Robert E Ennis Sr. (NPI# 1063793594, PAC ID# 0941447080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1063793594 |
| PAC ID by PECOS | 0941447080 |
| Professional Enrollment ID | I20130625000313 |
| Full Name | Robert E Ennis Sr. |
| Organization Legal Name | ENNIS CENTER FOR CHILDREN INC |
| Address |
129 E 3rd St Flint MI 48502-1728 |
| Phone Number | 8102334031 |
| Gender | M |
| Graduation Year | 1969 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1052558194 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 129 E 3rd St, Flint, MI 48502-1728 | 8102334031 | ENNIS CENTER FOR CHILDREN INC |
| Organization Legal Name | ENNIS CENTER FOR CHILDREN INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Horne | Clinical Social Worker | Ennis Center for Children Inc | 129 E 3rd St, Flint, MI 48502-1728 |
| Street Address |
129 E 3RD ST |
| City | FLINT |
| State | MI |
| Zip | 48502-1728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Horne | Clinical Social Worker | Ennis Center for Children Inc | 129 E 3rd St, Flint, MI 48502-1728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary K Johnson | Pediatric Medicine | 630 S Saginaw St, Suite 4, Flint, MI 48502-1540 | |
| Jagdish K Shah | Internal Medicine | Genesys Integrated Group Practice PC | 307 E Court St, Flint, MI 48502-1611 |
| Deborah S Smith | Physical Therapy | Genesys Integrated Group Practice PC | 307 E Court St, Flint, MI 48502-1611 |
| Geneva Harvey | Clinical Social Worker | Training and Treatment Innovations Inc | 929 Stevens St, Flint, MI 48502-1620 |
| Lynnette S La Brecque | Clinical Social Worker | Training and Treatment Innovations Inc | 929 Stevens St, Flint, MI 48502-1620 |
| Amanda R Southern | Clinical Social Worker | Training and Treatment Innovations Inc | 929 Stevens St, Flint, MI 48502-1620 |
| Jeannette M Brunetti | Registered Dietitian Or Nutrition Professional | 225 E 5th St, Suite 200, Flint, MI 48502-1641 | |
| Kirk J Stucky | Psychologist, Clinical | Hurley Medical Center | 111 E Court St, 1b1 Hurley Clinical Psychologists, Flint, MI 48502-1649 |
| Lauren Marie Golla | Psychologist, Clinical | Hurley Medical Center | 111 E Court St, 1b1 Hurley Clinical Psychologists, Flint, MI 48502-1649 |
| Anton Strocel | Obstetrics/gynecology | Ascension Genesys Hospital | 420 S Saginaw St, Flint, MI 48502-1803 |
| Find all physicians in zip 48502 | |||
| City | FLINT |
| Zip Code | 48502 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FLINT + CLINICAL SOCIAL WORKER |
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| 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.