Nicholas R Wilson (NPI# 1407871262, PAC ID# 3779528179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1407871262 |
PAC ID by PECOS | 3779528179 |
Professional Enrollment ID | I20140407001902 |
Full Name | Nicholas R Wilson |
Organization Legal Name | FAMILY MEDICAL CENTER OF MICHIGAN INC |
Address |
1085 N Macomb St Family Medical Ctr of Mi Monroe II Monroe MI 48162-3126 |
Phone Number | 7346392546 |
Gender | M |
Credential | PA |
Graduation Year | 1998 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 2769575653 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230099 | PROMEDICA MONROE REGIONAL HOSPITAL |
360068 | PROMEDICA TOLEDO HOSPITAL |
360262 | MERCY ST ANNE HOSPITAL |
Address | Phone | Organization |
---|---|---|
1085 N Macomb St, Family Medical Ctr of Mi Monroe II, Monroe, MI 48162-3126 | 7346392546 | FAMILY MEDICAL CENTER OF MICHIGAN INC |
8765 Lewis Ave, Temperance, MI 48182-9583 | 7348473802 | FAMILY MEDICAL CENTER OF MICHIGAN INC |
Organization Legal Name | FAMILY MEDICAL CENTER OF MICHIGAN INC |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sandhya Jain | Nurse Practitioner | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
Sin-ching Chiu | Family Medicine | Family Medical Center of Michigan Inc | 1085 N Macomb St, Family Medical Ctr of Mi Monroe II, Monroe, MI 48162-3126 |
Mark T Koehl | Family Medicine | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
Sudheer V. Earanky | Family Medicine | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
John J Kelly | Family Medicine | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
Christina A Yancey | Family Medicine | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
Regina South | Physician Assistant | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
Lekeysha Robinson Royster | Family Medicine | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
Per L Okey | Family Medicine | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
Sarah M Collins | Nurse Practitioner | Family Medical Center of Michigan Inc | 8765 Lewis Ave, Temperance, MI 48182-9583 |
Street Address |
1085 N MACOMB ST FAMILY MEDICAL CTR OF MI MONROE II |
City | MONROE |
State | MI |
Zip | 48162-3126 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sin-ching Chiu | Family Medicine | Family Medical Center of Michigan Inc | 1085 N Macomb St, Family Medical Ctr of Mi Monroe II, Monroe, MI 48162-3126 |
Marissa A Callicott | Physician Assistant | Family Medical Center of Michigan Inc | 1085 N Macomb St, Family Medical Ctr of Mi Monroe II, Monroe, MI 48162-3126 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amal Butler | Clinical Social Worker | 311 N Monroe St, Monroe, MI 48162-2621 | |
Kenneth J Mcnamee | Orthopedic Surgery | Promedica Monroe Physicians Pllc | 214 E Elm Ave, 200 Promedica Physicians Orthopaedic Su, Monroe, MI 48162-2678 |
Marilyn Hatcher | Clinical Social Worker | 214 E Elm Ave, Suite 112, Monroe, MI 48162-2678 | |
Cliff Ferreira | Nurse Practitioner | Ashwin H Shah Md PC | 718 N Macomb St, Mercy Memorial Hospital, Monroe, MI 48162-2900 |
Ashwin H Shah | Urology | Ashwin H Shah Md PC | 730 N Macomb St, Suite 319, Monroe, MI 48162-2900 |
Justin L Chamberlain | General Surgery | Promedica Monroe Physicians Pllc | 730 N Macomb St, 329 Promedica Physicians General Surger, Monroe, MI 48162-2904 |
Stacey M Reaume | Clinical Social Worker | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
Navin K Jain | Pulmonary Disease | Toledo Clinic Incorporated | 730 N Macomb St, Suite 320, Monroe, MI 48162-2904 |
John J Kalenkiewicz | Internal Medicine | 730 N Macomb St, Suite 400, Monroe, MI 48162-2904 | |
Tracy Gomez | Psychologist, Clinical | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
Find all physicians in zip 48162 |
City | MONROE |
Zip Code | 48162 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | MONROE + PHYSICIAN ASSISTANT |
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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.