enrollment ID: I20050930000312 |
| Provider Name | Prameela Nagaraju Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457334161 PECOS PAC ID: 6901857150 Enrollment ID: I20051001000051 |
| Provider Name | Parag Pravin Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023079225 PECOS PAC ID: 0345265567 Enrollment ID: I20051006000922 |
| Provider Name | Charles E Heth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336130632 PECOS PAC ID: 4082638010 Enrollment ID: I20060118000153 |
| Provider Name | John Sallach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457437469 PECOS PAC ID: 3476515222 Enrollment ID: I20060126000148 |
| Provider Name | Steven G Kotsonis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427032242 PECOS PAC ID: 4385626308 Enrollment ID: I20061205000663 |
| Provider Name | Jennifer L Hichme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386628196 PECOS PAC ID: 8820070840 Enrollment ID: I20061205000666 |
| Provider Name | James P Caralis |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1902829930 PECOS PAC ID: 3678677481 Enrollment ID: I20070404000391 |
| Provider Name | George T Maristela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801072228 PECOS PAC ID: 1254404544 Enrollment ID: I20080719000089 |
| Provider Name | Bernadette M Gendernalik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316945405 PECOS PAC ID: 2062519689 Enrollment ID: I20080812000264 |
| Provider Name | Monik Lala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194847038 PECOS PAC ID: 9830264290 Enrollment ID: I20080819000766 |
| Provider Name | Brenda J Bierenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508018763 PECOS PAC ID: 3577628528 Enrollment ID: I20090209000170 |
| Provider Name | Michele S Krim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750532073 PECOS PAC ID: 8123184595 Enrollment ID: I20090310000288 |
| Provider Name | Vasilios Gikas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063683886 PECOS PAC ID: 3577614064 Enrollment ID: I20090623000507 |
| Provider Name | Kathleen A Rheaume |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548255672 PECOS PAC ID: 5698815215 Enrollment ID: I20091211000650 |
| Provider Name | Kevin M Lawton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992823918 PECOS PAC ID: 2567503469 Enrollment ID: I20100113000697 |
| Provider Name | Rita A Gatia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801122312 PECOS PAC ID: 6002958618 Enrollment ID: I20100120000520 |
| Provider Name | David J Spiteri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619959566 PECOS PAC ID: 0143236075 Enrollment ID: I20100323000724 |
| Provider Name | Genevieve J Crandall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396736724 PECOS PAC ID: 5799978730 Enrollment ID: I20101021001306 |
| Provider Name | Cynthia Anne Housel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265581730 PECOS PAC ID: 3678554102 Enrollment ID: I20110503000461 |
| Provider Name | Kimberly F Hodor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518210707 PECOS PAC ID: 0446402572 Enrollment ID: I20121218000167 |
| Provider Name | Antwan L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912260514 PECOS PAC ID: 4587896071 Enrollment ID: I20150102001267 |
| Provider Name | Jason Donald Crile |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114167988 PECOS PAC ID: 0244499309 Enrollment ID: I20150812007918 |
| Provider Name | Jennifer L Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141822 PECOS PAC ID: 9931415429 Enrollment ID: I20150828001201 |
| Provider Name | Julie Brusca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124445341 PECOS PAC ID: 7719280270 Enrollment ID: I20160118000791 |
| Provider Name | Taylor K Mccarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477946762 PECOS PAC ID: 8921307117 Enrollment ID: I20170214002659 |
| Provider Name | Rachel L Fillmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932637022 PECOS PAC ID: 8325317795 Enrollment ID: I20170629000323 |
| Provider Name | Mohammad Fityan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265829154 PECOS PAC ID: 5092017061 Enrollment ID: I20170814000767 |
| Provider Name | Kaitlyn E Kennedy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356813372 PECOS PAC ID: 7113265810 Enrollment ID: I20190205000456 |
| Provider Name | Angela Soyad Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366911927 PECOS PAC ID: 6406198076 Enrollment ID: I20190501000163 |
| Provider Name | Kristina Marie Recchia-batkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619525870 PECOS PAC ID: 6103157888 Enrollment ID: I20191010000997 |
| Provider Name | Debra A. Damioli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053718791 PECOS PAC ID: 5890099543 Enrollment ID: I20191021002653 |
| Provider Name | Jenny Dessinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063051480 PECOS PAC ID: 2062840200 Enrollment ID: I20200320002763 |
| Provider Name | Daniel V Venditti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063047876 PECOS PAC ID: 2466881131 Enrollment ID: I20200331002916 |
| Provider Name | Janel Maria Salem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467947424 PECOS PAC ID: 9133463342 Enrollment ID: I20210803001214 |
| Provider Name | Nicole Terese Desautels Omell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366931859 PECOS PAC ID: 1052675204 Enrollment ID: I20210803002437 |
| Provider Name | Philip Andrew Tangalos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194383299 PECOS PAC ID: 6608251632 Enrollment ID: I20220912003120 |
| Provider Name | Dena Fakhouri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427772631 PECOS PAC ID: 0840666947 Enrollment ID: I20221014000477 |
| Provider Name | Malav Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366804940 PECOS PAC ID: 5698069292 Enrollment ID: I20230622000785 |
| Provider Name | Ashley Rose Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417674193 PECOS PAC ID: 6608235361 Enrollment ID: I20230629000665 |
| Provider Name | Amanda Renaye Goold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225810823 PECOS PAC ID: 7315397676 Enrollment ID: I20231228002150 |
| Provider Name | April Maria Figley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528844552 PECOS PAC ID: 2163875006 Enrollment ID: I20240127000340 |
| Provider Name | Stephanie Shawkat Gulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821753484 PECOS PAC ID: 6608229943 Enrollment ID: I20240202000339 |
| Provider Name | Laura Marie Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578163523 PECOS PAC ID: 7315380508 Enrollment ID: I20240205001898 |
| Provider Name | Adrianna Margaux Thibault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427677608 PECOS PAC ID: 0648611194 Enrollment ID: I20240515000192 |
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Steven D Trombly Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5195 15 Mile Road, Sterling Heights, MI 48310 Phone: 586-268-9000 Fax: 586-978-7000 | |
Advanced Physician Care Organization Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43455 Schoenherr Rd, Suite 17, Sterling Heights, MI 48313 Phone: 586-726-4823 | |
Comprehensive Health Care Center Of Michigan, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44344 Dequindre Rd, Suite 340, Sterling Heights, MI 48314 Phone: 586-731-8200 Fax: 586-731-8922 | |
Advanced Physician Care Organization Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43455 Schoenherr Rd, Suite 17, Sterling Heights, MI 48313 Phone: 586-726-4823 Fax: 586-726-8365 | |
Metro Diagnostic Imaging, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8244 Metropolitan Pkwy, Suite B, Sterling Heights, MI 48312 Phone: 586-795-4060 Fax: 586-795-5595 | |
John S Demare Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13700 19 Mile Rd, Sterling Heights, MI 48313 Phone: 586-247-6020 Fax: 586-247-7048 |