John A Otremba (NPI# 1174767776, PAC ID# 2567611411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1174767776 |
| PAC ID by PECOS | 2567611411 |
| Professional Enrollment ID | I20121009000436 |
| Full Name | John A Otremba |
| Organization Legal Name | UNIVERSITY PHYSICIAN GROUP |
| Address |
26400 W Twelve Mile Rd Suite 111 Southfield MI 48034-1771 |
| Phone Number | 2483598073 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8628087681 |
| Number of Group Practice Members | 433 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230254 | CRITTENTON HOSPITAL MEDICAL CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 1135 W University Dr, Rochester, MI 48307-1871 | 2486506301 | UNIVERSITY PHYSICIAN GROUP |
| 1135 W University Dr, Suite 250, Rochester, MI 48307-1871 | 2486506301 | UNIVERSITY PHYSICIAN GROUP |
| 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 | 2483598073 | UNIVERSITY PHYSICIAN GROUP |
| 26400 W Twelve Mile Rd, Southfield, MI 48034-1771 | 2483598073 | UNIVERSITY PHYSICIAN GROUP |
| Organization Legal Name | UNIVERSITY PHYSICIAN GROUP |
| Physicians | 393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony M Parendo | Ophthalmology | University Physician Group | 4717 Saint Antoine St, Detroit, MI 48201-1423 |
| Julia Helene Bellamy | Psychologist, Clinical | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Shira Heisler | Pediatric Medicine | University Physician Group | 50 E Canfield, Suite 101 S, Detroit, MI 48201-1804 |
| John David Cramer | Otolaryngology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Bahig Shehata | Pathology | University Physician Group | 3901 Beaubien St 1st Floor Main Bldg, Detroit, MI 48201-2119 |
| Daniel E Montenegro | Ophthalmology | University Physician Group | 15055 Plaza S Dr, Taylor, MI 48180-5202 |
| Golbon Aghamohammadi | Nurse Practitioner | University Physician Group | 1420 Stephenson Hwy, Suite 200, Troy, MI 48083-1189 |
| Michael Matthew Dominello | Radiation Oncology | University Physician Group | 4100 John R St, Detroit, MI 48201-2013 |
| Ijeoma Onyema Nnodim | Internal Medicine | University Physician Group | 50 E Canfield St, Detroit, MI 48201-1804 |
| Edward F Mischel | Clinical Social Worker | University Physician Group | 35425 W Michigan Ave, Wayne, MI 48184-9800 |
| Street Address |
26400 W TWELVE MILE RD SUITE 111 |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48034-1771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John David Cramer | Otolaryngology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Nehman L Lauder | Family Medicine | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Michael Adelard Carron | Otolaryngology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Jeffrey Morris Hotaling | Otolaryngology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Elizabeth J May | Gastroenterology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Russel H York | Rheumatology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Melanie Gwilla Hanna Johnson | Internal Medicine | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Elizabeth Ella Puscheck | Obstetrics/gynecology | University Physician Group | 26400 W Twelve Mile Rd, Southfield, MI 48034-1771 |
| Kendra L Schwartz | Family Practice | University Physician Group | 26400 W Twelve Mile Rd, Southfield, MI 48034-1771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Korial Jerjies Atty | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Bruce E West | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Lisa L Cardwell | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Andrea C Lightbourn | Obstetrics/gynecology | 29600 Northwestern Hwy, Suite 104, Southfield, MI 48034-1016 | |
| George A Lightbourn | Urology | 29600 Northwestern Hwy 104, Southfield, MI 48034-1016 | |
| Rashmi Gupta | Neurology | 29592 Northwestern Hwy, Rashmi Gupta Md Sc, Southfield, MI 48034-1019 | |
| Annie Agbor Arrey-mensah | Allergy/immunology | 29355 Northwestern Hwy, Suite 300, Southfield, MI 48034-1045 | |
| Mary M Hillebrand | Psychologist, Clinical | 27288 Apple Blossom Ln, Southfield, MI 48034-1048 | |
| Daneen Heather Locke | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Lisa Marie Pilley | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Find all physicians in zip 48034 | |||
| City | SOUTHFIELD |
| Zip Code | 48034 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SOUTHFIELD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on John A Otremba.
| 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.