Nishan H Chobanian (NPI# 1104813633, PAC ID# 4486620135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GYNECOLOGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1104813633 |
| PAC ID by PECOS | 4486620135 |
| Professional Enrollment ID | I20161012002911 |
| Full Name | Nishan H Chobanian |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Address |
22301 Foster Winter Dr 3rd Floor Sjhmc V K Malviya Md Southfield MI 48075-3707 |
| Phone Number | 2488498140 |
| Gender | M |
| Credential | MD |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | GYNECOLOGICAL ONCOLOGY |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 22301 Foster Winter Dr 3rd Floor, Sjhmc V K Malviya Md, Southfield, MI 48075-3707 | 2488498140 | ASCENSION ST JOHN HOSPITAL |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Physicians | 251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette E Wilson | Family Medicine | Ascension St John Hospital | 21099 Masonic Blvd, Saint Clair Shores, MI 48082-1045 |
| Holly Ouillette | Obstetrics/gynecology | Ascension St John Hospital | 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197 |
| Andrey A Volkov | Neurosurgery | Ascension St John Hospital | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Ashish Bhargava | Infectious Disease | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Julia K Tesch | Internal Medicine | Ascension St John Hospital | 17141 Kercheval Ave, Grosse Pointe, MI 48230-1660 |
| Eileen M Reickert | Family Medicine | Ascension St John Hospital | 24911 Little Mack Ave C, Saint Clair Shores, MI 48080-3200 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Vamshidhar D Guduguntla | Interventional Cardiology | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| John W Becker | Otolaryngology | Ascension St John Hospital | 11080 Hall Rd A, Sterling Heights, MI 48314-1511 |
| Susan E Lyons | Hematology/oncology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Street Address |
22301 FOSTER WINTER DR 3RD FLOOR SJHMC V K MALVIYA MD |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48075-3707 |
| 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 | GYNECOLOGICAL ONCOLOGY |
| City + Specialty | SOUTHFIELD + GYNECOLOGICAL ONCOLOGY |
Please comment or provide details below to improve the information on Nishan H Chobanian.
| 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.