Lori Pearl Mackillop (NPI# 1073535308, PAC ID# 3870535941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073535308 |
| PAC ID by PECOS | 3870535941 |
| Professional Enrollment ID | I20050531000149 |
| Full Name | Lori Pearl Mackillop |
| Organization Legal Name | ASCENSION PROVIDENCE HOSPITAL |
| Address |
22255 Greenfield Rd Southfield MI 48075-3712 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1991 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6103738703 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30055 Northwestern Hwy 235, Farmington Hills, MI 48334-3282 | 2487374600 | ASCENSION PROVIDENCE HOSPITAL |
| 22255 Greenfield Rd, Southfield, MI 48075-3712 | ASCENSION PROVIDENCE HOSPITAL |
| Organization Legal Name | ASCENSION PROVIDENCE HOSPITAL |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel A Yashinsky | Internal Medicine | Ascension Providence Hospital | 30055 Northwestern Hwy 150, Farmington Hills, MI 48334-3211 |
| Amanda A Vivian | Internal Medicine | Ascension Providence Hospital | 1435 N Milford Rd, 101 Providence Oakland Internal Medicine, Milford, MI 48381-1015 |
| Renee Beth Stechow | Nurse Practitioner | Ascension Providence Hospital | 210 N Lafayette St, South Lyon, MI 48178-2048 |
| Colin J Zaporski | Physician Assistant | Ascension Providence Hospital | 16001 W 9 Mile Rd 3rd Floor, Providence Hospital Gastrology, Southfield, MI 48075-4818 |
| Nadine N Roumaya | Obstetrics/gynecology | Ascension Providence Hospital | 8641 W Grand River, 4 Providence Hospital, Brighton, MI 48119-4329 |
| Meghan A Griffin | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 235, Farmington Hills, MI 48334-3282 |
| Sharon Miller | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 270, Providence Ob/gyn, Farmington Hills, MI 48334-3240 |
| Mark Rojewski | Family Medicine | Ascension Providence Hospital | 1200 Byron Rd, Howell, MI 48843-1007 |
| Robert G Dodds | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 260, Providence Family Medicine, Farmington Hills, MI 48334-3275 |
| Usha M Singhi | Internal Medicine | Ascension Providence Hospital | 26850 Providence Pkwy, Novi, MI 48374-1213 |
| Street Address |
22255 GREENFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48075-3712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlyn M Witek | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Dania S Assad | Endocrinology | Ascension Providence Hospital | 22255 Greenfield Rd, Suite 400, Southfield, MI 48075-3734 |
| Tonya M Nelson-williams | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Naseer Ahmad | Endocrinology | Ascension Providence Hospital | 22255 Greenfield Rd, Southfield, MI 48075-3700 |
| Melissa E Marback | Obstetrics/gynecology | Ascension Providence Hospital | 22255 Greenfield Rd, Southfield, MI 48075-3712 |
| Charles S Phipps Sr. | Clinical Social Worker | Ascension Eastwood Behavioral Health | 22255 Greenfield Rd, Suite 300, Southfield, MI 48075-3729 |
| Andrea L Dalman | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Lester E Potempa | Psychiatry | Ascension Eastwood Behavioral Health | 22255 Greenfield Rd, Suite 300, Southfield, MI 48075-3729 |
| Lisa Renee Scott | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Dayna M Mullaly | Clinical Social Worker | Ascension Eastwood Behavioral Health | 22255 Greenfield Rd, Suite 300, Southfield, MI 48075-3729 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
| Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
| James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
| Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
| Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
| Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
| Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Find all physicians in zip 48075 | |||
| City | SOUTHFIELD |
| Zip Code | 48075 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTHFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lori Pearl Mackillop.
| 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.