Brandy Blackston (NPI# 1790158392, PAC ID# 2163718412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1790158392 |
PAC ID by PECOS | 2163718412 |
Professional Enrollment ID | I20160913000483 |
Full Name | Brandy Blackston |
Organization Legal Name | CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC |
Address |
1 Genesys Pkwy Grand Blanc MI 48439-8065 |
Phone Number | 8106065000 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 5698788099 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230193 | MCLAREN LAPEER REGION |
230141 | MCLAREN FLINT |
Address | Phone | Organization |
---|---|---|
1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 8106065000 | CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC |
1031 Suncrest Dr, Lapeer, MI 48446-1136 | 8106644870 | CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC |
Organization Legal Name | CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert M Cleary Jr. | Cardiovascular Disease (cardiology) | Cardiology Consultants of East Michigan Pllc | 1031 Suncrest Dr, Lapeer, MI 48446-1136 |
Abdul K Alawwa | Cardiac Electrophysiology | Cardiology Consultants of East Michigan Pllc | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Jeffrey L Harris | Cardiovascular Disease (cardiology) | Cardiology Consultants of East Michigan Pllc | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Pamela J Handley | Nurse Practitioner | Cardiology Consultants of East Michigan Pllc | 1031 Suncrest Dr, Lapeer, MI 48446-1136 |
Street Address |
1 GENESYS PKWY |
City | GRAND BLANC |
State | MI |
Zip | 48439-8065 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rheannon J Mcdonald | Physician Assistant | Genesys Practice Partners Inc | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Kara A Pavone | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Abdul K Alawwa | Cardiac Electrophysiology | Cardiology Consultants of East Michigan Pllc | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Robert M Fedorow | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Laurie Easter | Anesthesiology | American Anesthesiology of Michigan PC | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Brittany L Keough | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Michael J Sorscher | Orthopedic Surgery | Genesys Practice Partners Inc | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Joseph A Kingsbury | Obstetrics/gynecology | Genesys Practice Partners Inc | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Daniel N Haddad | Internal Medicine | Sound Inpatient Physicians-michigan Pllc | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Austin W Burgess | Emergency Medicine | Observation Medicine Group Pllc | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul J Marcinkoski | Physical Therapy | Team Rehabilitation Gb, LLC | 11236 S Saginaw St, Suite 3, Grand Blanc, MI 48439-1202 |
Sean Murray | Physical Therapy | Team Rehabilitation Gb, LLC | 11236 S Saginaw St, Suite 3, Grand Blanc, MI 48439-1202 |
Steven C Karr | Podiatry | Grand Blanc Family Footcare, P.C. | 11219 S Saginaw, Grand Blanc, MI 48439-1281 |
Ann A Walker | Optometry | Grand Blanc Eyes Pllc | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 |
Timothy Drew Walker | Optometry | Grand Blanc Eyes Pllc | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 |
Peter M Agnone | Optometry | Grand Blanc Eyes Pllc | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 |
Matthew John Agnone | Optometry | Grand Blanc Eyes Pllc | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 |
Katrina R Nicholson | Chiropractic | 500 Perry Rd, Suite 202, Grand Blanc, MI 48439-1421 | |
Badar I Ahmed | Internal Medicine | 500 Perry Rd, Suite 102, Grand Blanc, MI 48439-1452 | |
Indira Alluru | Internal Medicine | 414 Perry Rd, Grand Blanc, MI 48439-1467 | |
Find all physicians in zip 48439 |
City | GRAND BLANC |
Zip Code | 48439 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | GRAND BLANC + PHYSICIAN ASSISTANT |
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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.