Heather Tack (NPI# 1023301595, PAC ID# 3173790151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1023301595 |
PAC ID by PECOS | 3173790151 |
Professional Enrollment ID | I20120113000462 |
Full Name | Heather Tack |
Organization Legal Name | METRO INFECTIOUS DISEASE CONSULTANTS LLC |
Address |
15474 N Haggerty Rd Plymouth MI 48170-4893 |
Phone Number | 7343356103 |
Gender | F |
Graduation Year | 2003 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3072425784 |
Number of Group Practice Members | 202 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230130 | BEAUMONT HOSPITAL, ROYAL OAK |
Address | Phone | Organization |
---|---|---|
15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 7343356103 | METRO INFECTIOUS DISEASE CONSULTANTS LLC |
Organization Legal Name | METRO INFECTIOUS DISEASE CONSULTANTS LLC |
Physicians | 192 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa H Green | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 1102 Monroe St Sw, Huntsville, AL 35801-5029 |
Georgia Olga Pozios | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 43134 Dequindre Rd, Sterling Heights, MI 48314-1723 |
Andre Cristian De Jesus | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 24640 Jefferson Ave, Suite 208, Murrieta, CA 92562-9027 |
Sherry Bloodworth | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 18285 E 10 Mile Rd, Suite 150, Roseville, MI 48066-5808 |
Emma Harms O'neal | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 2700 Rogers Dr, Suite 209, Birmingham, AL 35209-2056 |
Monique Mansfield | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 929 Ridge Rd, Suite 7, Munster, IN 46321-1769 |
Kairav Shah | Infectious Disease | Metro Infectious Disease Consultants LLC | 7444 Hannover Pkwy S, Suite 210, Stockbridge, GA 30281-7847 |
Rebecca Rachele Taylor | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 451 S Landmark Ave, Bloomington, IN 47403-5004 |
Melissa A Douthit | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 3665 Park Pl W, Suite 300, Mishawaka, IN 46545-3566 |
Megan E Tate | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 2556 Waterbridge Way, Evansville, IN 47710-3200 |
Street Address |
15474 N HAGGERTY RD |
City | PLYMOUTH |
State | MI |
Zip | 48170-4893 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anthony F Ognjan | Infectious Disease | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Libby N Yu | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Shivani Singh | Infectious Disease | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Rhose V Fernandez | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Suganthini Natesan Krishnan | Infectious Disease | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Sherry Maureen Macdonald | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Jan Silverman | Infectious Disease | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Sonja Sekulovski | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Kalyani T Movva | Infectious Disease | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Matt A Niemczewski | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Earnestine Coates | Clinical Social Worker | Perspectives of Troy PC | 705 S Main St, Suite 280, Plymouth, MI 48170-1060 |
Paul W Kenzie | Optometry | 108 N Main St, Plymouth, MI 48170-1236 | |
Julie Encelewski | Clinical Social Worker | 304 N Main St, Suite 303, Plymouth, MI 48170-1237 | |
Sarah M Diponio Tulchinsky | Optometry | 253 N Main St, Plymouth, MI 48170-1238 | |
Richard L Semlow | Chiropractic | 247 N Main St, Concierge Chiropractic, Plymouth, MI 48170-1238 | |
Jeffrey W Greer | Chiropractic | 245 N Main St, Plymouth, MI 48170-1238 | |
James R Muldoon | Chiropractic | 247 N Main St, Neurologic Chiropractic Care, Plymouth, MI 48170-1238 | |
David G Atiyeh | Chiropractic | 247 N Main St, Plymouth, MI 48170-1238 | |
Steven J Ceresnie | Psychologist, Clinical | 199 N Main St Su, Suite 202, Plymouth, MI 48170-1271 | |
Katherine C Gothard | Psychologist, Clinical | 199 N Main St, Suite 116, Plymouth, MI 48170-1272 | |
Find all physicians in zip 48170 |
City | PLYMOUTH |
Zip Code | 48170 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PLYMOUTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Heather Tack.
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.