Sridhar A Rao (NPI# 1023110780, PAC ID# 0244316594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023110780 |
| PAC ID by PECOS | 0244316594 |
| Professional Enrollment ID | I20100226000507 |
| Full Name | Sridhar A Rao |
| Organization Legal Name | ASCENSION MEDICAL GROUP GENESYS |
| Address |
9030 State Rd Millington MI 48746-8902 |
| Phone Number | 9898714501 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214288281 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230197 | GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK |
| Address | Phone | Organization |
|---|---|---|
| 9030 State Rd, Millington, MI 48746-8902 | 9898714501 | ASCENSION MEDICAL GROUP GENESYS |
| Organization Legal Name | ASCENSION MEDICAL GROUP GENESYS |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Hinman | Family Medicine | Ascension Medical Group Genesys | 6379 Silver Lake Rd, Linden, MI 48451-8706 |
| Heidi B Hilton-kosch | Family Medicine | Ascension Medical Group Genesys | 7477 S State Rd, Goodrich, MI 48438-8745 |
| Megan A Lumsden | Physician Assistant | Ascension Medical Group Genesys | 1434 Flushing Rd, Flushing, MI 48433-2229 |
| Heather M Jones | Nurse Practitioner | Ascension Medical Group Genesys | 435 N Leroy St, Fenton, MI 48430-2731 |
| Rhonda J Morse | Nurse Practitioner | Ascension Medical Group Genesys | 1513 S Ctr Rd, Burton, MI 48509-1728 |
| Danielle M Holt | Nurse Practitioner | Ascension Medical Group Genesys | 4154 W Vienna Rd, Clio, MI 48420-2809 |
| Mandy Trevino | Family Medicine | Ascension Medical Group Genesys | 3045 Grange Hall Rd, Suite 9, Holly, MI 48442-1020 |
| Roger Mausolf | Physician Assistant | Ascension Medical Group Genesys | 8447 Holly Rd, Suite A, Grand Blanc, MI 48439-2479 |
| Claire Mcdowell | Nurse Practitioner | Ascension Medical Group Genesys | 8483 Holly Rd, Grand Blanc, MI 48439-1840 |
| Adrea L Gardner | Physical Therapy | Ascension Medical Group Genesys | 1096 S Belsay Rd G, Ascension Genesys Ambulatory Therapy, Burton, MI 48509-1948 |
| Street Address |
9030 STATE RD |
| City | MILLINGTON |
| State | MI |
| Zip | 48746-8902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa M Ennisdecker | Optometry | 9575 S State Rd, Millington, MI 48746-9482 | |
| Jennifer Lynn Smalley-huber | Optometry | Lakeville Eye Care Center Inc | 9575 S State Rd, Millington, MI 48746-9482 |
| City | MILLINGTON |
| Zip Code | 48746 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MILLINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sridhar A Rao.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.