| St. Clair Medical P.c | |
|
1209 10th St Suite E Port Huron MI 48060-5262 | |
| (810) 985-8170 | |
| (810) 985-4660 |
| Full Name | St. Clair Medical P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 1209 10th St, Port Huron, Michigan |
| Authorized Official Name and Position | Ira Sabbagh (OWNER) |
| Authorized Official Contact | 8109871590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Clair Medical P.c 1209 10th St Suite E Port Huron MI 48060-5262 Ph: (810) 985-8170 | St. Clair Medical P.c 1209 10th St Suite E Port Huron MI 48060-5262 Ph: (810) 985-8170 |
| NPI Number | 1073563102 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 1850295916 |
|---|---|
| Medicare Enrollment ID | O20031121000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073563102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sharon J Mitchell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396747234 PECOS PAC ID: 3779487731 Enrollment ID: I20031124000179 |
| Provider Name | Ira M Sabbagh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619978780 PECOS PAC ID: 6406750462 Enrollment ID: I20031124000207 |
| Provider Name | Marisa A Pilarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124410626 PECOS PAC ID: 7810288305 Enrollment ID: I20160613002156 |
| Provider Name | Stephanie Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104949 PECOS PAC ID: 7911275243 Enrollment ID: I20170609001255 |
| Provider Name | David Michel Sabbagh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295183747 PECOS PAC ID: 4385987569 Enrollment ID: I20190510002211 |
| Provider Name | Allison J Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861170136 PECOS PAC ID: 3072976653 Enrollment ID: I20230830000503 |
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