Jason Wulff (NPI# 1760615777, PAC ID# 0244374858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760615777 |
| PAC ID by PECOS | 0244374858 |
| Professional Enrollment ID | I20100220000285 |
| Full Name | Jason Wulff |
| Organization Legal Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address |
11885 E 12 Mile Rd 100a Sjhmc Great Lakes Cancert Management Specialists Warren MI 48093-3465 |
| Phone Number | 5865761615 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 278 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11885 E 12 Mile Rd, 100a Sjhmc Great Lakes Cancert Management Specialists, Warren, MI 48093-3465 | 5865761615 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Organization Legal Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean P Skeffington | Speech Language Pathologist | St John Hospital and Medical Center | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Minuchehe Kashef | Obstetrics/gynecology | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Howard S Rosman | Cardiovascular Disease (cardiology) | St John Hospital and Medical Center | 22101 Moross Rd, Grosse Pointe, MI 48236-2148 |
| Riad El Khatib | Infectious Disease | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Marcus Eber Degraw | Pediatric Medicine | St John Hospital and Medical Center | 22201 Moross Rd, Suite 270, Grosse Pointe, MI 48236-2175 |
| Sai T Katta | Internal Medicine | St John Hospital and Medical Center | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Luise Illuminati | Infectious Disease | St John Hospital and Medical Center | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Matthew C Wilkins | Internal Medicine | St John Hospital and Medical Center | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Denise M Freeman | Certified Registered Nurse Anesthetist | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Kenneth W Bollin | Family Practice | St John Hospital and Medical Center | 22101 Moross Rd, Grosse Pointe, MI 48236-2148 |
| Street Address |
11885 E 12 MILE RD 100A SJHMC GREAT LAKES CANCERT MANAGEMENT SPECIALISTS |
| City | WARREN |
| State | MI |
| Zip | 48093-3465 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie L Dul | Hematology/oncology | Ascension St John Hospital | 11885 E 12 Mile Rd, 100a Sjhmc Great Lakes Cancert Management Specialists, Warren, MI 48093-3465 |
| Thomas J Oneil | Neurology | Michigan Healthcare Professionals PC | 11885 E 12 Mile Rd, Suite 100b, Warren, MI 48093-3465 |
| Harvey Minkin | Diagnostic Radiology | Michigan Healthcare Professionals PC | 11885 E 12 Mile Rd, Suite 100b, Warren, MI 48093-3465 |
| Neil H Alperin | Rheumatology | Michigan Healthcare Professionals PC | 11885 E 12 Mile Rd, Suite 100b, Warren, MI 48093-3465 |
| Elon Knoll | Hematology/oncology | Ascension St John Hospital | 11885 E 12 Mile Rd, 100a Sjhmc Great Lakes Cancert Management Specialists, Warren, MI 48093-3465 |
| Sudhir Lingnurkar | Psychiatry | 11885 E 12 Mile Rd, Suite 204a, Warren, MI 48093-8914 | |
| Reba E Johnson | Allergy/immunology | Michigan Healthcare Professionals PC | 11885 E 12 Mile Rd, Suite 100b, Warren, MI 48093-3465 |
| Allison M Jay | General Practice | Ascension St John Hospital | 11885 E 12 Mile Rd, 100a Sjhmc Great Lakes Cancert Management Specialists, Warren, MI 48093-3465 |
| Eric A Brown | General Surgery | Michigan Healthcare Professionals PC | 11885 E 12 Mile Rd, Suite 100b, Warren, MI 48093-3465 |
| Kenneth F Tucker | Medical Oncology | Michigan Healthcare Professionals PC | 11885 E 12 Mile Rd, Suite 100b, Warren, MI 48093-3465 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Aronovitz | Podiatry | 31730 Hoover Rd B, Warren, MI 48093-1700 | |
| Jane E Krasnick | Allergy/immunology | Warren Allergy and Asthma Care, PC | 31730 Hoover Rd A, Warren, MI 48093-1700 |
| Carey C Linden | Allergy/immunology | Warren Allergy and Asthma Care, PC | 31730 Hoover Rd A, Warren, MI 48093-1700 |
| Ogechi Nita Enyioko | Nurse Practitioner | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Pauline Robinson | Nurse Practitioner | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Barry C Smith | Physician Assistant | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Shobha Subramanian | General Practice | American Home Doctors PC | 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171 |
| Dean A Ruble | General Practice | American Home Doctors PC | 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171 |
| Stephanie M Paluda | Obstetrics/gynecology | Mission Obstetrics and Gynecology P C | 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500 |
| Kristen Wuckert | Obstetrics/gynecology | Mission Obstetrics and Gynecology P C | 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500 |
| Find all physicians in zip 48093 | |||
| City | WARREN |
| Zip Code | 48093 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WARREN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jason Wulff.
| 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.