Diana Scanlon (NPI# 1043651458, PAC ID# 5890921316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043651458 |
| PAC ID by PECOS | 5890921316 |
| Professional Enrollment ID | I20131111001350 |
| Full Name | Diana Scanlon |
| Organization Legal Name | ST CLAIR SPECIALTY PHYSICIANS PC |
| Address |
15918 19 Mile Rd Clinton Township MI 48038-1101 |
| Phone Number | 5864129195 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204733256 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 15918 19 Mile Rd, Clinton Township, MI 48038-1101 | 5864129195 | ST CLAIR SPECIALTY PHYSICIANS PC |
| 45650 Schoenherr Rd, Shelby Township, MI 48315-6033 | 5862867800 | ST CLAIR SPECIALTY PHYSICIANS PC |
| 23857 Greenfield Rd, Southfield, MI 48075-3122 | 2485696111 | ST CLAIR SPECIALTY PHYSICIANS PC |
| Organization Legal Name | ST CLAIR SPECIALTY PHYSICIANS PC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mina El Kateb | Nephrology | St Clair Specialty Physicians PC | 16151 19 Mile Rd, Clinton Township, MI 48038-1158 |
| Heather L Henderson | Nephrology | St Clair Specialty Physicians PC | 18001 E 10 Mile Rd, Roseville, MI 48066-3803 |
| Christopher J Sjoberg | Nurse Practitioner | St Clair Specialty Physicians PC | 5610 W Gage, Suite A, Boise, ID 83706-1332 |
| Micheal J Adcox | Nephrology | St Clair Specialty Physicians PC | 515 E Lane, Ontario, OR 97914-3953 |
| Angela Ruth Harker Bacchus | Nurse Practitioner | St Clair Specialty Physicians PC | 23857 Greenfield Rd, Southfield, MI 48075-3122 |
| Abida Zafar | Nephrology | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
| Gudalia Alcantara Fajardo | Nurse Practitioner | St Clair Specialty Physicians PC | 2601 Electric Ave, Port Huron, MI 48060-6587 |
| Saurabh Gandhi | Internal Medicine | St Clair Specialty Physicians PC | 15918 19 Mile Rd, Clinton Township, MI 48038-1101 |
| Ameer Abdulrazzak | Nephrology | St Clair Specialty Physicians PC | 28300 Orchard Lake Rd, Suite 202, Farmington Hills, MI 48334-3704 |
| Navkiranjot Brar | Nephrology | St Clair Specialty Physicians PC | 18001 E 10 Mile Rd, Roseville, MI 48066-3803 |
| Street Address |
15918 19 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48038-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eva Saha | Nephrology | 15918 19 Mile Rd, Suite 110, Clinton Township, MI 48038-1101 | |
| Saurabh Gandhi | Internal Medicine | St Clair Specialty Physicians PC | 15918 19 Mile Rd, Clinton Township, MI 48038-1101 |
| Muddasser Saiyed-javed | Nephrology | St Clair Specialty Physicians PC | 15918 19 Mile Rd, Clinton Township, MI 48038-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Mark Allen Miller | Chiropractic | Family Chiropractor PC. | 44476 Hayes Rd, Clinton Township, MI 48038-1090 |
| Rachel M Klamo | Family Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Jessica Szatkowski | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Suresh Kumar | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Daymon Peterson | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Debra A Schmelzer | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Sarah L Wisniewski | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Aji Njie | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLINTON TOWNSHIP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Diana Scanlon.
| 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.