Mark A Mishack (NPI# 1831191485, PAC ID# 3779631080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1831191485 |
| PAC ID by PECOS | 3779631080 |
| Professional Enrollment ID | I20090424000338 |
| Full Name | Mark A Mishack |
| Address |
35351 S Gratiot Ave Clinton Township MI 48035-2850 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230254 | CRITTENTON HOSPITAL MEDICAL CENTER |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | ||
| 16151 19 Mile Rd, Suite 200, Clinton Township, MI 48038-1157 | ||
| 35351 S Gratiot Ave, Clinton Township, MI 48035-2850 | ||
| 43171 Dalcoma Dr, Suite 9, Clinton Township, MI 48038-6307 | ||
| 1101 W University Dr, Crittenton Hospital, Rochester, MI 48307-1863 | ||
| 56065 Van Dyke Ave, Shelby Township, MI 48316-5017 |
| Street Address |
35351 S GRATIOT AVE |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48035-2850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nimmy Varughese | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Beth A Buchanan | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Carolyn Kessler-sprott | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Mary G Shenouda | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Chakradhar C Reddy | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Ghanshyam N Patel | Gastroenterology | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Jagatbhai A Amin | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Donna M Kelly | Chiropractic | 36410 Garfield Rd, Clinton Township, MI 48035-1131 | |
| Craig E Riffel | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Christopher Brioc | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Find all physicians in zip 48035 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
| Specialty | NEPHROLOGY |
| City + Specialty | CLINTON TOWNSHIP + NEPHROLOGY |
Please comment or provide details below to improve the information on Mark A Mishack.
| 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.