Tina M Williams (NPI# 1588671978, PAC ID# 3375445299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588671978 |
| PAC ID by PECOS | 3375445299 |
| Professional Enrollment ID | I20040122000251 |
| Full Name | Tina M Williams |
| Organization Legal Name | S L HUSAIN HAMZAVI MD PC |
| Address |
2950 Keewahdin Rd Fort Gratiot MI 48059-3526 |
| Phone Number | 8104551600 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012976590 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230216 | MCLAREN PORT HURON |
| Address | Phone | Organization |
|---|---|---|
| 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 8104551600 | S L HUSAIN HAMZAVI MD PC |
| Organization Legal Name | S L HUSAIN HAMZAVI MD PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Simons | Physician Assistant | S L Husain Hamzavi Md PC | 8584 N Canton Ctr Rd, Canton, MI 48187-1310 |
| Jennifer L Rivard | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| 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 |
| Cynthia Chow | Dermatology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Megan Hribernik | Nurse Practitioner | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Jessica J Mcleod | Nurse Practitioner | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Nada Macaron | Pathology | S L Husain Hamzavi Md PC | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 |
| Street Address |
2950 KEEWAHDIN RD |
| City | FORT GRATIOT |
| State | MI |
| Zip | 48059-3526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Jessica J Mcleod | Nurse Practitioner | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| 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 |
| Sara M Tavora | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| April J Gardner | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Amy E Fabick | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Michele L Boyer | Clinical Social Worker | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Eva Waineo | Psychiatry | Blue Water Mental Health Clinic | 1501 Krafft Rd, Fort Gratiot, MI 48059-3565 |
| Find all physicians in zip 48059 | |||
| City | FORT GRATIOT |
| Zip Code | 48059 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT GRATIOT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tina M Williams.
| 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.