Paul Kudla (NPI# 1477904142, PAC ID# 4587958194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477904142 |
| PAC ID by PECOS | 4587958194 |
| Professional Enrollment ID | I20190603001442 |
| Full Name | Paul Kudla |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Address |
19251 Mack Ave Suite 333 Grosse Pointe Woods MI 48236-2898 |
| Phone Number | 3133437280 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 | 3133437280 | 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 |
| Nishan H Chobanian | Gynecological Oncology | Ascension St John Hospital | 22301 Foster Winter Dr 3rd Floor, Sjhmc V K Malviya Md, Southfield, MI 48075-3707 |
| 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 |
| Street Address |
19251 MACK AVE SUITE 333 |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip | 48236-2898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish Bhargava | Infectious Disease | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Humaira Rizvi | Internal Medicine | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Miriam Levine | Infectious Disease | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Jason M Donaghue | Internal Medicine | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Rebecca Witherell | Infectious Disease | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Rajaninder Sharma | Internal Medicine | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Michael S Kern | Internal Medicine | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Safa B Maki | Internal Medicine | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| William P Dillon | Internal Medicine | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Sai T Katta | Internal Medicine | St John Hospital and Medical Center | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Joanne English-mcmellon | Qualified Audiologist | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 | |
| Kelly A Zilli | Audiologist | Ear Center Inc | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 |
| Lindsay Leigh Smith | Audiologist | Ear Center Inc | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 |
| Dennis C Packey | Internal Medicine | 20867 Mack Ave, Suite 3, Grosse Pointe Wd, MI 48236-1356 | |
| Stephenie M Lucas | Internal Medicine | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Jennifer Kulinski | Nurse Practitioner | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Carlo E Adams | Physical Medicine and Rehabilitation | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | |
| Theresa M Oney | Physical Medicine and Rehabilitation | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | |
| Noemi Pac Villanueva | Physician Assistant | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Logan A Oney | Internal Medicine | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Find all physicians in zip 48236 | |||
| City | GROSSE POINTE WOODS |
| Zip Code | 48236 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GROSSE POINTE WOODS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Paul Kudla.
| 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.