Edward J Mauch (NPI# 1063628154, PAC ID# 4183775745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063628154 |
| PAC ID by PECOS | 4183775745 |
| Professional Enrollment ID | I20090623000138 |
| Full Name | Edward J Mauch |
| Organization Legal Name | MAWAN SHUAYTO MD PC |
| Address |
615 Pine St Port Huron MI 48060-5400 |
| Phone Number | 8109890000 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3072764596 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230216 | MCLAREN PORT HURON |
| 230031 | LAKE HURON MEDICAL CENTER |
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| 231314 | MCKENZIE HEALTH SYSTEM |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4100 S River Rd, East China, MI 48054-2909 | 8103297111 | X-RAY ASSOCIATES OF PORT HURON PC |
| 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 8109875000 | X-RAY ASSOCIATES OF PORT HURON PC |
| 615 Pine St, Port Huron, MI 48060-5400 | 8109890000 | MAWAN SHUAYTO MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 46% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 16% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | MAWAN SHUAYTO MD PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devin R South | Psychologist, Clinical | Mawan Shuayto Md PC | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 |
| David Kocenda | Nurse Practitioner | Mawan Shuayto Md PC | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 |
| Carol Hilliker | Nurse Practitioner | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Janette C Guertin | Nurse Practitioner | Mawan Shuayto Md PC | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 |
| Daniel K Shogren | Diagnostic Radiology | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Angela Kathleen Otoole | Physical Therapy | Mawan Shuayto Md PC | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 |
| Patrick John Geml | Physician Assistant | Mawan Shuayto Md PC | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 |
| Jose A Carrion | Diagnostic Radiology | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Marwan I Shuayto | Neurology | Mawan Shuayto Md PC | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 |
| Hafeez Y Ahmed | Diagnostic Radiology | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Street Address |
615 PINE ST |
| City | PORT HURON |
| State | MI |
| Zip | 48060-5400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Hilliker | Nurse Practitioner | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Daniel K Shogren | Diagnostic Radiology | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Jose A Carrion | Diagnostic Radiology | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Hafeez Y Ahmed | Diagnostic Radiology | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Stacy J Ries | Diagnostic Radiology | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Leopold M Fregoli | Diagnostic Radiology | Mawan Shuayto Md PC | 615 Pine St, Port Huron, MI 48060-5400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette M Mercatante | Family Medicine | 2215 Court, Port Huron, MI 48060 | |
| Fahim Kamal Ibrahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| George J Carley Jr. | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Reid S Stromberg | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Kamal Fahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| Mark G Kanitz | Emergency Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dana L Wolfe | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Jay S Guikema | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dena R Nader | Family Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Shanae D Bartlett | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Find all physicians in zip 48060 | |||
| City | PORT HURON |
| Zip Code | 48060 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PORT HURON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Edward J Mauch.
| 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.