Shad Siddiqi (NPI# 1154733285, PAC ID# 4385951532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1154733285 |
| PAC ID by PECOS | 4385951532 |
| Professional Enrollment ID | I20190722003565 |
| Full Name | Shad Siddiqi |
| Organization Legal Name | PORRETTA CENTER FOR ORTHOPAEDIC SURGERY PC |
| Address |
26750 Providence Pkwy Suite 200 Novi MI 48374-1212 |
| Phone Number | 2483497015 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 2860585544 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1212 | 2483497015 | PORRETTA CENTER FOR ORTHOPAEDIC SURGERY PC |
| Organization Legal Name | PORRETTA CENTER FOR ORTHOPAEDIC SURGERY PC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Jonathan Slesinski | Physical Medicine and Rehabilitation | Porretta Center for Orthopaedic Surgery PC | 8273 Grand River Rd, Suite 210, Brighton, MI 48114-9382 |
| Jefferey E Michaelson | Orthopedic Surgery | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
| Jessica L Gelfand | Physician Assistant | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
| Ashwini Mahindrakar | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 240, Novi, MI 48374-1211 |
| Ryan Matthew Robertson | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
| Victor Emeka Nwosu | Podiatry | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
| William Higginbotham Iii | Orthopedic Surgery | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
| Muslimah Rashed | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
| James C Bolz | Orthopedic Surgery | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
| Eric Austin Neal | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
| Street Address |
26750 PROVIDENCE PKWY SUITE 200 |
| City | NOVI |
| State | MI |
| Zip | 48374-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Braswell Deen | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey D Placzek | Hand Surgery | Michigan Hand and Wrist, P.C. | 26750 Providence Pkwy, Suite 220, Novi, MI 48374-1212 |
| Jeffrey J Kirouac | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Ashwini Mahindrakar | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 240, Novi, MI 48374-1211 |
| Victoria N Dooley | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Amy R Shepard | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Diana A Haidar | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kimpson | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Lorenzo Ray M Lim | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Terri Ann Kovacic | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan II PC | 26750 Providence Pkwy, Suite 100, Novi, MI 48374-1211 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Farley | Family Medicine | Primecare On Wixom Pllc | 27250 Wixom Rd A, Novi, MI 48374-1116 |
| Eric A Tomei | Physical Therapy | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Jessica L Wentworth | Nurse Practitioner | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Michael P Montico | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Mohomad Al Sawah | Podiatry | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Marc A Borovoy | Podiatry | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Linda S Greenwood | Physician Assistant | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Gregory M Cibor | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Mark K Banno | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Teniesha Nicole Wright Jones | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Find all physicians in zip 48374 | |||
| City | NOVI |
| Zip Code | 48374 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | NOVI + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Shad Siddiqi.
| 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.