Mark Zawisa (NPI# 1386612406, PAC ID# 1951434562) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386612406 |
| PAC ID by PECOS | 1951434562 |
| Professional Enrollment ID | I20100803001008 |
| Full Name | Mark Zawisa |
| Organization Legal Name | IHA HEALTH SERVICES CORPORATION |
| Address |
23200 Pontiac Trl Suite 100 South Lyon MI 48178-1983 |
| Phone Number | 7347476766 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2466351440 |
| Number of Group Practice Members | 635 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230069 | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL |
| 230156 | ST JOSEPH MERCY HOSPITAL |
| 230259 | ST JOSEPH MERCY CHELSEA |
| 230046 | UNIVERSITY OF MICHIGAN HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 23200 Pontiac Trl, Suite 100, South Lyon, MI 48178-1983 | 7347476766 | IHA HEALTH SERVICES CORPORATION |
| Organization Legal Name | IHA HEALTH SERVICES CORPORATION |
| Physicians | 657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Stebelton | Nurse Practitioner | Iha Health Services Corporation | 212 S Main St A, Iha Primary Care Brooklyn, Brooklyn, MI 49230-9114 |
| David Bavers | Family Medicine | Iha Health Services Corporation | 24 Frank Lloyd Wright Dr Lobby, J2000 Iha Home Health Services, Ann Arbor, MI 48105-9484 |
| Tomas A Murphy | Internal Medicine | Iha Health Services Corporation | 111 N Huron St, 200 Neighborhoos Hlth Ctr, Ypsilanti, MI 48197-2676 |
| Robert Camilletti | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Kassandra Maple | Clinical Social Worker | Iha Health Services Corporation | 4936 W Clark Rd 100 Bld D, Ypsilanti, MI 48197-0861 |
| Caitlin C Parker | Obstetrics/gynecology | Iha Health Services Corporation | 4936 W Clark Rd, 100 Iha Associates In Gynecology and Obstetrics, Ypsilanti, MI 48197-0861 |
| Charis M Hill | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Emma Pryser | Nurse Practitioner | Iha Health Services Corporation | 2305 Genoa Nusiness Park Dr, 210 Iha Breast Surgery, Brighton, MI 48197-7005 |
| Kacie Hadley | Nurse Practitioner | Iha Health Services Corporation | 4200 Whitetail Dr, 130 Iha Medicine Float Providers, Ann Arbor, MI 48105-9694 |
| Daniel Meram | Hospitalist | Iha Health Services Corporation | 39201 7 Mile Rd, Rm 140 C, Livonia, MI 48152-1079 |
| Street Address |
23200 PONTIAC TRL SUITE 100 |
| City | SOUTH LYON |
| State | MI |
| Zip | 48178-1983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Morelli | Family Medicine | Iha Health Services Corporation | 23200 Pontiac Trl, Suite 100, South Lyon, MI 48178-1983 |
| Natalie Baer | Family Medicine | Iha Health Services Corporation | 23200 Pontiac Trl, Suite 100, South Lyon, MI 48178-1983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry G Kaplan | Chiropractic | 410 N Lafayette St, South Lyon, MI 48178-1378 | |
| Veronica Dpt Chenault | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Michael Forgach | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Janet M Cronin | Occupational Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Jennifer R Morris | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 301 S Lafayette St, Ati Physical Therapy, South Lyon, MI 48178-1407 |
| Barbara A Herzog | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Prajnya Shenoy Katapadikar | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 22450 Pontiac Trl, South Lyon, MI 48178-1618 |
| Anthony M Mastrogiacomo | Podiatry | 22245 Pontiac Trail, South Lyon, MI 48178-1639 | |
| Philip Kontry | Optometry | 22371 Pontiac Trl, South Lyon, MI 48178-1658 | |
| Fred E Weiser | Optometry | Oakland Vision Services, P.C. | 608 N Lafayette St, South Lyon, MI 48178-2001 |
| Find all physicians in zip 48178 | |||
| City | SOUTH LYON |
| Zip Code | 48178 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTH LYON + FAMILY MEDICINE |
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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.