Daniel C Souphis (NPI# 1225004252, PAC ID# 3173664406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225004252 |
| PAC ID by PECOS | 3173664406 |
| Professional Enrollment ID | I20100108000872 |
| Full Name | Daniel C Souphis |
| Organization Legal Name | PHYSICIAN HEALTHCARE NETWORK PC |
| Address |
4190 24th Ave Fort Gratiot MI 48059-3882 |
| Phone Number | 8109897788 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476456252 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230216 | MCLAREN PORT HURON |
| 230031 | LAKE HURON MEDICAL CENTER |
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4190 24th Ave, Fort Gratiot, MI 48059-3882 | 8109897788 | PHYSICIAN HEALTHCARE NETWORK PC |
| 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 8109875000 | PHYSICIAN HEALTHCARE NETWORK PC |
| Organization Legal Name | PHYSICIAN HEALTHCARE NETWORK PC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Marie Sabala | Nurse Practitioner | Physician Healthcare Network PC | 2425 Military St, Bldg 2, Port Huron, MI 48060-6692 |
| Danielle Holly Quinn | Nurse Practitioner | Physician Healthcare Network PC | 3350 Gratiot Blvd, Marysville, MI 48040-2121 |
| Jessica A Onufrak | Nurse Practitioner | Physician Healthcare Network PC | 1600 Gratiot Blvd, Marysville, MI 48040-1145 |
| Vicki J Gould-kling | Nurse Practitioner | Physician Healthcare Network PC | 1216 Washington Ave, Port Huron, MI 48060-3555 |
| John J Zmiejko | Pediatric Medicine | Physician Healthcare Network PC | 4154 River Rd, Suite 1, East China, MI 48054-2929 |
| Pietro Cavataio | Family Medicine | Physician Healthcare Network PC | 36267 26 Mile Rd, Suite 3, Lenox, MI 48048-3253 |
| Michael Kelly Paul | Emergency Medicine | Physician Healthcare Network PC | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Farrukh Zaman Naqvi | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Shaun Fitzpatrick Baker | Physician Assistant | Physician Healthcare Network PC | 1231 Pine Grove Ave, Suite 2a, Port Huron, MI 48060-3500 |
| Vipul Khanpara | Emergency Medicine | Physician Healthcare Network PC | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Street Address |
4190 24TH AVE |
| City | FORT GRATIOT |
| State | MI |
| Zip | 48059-3882 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Sachs | Internal Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Farrukh Zaman Naqvi | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Crystal Kay Pennell | Nurse Practitioner | Cardiology Assoc of Port Huron | 4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884 |
| Philip Milan Matich | Family Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Christopher John Borgiel | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Omar Amin Turk | Neurology | 4190 24th Ave, Suite 210, Fort Gratiot, MI 48059-3882 | |
| Stacie Lynne Hill | Physician Assistant | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Gaurav Bhalla | Internal Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Judith A Kaszyca | Nurse Practitioner | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Tamara Dawn Yoas | Nurse Practitioner | Cardiology Assoc of Port Huron | 4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy J Plonka | Internal Medicine | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Laura Winkelman | Nurse Practitioner | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Heidi M Mccullah | Optometry | 4845 24th Ave, Fort Gratiot, MI 48059-3407 | |
| Hargopal Tekumulla | Physical Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Sushree Tekumulla | Occupational Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Jennifer J Marlin | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Ashley Carriveau | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Syed H Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Tina M Williams | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Find all physicians in zip 48059 | |||
| City | FORT GRATIOT |
| Zip Code | 48059 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT GRATIOT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daniel C Souphis.
| 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.