Vmd Primary Providers Eastern Michigan, Pc | |
27275 Haggerty Rd Ste 500 Novi MI 48377-3635 | |
(312) 465-7900 | |
Not Available |
Full Name | Vmd Primary Providers Eastern Michigan, Pc |
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Speciality | Family Medicine |
Location | 27275 Haggerty Rd Ste 500, Novi, Michigan |
Authorized Official Name and Position | Wendy Rubas (GENERAL COUNSEL) |
Authorized Official Contact | 3124657898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vmd Primary Providers Eastern Michigan, Pc 125 S Clark St Ste 900 Chicago IL 60603-5200 Ph: (312) 465-7900 | Vmd Primary Providers Eastern Michigan, Pc 27275 Haggerty Rd Ste 500 Novi MI 48377-3635 Ph: (312) 465-7900 |
NPI Number | 1336625540 |
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Provider Enumeration Date | 07/11/2018 |
Last Update Date | 12/14/2018 |
Medicare PECOS PAC ID | 9234480575 |
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Medicare Enrollment ID | O20180925002900 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336625540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Salwan L Toma |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548279763 PECOS PAC ID: 7911805775 Enrollment ID: I20031230000738 |
Provider Name | Edsa M Negussie |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821021486 PECOS PAC ID: 6800798273 Enrollment ID: I20040126000166 |
Provider Name | Martin K Erickson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326028523 PECOS PAC ID: 4183618275 Enrollment ID: I20040412001368 |
Provider Name | David H Mcaree |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1922160993 PECOS PAC ID: 9436133998 Enrollment ID: I20040614001453 |
Provider Name | James Jay Gordon |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1144239559 PECOS PAC ID: 8426033507 Enrollment ID: I20040622001515 |
Provider Name | David P Gowman |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1710967658 PECOS PAC ID: 4789661752 Enrollment ID: I20040707000885 |
Provider Name | Abhinav Raina |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1649214974 PECOS PAC ID: 2062499031 Enrollment ID: I20040707000973 |
Provider Name | Denis R Lincoln |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1427094929 PECOS PAC ID: 4789665373 Enrollment ID: I20040719000344 |
Provider Name | James E Selis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396769378 PECOS PAC ID: 4880675479 Enrollment ID: I20040719000419 |
Provider Name | Roger L Gonda |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821032277 PECOS PAC ID: 0042291643 Enrollment ID: I20040719000638 |
Provider Name | Lisa Govila |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891710158 PECOS PAC ID: 6507838786 Enrollment ID: I20040809000749 |
Provider Name | Patrick Robert Brennan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770582793 PECOS PAC ID: 3173595048 Enrollment ID: I20040811000201 |
Provider Name | Michael S Silverstone |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124004825 PECOS PAC ID: 6507752177 Enrollment ID: I20040909001353 |
Provider Name | Daniel M Rosenberg |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629038526 PECOS PAC ID: 9931177805 Enrollment ID: I20040918000132 |
Provider Name | Derek A Einhorn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801855762 PECOS PAC ID: 4587632385 Enrollment ID: I20040920000919 |
Provider Name | Edith Nemeth |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841391133 PECOS PAC ID: 1759350986 Enrollment ID: I20040924000961 |
Provider Name | Sameena M Zahoor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649242280 PECOS PAC ID: 1557330974 Enrollment ID: I20041001000111 |
Provider Name | Marc S Mastropaolo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982667002 PECOS PAC ID: 5294704649 Enrollment ID: I20041005000040 |
Provider Name | Marsha W Billes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376679399 PECOS PAC ID: 2365419355 Enrollment ID: I20050120000987 |
Provider Name | Michael F Haenick |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1235127770 PECOS PAC ID: 9537111604 Enrollment ID: I20050216000936 |
Provider Name | Carole W Roseland |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033132576 PECOS PAC ID: 1951353796 Enrollment ID: I20050224000106 |
Provider Name | Robert C Brock |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891767695 PECOS PAC ID: 9436190253 Enrollment ID: I20050520000937 |
Provider Name | Anne Elizabeth Kenney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184722852 PECOS PAC ID: 3476599663 Enrollment ID: I20050628000828 |
Provider Name | Sherri P Rosenfeld |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760462220 PECOS PAC ID: 9234165275 Enrollment ID: I20050712000350 |
Provider Name | Brian J Puzsar |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164468179 PECOS PAC ID: 9335177591 Enrollment ID: I20050728001134 |
Provider Name | Kenneth Lee Colton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053479154 PECOS PAC ID: 8729004981 Enrollment ID: I20051019000157 |
Provider Name | Angela Christine Fleming |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1609810530 PECOS PAC ID: 5597783225 Enrollment ID: I20051110000557 |
Provider Name | Thomas L Selznick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679553465 PECOS PAC ID: 1153315403 Enrollment ID: I20060613000173 |
Provider Name | Paul D Jackson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053391342 PECOS PAC ID: 9436161304 Enrollment ID: I20060613000240 |
Provider Name | Harold M Friedman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760462659 PECOS PAC ID: 5496767360 Enrollment ID: I20060613000273 |
Provider Name | J Adam Kellman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386624187 PECOS PAC ID: 1759393622 Enrollment ID: I20060613000290 |
Provider Name | Jenny Rebecca Michaels |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1629017157 PECOS PAC ID: 7113939042 Enrollment ID: I20060615000019 |
Provider Name | Stacey D Pilarz |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1972611739 PECOS PAC ID: 5991700726 Enrollment ID: I20060928000421 |
Provider Name | James A Golden |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548261878 PECOS PAC ID: 3870590417 Enrollment ID: I20061025000074 |
Provider Name | Alan Jeffrey Bloch |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1477551893 PECOS PAC ID: 7517064694 Enrollment ID: I20070524000418 |
Provider Name | Robert C Maynard |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1952525917 PECOS PAC ID: 4486754017 Enrollment ID: I20070712000149 |
Provider Name | Lowell S Paul |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689655508 PECOS PAC ID: 7214002096 Enrollment ID: I20080813000298 |
Provider Name | Hamid Sattar |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1598879496 PECOS PAC ID: 9537237789 Enrollment ID: I20081001000582 |
Provider Name | Michael D Rebock |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982796355 PECOS PAC ID: 1557433000 Enrollment ID: I20090401000231 |
Provider Name | Sheldon L Stern |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255300075 PECOS PAC ID: 1951392422 Enrollment ID: I20100226000402 |
Provider Name | Diana C Soulias |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962462887 PECOS PAC ID: 1658416870 Enrollment ID: I20100226000432 |
Provider Name | Sandra M Sabb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891764080 PECOS PAC ID: 6901941129 Enrollment ID: I20100226000449 |
Provider Name | Robert J Sikorski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033189097 PECOS PAC ID: 9133264013 Enrollment ID: I20100303000384 |
Provider Name | David W Prieskorn |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1114922523 PECOS PAC ID: 1557358413 Enrollment ID: I20100526001112 |
Provider Name | Michael Stephen Wayne |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629177035 PECOS PAC ID: 7517096381 Enrollment ID: I20100604000014 |
Provider Name | Cynthia L Ulreich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962732602 PECOS PAC ID: 8022149442 Enrollment ID: I20100629000758 |
Provider Name | Mathew N Chakko |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619190790 PECOS PAC ID: 4789716788 Enrollment ID: I20100709000107 |
Provider Name | Jason Postula-stein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710915905 PECOS PAC ID: 0345372033 Enrollment ID: I20100715000523 |
Provider Name | Nathan Joseph Bloch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255345930 PECOS PAC ID: 4789586025 Enrollment ID: I20100726000813 |
Provider Name | Eric A Kovan |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1619965159 PECOS PAC ID: 8224110028 Enrollment ID: I20100826001169 |
Provider Name | Gary Michael Hollander |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902896749 PECOS PAC ID: 0749264208 Enrollment ID: I20100916000894 |
Provider Name | Alula K Kenfe |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1154512895 PECOS PAC ID: 9537338074 Enrollment ID: I20110817000835 |
Provider Name | Mohammad Alhaji |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1053627570 PECOS PAC ID: 8628232980 Enrollment ID: I20120618000265 |
Provider Name | Evita Singh |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720101462 PECOS PAC ID: 1254519648 Enrollment ID: I20120806000285 |
Provider Name | Erin Nest |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346676939 PECOS PAC ID: 6507095395 Enrollment ID: I20140127000152 |
Provider Name | David Y Ellenberg |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063749604 PECOS PAC ID: 6002054970 Enrollment ID: I20150225000531 |
Provider Name | Assad Sattar |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1154554590 PECOS PAC ID: 4981916004 Enrollment ID: I20150702000947 |
Provider Name | Ahmad H Mattour |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497980635 PECOS PAC ID: 9638302136 Enrollment ID: I20150730012008 |
Provider Name | Valentina Schoneck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558770941 PECOS PAC ID: 4486961315 Enrollment ID: I20150909002906 |
Provider Name | Vikram A Kinni |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528293917 PECOS PAC ID: 9830321777 Enrollment ID: I20150922000377 |
Provider Name | Megan Gardner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932577871 PECOS PAC ID: 6709186885 Enrollment ID: I20151120001521 |
Provider Name | Alexandra Lindsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932505567 PECOS PAC ID: 6800104142 Enrollment ID: I20160407001936 |
Provider Name | Justin A Noroyan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083053391 PECOS PAC ID: 9931490554 Enrollment ID: I20160628003008 |
Provider Name | Jason Joseph George |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1962728253 PECOS PAC ID: 1153552674 Enrollment ID: I20160804000136 |
Provider Name | Bridgette Defrance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801341821 PECOS PAC ID: 4284921669 Enrollment ID: I20160928002612 |
Provider Name | Aaron Thomas Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972953974 PECOS PAC ID: 0446547657 Enrollment ID: I20160930001489 |
Provider Name | Alan Hussein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306386339 PECOS PAC ID: 4789969502 Enrollment ID: I20170317001496 |
Provider Name | Karl F Kado |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497030233 PECOS PAC ID: 4880962927 Enrollment ID: I20170614001759 |
Provider Name | Gabrielle L Artymovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851775589 PECOS PAC ID: 5395045835 Enrollment ID: I20170918001595 |
Provider Name | Mohammad Saleh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619394004 PECOS PAC ID: 3779892500 Enrollment ID: I20171005002314 |
Provider Name | Clive K Fields |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366447583 PECOS PAC ID: 2961436845 Enrollment ID: I20181024000461 |
Provider Name | Latanya Cross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396140372 PECOS PAC ID: 0143564658 Enrollment ID: I20181210001575 |
Provider Name | Marilyn Nah Ngundam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447720669 PECOS PAC ID: 7416293857 Enrollment ID: I20190107001895 |
Provider Name | Zaiba Mapkar |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336567379 PECOS PAC ID: 9739420795 Enrollment ID: I20190708001504 |
Provider Name | Eric K Rinker |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396087797 PECOS PAC ID: 8527291988 Enrollment ID: I20190725001207 |
Provider Name | Kelly Golladay |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1043783483 PECOS PAC ID: 0143556266 Enrollment ID: I20190727000383 |
Provider Name | Madiha Salim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760845895 PECOS PAC ID: 0941590319 Enrollment ID: I20190830001632 |
Provider Name | Bhavyata Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548789506 PECOS PAC ID: 8224458047 Enrollment ID: I20201016001458 |
Provider Name | Nadia Piccolo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205451259 PECOS PAC ID: 9830508043 Enrollment ID: I20210429000394 |
Provider Name | Fatima Samir Beydoun |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326535667 PECOS PAC ID: 4688939887 Enrollment ID: I20210825002532 |
Provider Name | Salam Saady Brikho |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437612579 PECOS PAC ID: 2264766005 Enrollment ID: I20210914003632 |
Provider Name | Ronald Wayne Vincent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851994008 PECOS PAC ID: 4587047261 Enrollment ID: I20220812000798 |
Provider Name | Ashleigh Ryan Boria |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1679289284 PECOS PAC ID: 5294109724 Enrollment ID: I20230323000511 |
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