Carrie L Dul (NPI# 1003820648, PAC ID# 0446210801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1003820648 |
| PAC ID by PECOS | 0446210801 |
| Professional Enrollment ID | I20050812000284 |
| Full Name | Carrie L Dul |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Address |
11885 E 12 Mile Rd 100a Sjhmc Great Lakes Cancert Management Specialists Warren MI 48093-3465 |
| Phone Number | 5865761615 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | HEMATOLOGY |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 22101 Moross Rd, Detroit, MI 48236-2148 | ASCENSION ST JOHN HOSPITAL | |
| 22101 Moross Rd, Grosse Pointe, MI 48236-2148 | 3133434000 | ASCENSION ST JOHN HOSPITAL |
| 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 | ASCENSION ST JOHN HOSPITAL | |
| 11885 E 12 Mile Rd, 100a Sjhmc Great Lakes Cancert Management Specialists, Warren, MI 48093-3465 | 5865761615 | ASCENSION ST JOHN HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 74% | |
| MIPS_EC_143_overall | Oncology: Medical and Radiation - Pain Intensity Quantified | 90% | |
| MIPS_EC_144_overall | Oncology: Medical and Radiation - Plan of Care for Pain | 23% |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Physicians | 251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette E Wilson | Family Medicine | Ascension St John Hospital | 21099 Masonic Blvd, Saint Clair Shores, MI 48082-1045 |
| Holly Ouillette | Obstetrics/gynecology | Ascension St John Hospital | 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197 |
| Nishan H Chobanian | Gynecological Oncology | Ascension St John Hospital | 22301 Foster Winter Dr 3rd Floor, Sjhmc V K Malviya Md, Southfield, MI 48075-3707 |
| Andrey A Volkov | Neurosurgery | Ascension St John Hospital | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Ashish Bhargava | Infectious Disease | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Julia K Tesch | Internal Medicine | Ascension St John Hospital | 17141 Kercheval Ave, Grosse Pointe, MI 48230-1660 |
| Eileen M Reickert | Family Medicine | Ascension St John Hospital | 24911 Little Mack Ave C, Saint Clair Shores, MI 48080-3200 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Vamshidhar D Guduguntla | Interventional Cardiology | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| John W Becker | Otolaryngology | Ascension St John Hospital | 11080 Hall Rd A, Sterling Heights, MI 48314-1511 |
| 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 |
|---|---|---|---|
| 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 |
| Howard S Blank | Endocrinology | 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 | HEMATOLOGY/ONCOLOGY |
| City + Specialty | WARREN + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Carrie L Dul.
| 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.