| St. John River District Physician Practices | |
|
4100 S River Rd East China MI 48054-2909 | |
| (800) 848-0202 | |
| (586) 226-6949 |
| Full Name | St. John River District Physician Practices |
|---|---|
| Speciality | Family Medicine |
| Location | 4100 S River Rd, East China, Michigan |
| Authorized Official Name and Position | Robert Guha (VP FINANCE) |
| Authorized Official Contact | 2486808264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John River District Physician Practices 2292 Solution Center Chicago IL 60677-0001 Ph: (248) 680-8000 | St. John River District Physician Practices 4100 S River Rd East China MI 48054-2909 Ph: (800) 848-0202 |
| NPI Number | 1265486245 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 0446153407 |
|---|---|
| Medicare Enrollment ID | O20040203000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265486245 | NPI | - | NPPES |
| 700G410560 | Other | MA | BCBSM GROUP NUMBER |
| Provider Name | Narendra D Gohel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760439459 PECOS PAC ID: 7416857123 Enrollment ID: I20040109000845 |
| Provider Name | Sabbir Ahmed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801998125 PECOS PAC ID: 9133016769 Enrollment ID: I20040612000060 |
| Provider Name | Abdelkader Hawasli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467502294 PECOS PAC ID: 7012800238 Enrollment ID: I20040726000545 |
| Provider Name | Lauri B Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023010360 PECOS PAC ID: 3375571060 Enrollment ID: I20050803000406 |
| Provider Name | Harold Lee Bacheldor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831186550 PECOS PAC ID: 2668382581 Enrollment ID: I20061121000349 |
| Provider Name | Dawn M Lambrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356317317 PECOS PAC ID: 5597861328 Enrollment ID: I20070510000456 |
| Provider Name | Mark T O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255322509 PECOS PAC ID: 0042319964 Enrollment ID: I20070619000109 |
| Provider Name | David T Hindy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043201767 PECOS PAC ID: 6709966484 Enrollment ID: I20080108000181 |
| Provider Name | Jason O Holcomb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740309624 PECOS PAC ID: 4587758859 Enrollment ID: I20080916000296 |
| Provider Name | Lisa Beth Scheel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487775292 PECOS PAC ID: 0648316323 Enrollment ID: I20091009000530 |
| Provider Name | Jeffrey L Lukas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346239365 PECOS PAC ID: 1759423411 Enrollment ID: I20100119000783 |
| Provider Name | Suzanne V Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841453586 PECOS PAC ID: 0143492447 Enrollment ID: I20111011000034 |
| Provider Name | Andrew A Cherro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992913131 PECOS PAC ID: 3779656962 Enrollment ID: I20130326000472 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20150622002033 |
| Provider Name | Benjamin Paul Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104234970 PECOS PAC ID: 9537476684 Enrollment ID: I20170616000260 |
| Provider Name | Moutamn Sadoun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528321809 PECOS PAC ID: 0648549592 Enrollment ID: I20170707002379 |
| Provider Name | Nicholas Frisch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093002214 PECOS PAC ID: 7113159815 Enrollment ID: I20171020001437 |
| Provider Name | Christopher Lai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972827871 PECOS PAC ID: 5890003529 Enrollment ID: I20180305001760 |
| Provider Name | Heidi B Hilton-kosch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104205301 PECOS PAC ID: 1254645393 Enrollment ID: I20180514002294 |
| Provider Name | Nathan Evin Marshall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548529639 PECOS PAC ID: 5799917605 Enrollment ID: I20180628003135 |
| Provider Name | Jessica A Scholey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639586910 PECOS PAC ID: 0244520864 Enrollment ID: I20180723002558 |
| Provider Name | Jennifer Sue Nimtz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578917381 PECOS PAC ID: 0042506388 Enrollment ID: I20190716001319 |
| Provider Name | Jason M Betcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578911269 PECOS PAC ID: 5890022214 Enrollment ID: I20190808000590 |
| Provider Name | Robert G Dekker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023350493 PECOS PAC ID: 7416252234 Enrollment ID: I20190813000334 |
| Provider Name | Shoshana Deann Hallowell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528371895 PECOS PAC ID: 9830487008 Enrollment ID: I20200318001251 |
| Provider Name | Chad Allen Lasceski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942628268 PECOS PAC ID: 4183922610 Enrollment ID: I20200629003258 |
| Provider Name | Patricia Lynn Kindsvater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508398405 PECOS PAC ID: 2567736259 Enrollment ID: I20200813002222 |
| Provider Name | Chase Kriza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861923955 PECOS PAC ID: 7719256171 Enrollment ID: I20220617000740 |
| Provider Name | Kimberly R Coughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356791636 PECOS PAC ID: 7810288834 Enrollment ID: I20220630002197 |
| Provider Name | Sanar Sabah Yokhana |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043673809 PECOS PAC ID: 4183913916 Enrollment ID: I20220718000913 |
| Provider Name | Michael Dever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891282935 PECOS PAC ID: 0941564983 Enrollment ID: I20230629000664 |
St. Clair Infectious Diseases Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4050 River Rd, Ste 2, East China, MI 48054 Phone: 810-329-2268 Fax: 810-329-0966 | |
Mark T. O'brien, D.o., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4150 River Rd, Suite F2, East China, MI 48054 Phone: 810-329-4660 Fax: 810-329-4699 | |
Medflex P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 Hospital Dr, East China, MI 48054 Phone: 810-329-4736 | |
Thomas G. Wayne M.d., P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4150 S River Rd, Suite1, East China, MI 48054 Phone: 810-326-0858 Fax: 810-326-0933 | |
Laura Lucio-reincke, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3436 S River Rd, Ste B, East China, MI 48054 Phone: 810-326-3540 Fax: 810-326-3541 | |
Kenneth Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 River Rd, East China, MI 48054 Phone: 810-329-7111 |