Jira Gonzales Coumarbatch (NPI# 1215974753, PAC ID# 2769433374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215974753 |
| PAC ID by PECOS | 2769433374 |
| Professional Enrollment ID | I20050201000509 |
| Full Name | Jira Gonzales Coumarbatch |
| Address |
23077 Greenfield Rd Suite 489 Southfield MI 48075-3740 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230024 | SINAI-GRACE HOSPITAL |
| 230104 | HARPER UNIVERSITY HOSPITAL |
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230273 | DETROIT RECEIVING HOSPITAL |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 23077 Greenfield Rd, Suite 489, Southfield, MI 48075-3740 |
| Street Address |
23077 GREENFIELD RD SUITE 489 |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48075-3740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theonna Monique Hindmon-harris | Nurse Practitioner | Lincoln Medical Center | 23077 Greenfield Rd, Suite 190, Southfield, MI 48075-3741 |
| Hershel C Jackson | Gastroenterology | 23077 Greenfield Rd, Suite 450, Southfield, MI 48075-3760 | |
| Christy L Girvan-bierl | Clinical Social Worker | Thomas Park M.d. PC | 23077 Greenfield Rd, Suite 430, Southfield, MI 48075-3748 |
| Gasper G Novara | Clinical Social Worker | Thomas Park M.d. PC | 23077 Greenfield Rd, Suite 430, Southfield, MI 48075-3748 |
| Hester S Pernell | Internal Medicine | 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3769 | |
| Martin A V Tuma | Vascular Surgery | 23077 Greenfield Rd, Suite 110, Southfield, MI 48075-3744 | |
| James E Haney | Family Medicine | Health Centers Detroit Foundation Inc | 23077 Greenfield Rd, Suite 400, Southfield, MI 48075-3740 |
| Sailaja Peddireddy | Internal Medicine | 23077 Greenfield Rd, Suite 240, Southfield, MI 48075-3744 | |
| Kevin V Barber | Psychologist, Clinical | Thomas Park M.d. PC | 23077 Greenfield Rd, Suite 430, Southfield, MI 48075-3748 |
| David Criss | Internal Medicine | Lincoln Medical Center | 23077 Greenfield Rd, Suite 190, Southfield, MI 48075-3741 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
| Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
| James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
| Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
| Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
| Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
| Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Find all physicians in zip 48075 | |||
| City | SOUTHFIELD |
| Zip Code | 48075 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTHFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jira Gonzales Coumarbatch.
| 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.