Tariq Aqil Siddiqi (NPI# 1235157421, PAC ID# 1355239864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235157421 |
| PAC ID by PECOS | 1355239864 |
| Professional Enrollment ID | I20040308000222 |
| Full Name | Tariq Aqil Siddiqi |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Address |
750 High St Adrian MI 49221-1443 |
| Phone Number | 5172645111 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012902265 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230005 | EMMA L BIXBY MEDICAL CENTER |
| 231334 | PROMEDICA HERRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 750 High St, Adrian, MI 49221-1443 | 5172645111 | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maura Ann Crescenzo | Nurse Practitioner | Promedica Central Corporation of Michigan | 500 E Pottawatamie, Tecumseh, MI 49286-2018 |
| Jennifer Lewis | Nurse Practitioner | Promedica Central Corporation of Michigan | 781 Lakeshire Trail, Adrian, MI 49221-1561 |
| Mary Beth Darling | Nurse Practitioner | Promedica Central Corporation of Michigan | 200 E Russell Rd C, Tecumseh, MI 49286-2072 |
| Mindy A Howard | Nurse Practitioner | Promedica Central Corporation of Michigan | 901 Kimole Ln, A4, Adrian, MI 49221-1491 |
| Shimea L Hunt | Physician Assistant | Promedica Central Corporation of Michigan | 200 E Russell Rd, Unit C, Tecumseh, MI 49286-2072 |
| Daniel R Doman | Family Medicine | Promedica Central Corporation of Michigan | 818 Riverside Ave 5th Floor Cardiology, Adrian, MI 49221-1446 |
| Louise A Justus | Physician Assistant | Promedica Central Corporation of Michigan | 400 N Main St A, Onsted, MI 49265-9203 |
| Konda B C Mouli | Urology | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| Jody C Rhames | Family Medicine | Promedica Central Corporation of Michigan | 901 Kimole Lane, A1, Adrian, MI 49221-1491 |
| Sarah Marie Farmer | Nurse Practitioner | Promedica Central Corporation of Michigan | 901 Kimole Lane, A1, Adrian, MI 49221-1491 |
| Street Address |
750 HIGH ST |
| City | ADRIAN |
| State | MI |
| Zip | 49221-1443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald J Martin Jr. | General Surgery | Promedica Central Corporation of Michigan | 750 High St, Adrian, MI 49221-1443 |
| Abdul G Arshad | General Surgery | Promedica Central Corporation of Michigan | 750 High St, Adrian, MI 49221-1443 |
| Padmaja R Mouli | Internal Medicine | Promedica Central Corporation of Michigan | 750 High St, Adrian, MI 49221-1443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory P Shemick | Chiropractic | 3264 N Adrian Hwy, Adrian, MI 49221-1144 | |
| Alan L Ellerholz | Chiropractic | 2890 N Adrian Hwy, Adrian, MI 49221-1190 | |
| Chad W Edison | Chiropractic | 1921 Us Hwy 223, Adrian, MI 49221-1242 | |
| Tayler J Suydam | Chiropractic | 1149 Sand Creek Hwy, Unit B, Adrian, MI 49221-1288 | |
| Jonathan M Bernstein | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| David P Trujillo | Optometry | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Rashawn W Venerable | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Neal A Tolchin | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Andrew Smith Jr. | Obstetrics/gynecology | 1548 W Maumee St G, Adrian, MI 49221-1382 | |
| Michele A Gardner | Obstetrics/gynecology | 1542 W Maple Ave, Adrian, MI 49221-1392 | |
| Find all physicians in zip 49221 | |||
| City | ADRIAN |
| Zip Code | 49221 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ADRIAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tariq Aqil Siddiqi.
| 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.