Michelle A Konieczny (NPI# 1609869015, PAC ID# 2365410016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1609869015 |
| PAC ID by PECOS | 2365410016 |
| Professional Enrollment ID | I20040921000011 |
| Full Name | Michelle A Konieczny |
| Organization Legal Name | ST CLAIR SHORES OBSTETRICS AND GYNECOLGY, PLC |
| Address |
19714 E 10 Mile Rd St Clair Shores MI 48080-1064 |
| Phone Number | 5867799400 |
| Gender | F |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9638146251 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 | 5867799400 | ST CLAIR SHORES OBSTETRICS AND GYNECOLGY, PLC |
| Organization Legal Name | ST CLAIR SHORES OBSTETRICS AND GYNECOLGY, PLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wontika R Smith | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Constantine Sam Raphtis | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Anne B Mccarren | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Jennifer G Kuzel | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Kami Kveton | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Street Address |
19714 E 10 MILE RD |
| City | ST CLAIR SHORES |
| State | MI |
| Zip | 48080-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wontika R Smith | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Constantine Sam Raphtis | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Anne B Mccarren | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Jennifer G Kuzel | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Kami Kveton | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zaid Riyadh Kasmikha | Internal Medicine | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| George B Ghanem | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Joan S Crawford | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Simone N Cowan | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Basil M Dudar | Interventional Cardiology | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Michael T Tucciarone | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Marc O Gosselin | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Georges B Ghafari | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Edouard R Daher | Interventional Cardiology | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| William J Cushing | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Find all physicians in zip 48080 | |||
| City | ST CLAIR SHORES |
| Zip Code | 48080 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ST CLAIR SHORES + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Michelle A Konieczny.
| 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.