ASCENSION MEDICAL GROUP MICHIGAN (NPI# 1588737266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588737266 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Practice Address |
46591 Romeo Plank Rd Suite 205 Macomb MI 48044-5742 |
| Mailing Address |
43750 Garfield Rd Suite 211 Clinton Township MI 48038-1135 |
| Practice Telephone | 5862266250 |
| Practice Fax Number | 5862266204 |
| Mailing Telephone | 5862284652 |
| Mailing Fax Number | 5862284533 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | MARTHA JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 2486808004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP NUMBER | 0E01172 | 01 |
| MI | RAILROAD MEDICARE GROUP NUMBER | CG3113 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801992557 | Ascension Medical Group Michigan | Podiatrist | 13935 Plumbrook Rd, Sterling Heights, MI 48312-1727 | 2006-09-16 |
| 1770984601 | Ascension Medical Group Michigan | Clinical Medical Laboratory | 19229 Mack Ave, Suite 27, Grosse Pointe Woods, MI 48236-2858 | 2014-09-10 |
| 1871913228 | Ascension Medical Group Michigan | Clinical Medical Laboratory | 1901 Star Batt Dr, Rochester Hills, MI 48309-3712 | 2014-04-24 |
| 1851732226 | Ascension Medical Group Michigan | Family Medicine | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2013-07-12 |
| 1316197502 | Ascension Medical Group Michigan | Internal Medicine | 2033 Crooks Rd, Royal Oak, MI 48073-4049 | 2008-09-24 |
| 1548433626 | Ascension Medical Group Michigan | Surgery | 4014 River Rd, 3b, East China, MI 48054-2916 | 2008-04-09 |
| 1629272968 | Ascension Medical Group Michigan | Dentist | 22201 Moross Rd, Detroit, MI 48236-2169 | 2007-06-12 |
| 1730380254 | Ascension Medical Group Michigan | Family Medicine | 37771 Schoenherr Rd, Suite 104, Sterling Heights, MI 48312-2302 | 2007-05-31 |
| 1114133485 | Ascension Medical Group Michigan | Pediatrics | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2007-05-15 |
| 1144436411 | Ascension Medical Group Michigan | Nurse Practitioner | 42645 Garfield Rd, Clinton Township, MI 48038-5022 | 2007-05-15 |
| Street Address |
46591 ROMEO PLANK RD SUITE 205 |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013750 | Mohammad S Saberi | Pediatrics | 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044-5742 | 2005-09-20 |
| 1992014880 | Karen L Demsich | Pharmacist | 46591 Romeo Plank Rd, Macomb, MI 48044-5742 | 2010-09-27 |
| 1437472826 | Abdulbaset Sulaiman Md PC | Internal Medicine | 46591 Romeo Plank Rd, Suite 137, Macomb, MI 48044-5742 | 2010-03-12 |
| 1073765046 | Medical Resource Group | Clinic/Center | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5742 | 2008-10-21 |
| 1740445337 | St John Hospital and Medical Center | Radiology | 46591 Romeo Plank Rd, Suite 137, Macomb, MI 48044-5742 | 2008-07-23 |
| 1134246804 | Jeffrey George Alaska | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-03-26 |
| 1275650574 | Loren David Nowc | Occupational Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-03-23 |
| 1417098989 | Leann Piechocki | Pharmacist | 46591 Romeo Plank Rd, Suite 125, Macomb, MI 48044-5742 | 2007-02-09 |
| 1033268339 | Lori Ann Hamby | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-01-09 |
| 1568510147 | Monika Maria Peddycord | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063563476 | Yasser Mohamed Hassane | Pediatrics | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2007-01-13 |
| 1356430664 | Medical Group of Macomb, LLC | Pediatrics | 505 E Grant St Ste 103, Macomb, IL 61455-3308 | 2006-10-12 |
| 1376632208 | David Robert Mandy | Pediatrics | 46600 Romeo Plank Rd, Suite 4, Macomb, MI 48044-5741 | 2006-10-11 |
| 1073616173 | Azra Hakimi | Pediatrics | 46591 Romeo Plank, Suite 131, Macomb, MI 48044 | 2006-09-06 |
| 1407896921 | Renee Lindahl Catrambone | Pediatrics | 46591 Romeo Plank Rd Ste 205, Macomb, MI 48044-5705 | 2006-06-07 |
| 1124013750 | Mohammad S Saberi | Pediatrics | 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044-5742 | 2005-09-20 |
| 1114922044 | Khaled A Dabash | Pediatrics | 515 E Grant St, Macomb, IL 61455-3368 | 2005-06-16 |
| 1447780754 | Ruhel Ahmad | Pediatrics | 46591 Romeo Plank Rd Ste 205, Macomb, MI 48044-5705 | 2017-06-19 |
| 1619323466 | David R Mandy Do, PC | Pediatrics | 46600 Romeo Plank Rd, Suite 4, Macomb, MI 48044-5741 | 2016-05-11 |
| 1134559735 | Y Hassane Md PC | Pediatrics | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2013-11-18 |
| Find all providers in MACOMB | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.