Tallal M Zeni (NPI# 1619995529, PAC ID# 1254376866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1619995529 |
| PAC ID by PECOS | 1254376866 |
| Professional Enrollment ID | I20050623001029 |
| Full Name | Tallal M Zeni |
| Organization Legal Name | ST MARY MERCY PHYSICIAN PRACTICES |
| Address |
36622 Five Mile Rd Suite 202 Livonia MI 48154-1900 |
| Phone Number | 7346552692 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 4587742804 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230002 | ST MARY MERCY HOSPITAL |
| 230029 | ST JOSEPH MERCY OAKLAND |
| 230069 | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL |
| 230156 | ST JOSEPH MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 620 Byron Rd, Suite 1200, Howell, MI 48843-1002 | 7346552950 | ST MARY MERCY PHYSICIAN PRACTICES |
| 14555 Levan Rd, Livonia, MI 48154-5041 | ST MARY MERCY PHYSICIAN PRACTICES | |
| 36475 5 Mile Rd, Livonia, MI 48154-1971 | 7346551320 | ST MARY MERCY PHYSICIAN PRACTICES |
| 36622 Five Mile Rd, Suite 202, Livonia, MI 48154-1900 | 7346552692 | ST MARY MERCY PHYSICIAN PRACTICES |
| Organization Legal Name | ST MARY MERCY PHYSICIAN PRACTICES |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel B Marcucci | Internal Medicine | St Mary Mercy Physician Practices | 14600 Farmington Rd, Suite 105, Livonia, MI 48154-5431 |
| Cheryl Ann Cascio | Nurse Practitioner | St Mary Mercy Physician Practices | 36622 Five Mile Rd, Suite 202, Livonia, MI 48154-1900 |
| Jenny Phu Shih | Family Medicine | St Mary Mercy Physician Practices | 36650 Grand River Ave, Suite 101, Farmington, MI 48335-2916 |
| Anil K Jain | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Jay M Daitch | Internal Medicine | St Mary Mercy Physician Practices | 20206 Farmington Rd, Livonia, MI 48152-1412 |
| Catherine K Winslow | Obstetrics/gynecology | St Mary Mercy Physician Practices | 15370 Levan Rd, Suite 1, Livonia, MI 48154-1903 |
| Anthony Vettraino | Family Practice | St Mary Mercy Physician Practices | 39201 Seven Mile Rd Bldg Rm, 140 St Joes Urgent Care Livonia, Livonia, MI 48152-1079 |
| Courtney Paladino | Clinical Social Worker | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Brandon G Moore | Psychiatry | St Mary Mercy Physician Practices | 36475 5 Mile Rd, Livonia, MI 48154-1971 |
| Cheryl L Vandewege | Nurse Practitioner | St Mary Mercy Physician Practices | 14555 Levan Rd, Livonia, MI 48154-5041 |
| Street Address |
36622 FIVE MILE RD SUITE 202 |
| City | LIVONIA |
| State | MI |
| Zip | 48154-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Ann Cascio | Nurse Practitioner | St Mary Mercy Physician Practices | 36622 Five Mile Rd, Suite 202, Livonia, MI 48154-1900 |
| Alan Sabah Putrus | Internal Medicine | St Mary Mercy Physician Practices | 36622 Five Mile Rd, Suite 202, Livonia, MI 48154-1900 |
| Carrie L Rupe | Physician Assistant | St Mary Mercy Physician Practices | 36622 Five Mile Rd, Suite 202, Livonia, MI 48154-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Gorski | Plastic and Reconstructive Surgery | Michigan Surgery Specialists PC | 37560 Professional Ctr Dr, Suite 105a, Livonia, MI 48154-1114 |
| David E Karle | Family Medicine | Ascension Providence Hospital | 37650 Professional Ctr Dr, Suite 1010a, Livonia, MI 48154-1117 |
| Dawn M Brown | Clinical Social Worker | Stonebrook Counseling Associates Pllc | 37799 Professional Ctr Dr, Suite 106, Livonia, MI 48154-1123 |
| Nada L Whitfield | Clinical Social Worker | Stonebrook Counseling Associates Pllc | 37799 Professional Ctr Dr, Suite 106, Livonia, MI 48154-1123 |
| Judith A Anderson | Clinical Social Worker | Stonebrook Counseling Associates Pllc | 37799 Professional Ctr Dr, Suite 106, Livonia, MI 48154-1123 |
| Raymond F Gadowski | Cardiovascular Disease (cardiology) | Advanced Cardiovascular Health Specialists PC | 37799 Professional Ctr Dr, Suite 105, Livonia, MI 48154-1123 |
| Nancy D Petrides | Clinical Social Worker | Stonebrook Counseling Associates Pllc | 37799 Professional Ctr Dr, Suite 106, Livonia, MI 48154-1123 |
| Salwan P Anton | Cardiovascular Disease (cardiology) | Advanced Cardiovascular Health Specialists PC | 37799 Professional Ctr Dr, Suite 105, Livonia, MI 48154-1123 |
| Coye T Carver | Ophthalmology | Eye Clinic of Livonia, P.C. | 37650 Professional Ctr Dr, Suite 125a, Livonia, MI 48154-1139 |
| Michael A Mandell | Ophthalmology | Eye Clinic of Livonia, P.C. | 37650 Professional Ctr Dr, Suite 125a, Livonia, MI 48154-1139 |
| Find all physicians in zip 48154 | |||
| City | LIVONIA |
| Zip Code | 48154 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LIVONIA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Tallal M Zeni.
| 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.