Jeffrey Louis Provizer (NPI# 1316931405, PAC ID# 3072647783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1316931405 |
PAC ID by PECOS | 3072647783 |
Professional Enrollment ID | I20100817001105 |
Full Name | Jeffrey Louis Provizer |
Organization Legal Name | MCLAREN OAKLAND |
Address |
50 N Perry St Pontiac Osteopathic Hospital Pontiac MI 48342-2253 |
Phone Number | 2483385000 |
Gender | M |
Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
Graduation Year | 1996 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0547173213 |
Number of Group Practice Members | 71 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230130 | BEAUMONT HOSPITAL, ROYAL OAK |
Address | Phone | Organization |
---|---|---|
50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 | 2483385000 | MCLAREN OAKLAND |
Organization Legal Name | MCLAREN OAKLAND |
Physicians | 70 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy B Legghio | Nurse Practitioner | Mclaren Oakland | 1080 Harrington St, Suite 202, Mount Clemens, MI 48043-2903 |
Rachel L Young | Family Medicine | Mclaren Oakland | 180 N Ortonville Rd, Pontiac Osteopathic Hospital, Ortonville, MI 48462-8575 |
Nitisha Hiranandani | Family Medicine | Mclaren Oakland | 4000 Highland Rd, Suite 114, Waterford, MI 48328-2163 |
Anteneh A Tesfaye | Hematology/oncology | Mclaren Oakland | 5680 Bow Pointe Dr, Suite 202, Clarkston, MI 48346-5407 |
Joyce John | Nurse Practitioner | Mclaren Oakland | 385 N Lapeer Rd, Pontiac Osteopathic Hospital, Oxford, MI 48371-3610 |
Amy M Weise | Hematology/oncology | Mclaren Oakland | 43097 Woodward Ave, 100 Karmanos Mclaren Oakland Bloomfield, Bloomfield Hills, MI 48302-5042 |
John F Kazmierski | Internal Medicine | Mclaren Oakland | 6507 Town Ctr Dr, Suite A, Clarkston, MI 48346-4826 |
Preston D Thomas | Family Medicine | Mclaren Oakland | 4400 Dixie Hwy, Waterford, MI 48329-3567 |
Richard L Cohen | Family Medicine | Mclaren Oakland | 1240 S Lapeer Rd, Suite 101, Lake Orion, MI 48360-1470 |
Lawrence J Cowsill | Internal Medicine | Mclaren Oakland | 950 University Dr, Pontiac, MI 48342-1865 |
Street Address |
50 N PERRY ST PONTIAC OSTEOPATHIC HOSPITAL |
City | PONTIAC |
State | MI |
Zip | 48342-2253 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeremy L Kramer | Anesthesiology | Anesthesia Services Associates PC | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 |
Baraa Alosh | Pathology | Flint Clinical Pathologist PC | 50 N Perry St, Pontiac, MI 48342-2253 |
Ashley Marie Richardson | General Surgery | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
Amy E Oneil | Cardiovascular Disease (cardiology) | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
Derrick Pratte Olzack | Physician Assistant | Acute Care Surgery Medical Group Inc | 50 N Perry St, Pontiac, MI 48342-2217 |
Olessya V Bolotov | Nurse Practitioner | Fadi Salloum Md PC | 50 N Perry St, Pontiac, MI 48342-2217 |
Craig L Magnatta | Family Medicine | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
Taylor G Walden | Optometry | 50 N Perry St, Hagerstown, IN 47346-1223 | |
Erin T Martin | Physician Assistant | Mclaren Oakland | 50 N Perry St, Pontiac Osteopathic Hospital, Pontiac, MI 48342-2253 |
Jason David Pasley | General Surgery | Acute Care Surgery Medical Group Inc | 50 N Perry St, Mclaren Oakland, Pontiac, MI 48342-2217 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Bryan Keith Swilley | General Practice | 673 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1679 | |
Lawrence J Cowsill | Internal Medicine | Mclaren Oakland | 950 University Dr, Pontiac, MI 48342-1865 |
Richard J Keirn | Internal Medicine | Mclaren Oakland | 950 University Dr, Pontiac, MI 48342-1865 |
Herbert L Isaac Ii | Family Medicine | 989 University Dr, Suite 101, Pontiac, MI 48342-1885 | |
Carmen L Cardona | General Practice | 989 University Dr, Suite 102, Pontiac, MI 48342-1885 | |
Jigger Garcia | Nurse Practitioner | Fadi Salloum Md PC | 50 N Perry, Pontiac, MI 48342-2217 |
David L Parsons | Emergency Medicine | Degara App Pllc | 50 N Perry St, Pontiac, MI 48342-2217 |
Mariana G Manescu | Nurse Practitioner | Fadi Salloum Md PC | 50 N Perry St, Pontiac, MI 48342-2217 |
Fadi Salloum | Internal Medicine | Fadi Salloum Md PC | 50 N Perry St, Pontiac, MI 48342-2217 |
Maha Hassan | Emergency Medicine | Degara App Pllc | 50 N Perry St, Pontiac, MI 48342-2217 |
Find all physicians in zip 48342 |
City | PONTIAC |
Zip Code | 48342 |
Specialty | FAMILY MEDICINE |
City + Specialty | PONTIAC + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey Louis Provizer.
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.