Penelope A Barker
ST JOHN PROVIDENCE PHYSICIANS CMG


Address: 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775
Phone: 5867798700

Penelope A Barker (NPI# 1770552382, PAC ID# 6305802141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1770552382
PAC ID by PECOS 6305802141
Professional Enrollment ID I20041203000489
Full Name Penelope A Barker
Organization Legal Name ST JOHN PROVIDENCE PHYSICIANS CMG
Address 20225 E 9 Mile Rd A
Cornerstone Pointe Family Physicians
St Clair Shores
MI 48080-1775
Phone Number 5867798700
Gender F
Credential DO
Medical School UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year 1997
Primary Specialty INTERNAL MEDICINE
Secondary Specialties GERIATRIC MEDICINE
Group Practice PAC ID 7517162761
Number of Group Practice Members 63
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230165 ST JOHN HOSPITAL AND MEDICAL CENTER
230195 ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER

Other Locations

Address Phone Organization
20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775 5867798700 ST JOHN PROVIDENCE PHYSICIANS CMG

Organization Information

Organization Legal Name ST JOHN PROVIDENCE PHYSICIANS CMG
Physicians 70

Physicians with the same organization

Name Specialty Organization Address
William M Jacobs Family Medicine St John Providence Physicians Cmg 13951 Plumbrook Rd, Sterling Heights, MI 48312-1727
Jennifer L Carlton Family Medicine St John Providence Physicians Cmg 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811
Nikolas Dimovski Family Medicine St John Providence Physicians Cmg 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401
Barbara C Tess Family Medicine St John Providence Physicians Cmg 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775
Timothy J Blanchet Family Medicine St John Providence Physicians Cmg 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546
Jeffrey R Hayes Family Medicine St John Providence Physicians Cmg 35050 23 Mile Rd, Suite B, New Baltimore, MI 48047-3606
Mark J Dukaj Internal Medicine St John Providence Physicians Cmg 45640 Schoenherr Rd, Shelby Township, MI 48315-6033
Tanya L Ropes Nurse Practitioner St John Providence Physicians Cmg 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137
Mark Edward Holowinski Family Medicine St John Providence Physicians Cmg 19357 E Thirteen Mile Rd, Roseville Family Physicians, Roseville, MI 48066-5308
Benjamin O Osowa Internal Medicine St John Providence Physicians Cmg 18263 E 10 Mile Rd E, Associates In Internal Medicine Lakefront Internis, Roseville, MI 48066-5805

Office Location

Street Address 20225 E 9 MILE RD A
CORNERSTONE POINTE FAMILY PHYSICIANS
City ST CLAIR SHORES
State MI
Zip 48080-1775

Physicians in the same location

Name Specialty Organization Address
Barbara C Tess Family Medicine St John Providence Physicians Cmg 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775
Amanda L Williams Family Medicine St John Providence Physicians Cmg 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775
Paul M Padesky Pediatric Medicine St John Providence Physicians Cmg 20225 E 9 Mile Rd A, Lakeview Pediatrics, St Clair Shores, MI 48080-1775
Cecelia Kitakufe Family Medicine St John Providence Physicians Cmg 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775
David William Larose Family Medicine St John Providence Physicians Cmg 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775
James A Fortune Family Practice St John Providence Physicians Cmg 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775
Christopher S Goldsby Family Practice St John Providence Physicians Cmg 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775

Physicians in the same zip code

Name Specialty Organization Address
Wontika R Smith Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Constantine Sam Raphtis Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Michelle A Konieczny Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Anne B Mccarren Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Jennifer G Kuzel Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Kami Kveton Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Zaid Riyadh Kasmikha Internal Medicine Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
George B Ghanem Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Joan S Crawford Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Simone N Cowan Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Find all physicians in zip 48080

Competitor

Search similar physicians

City ST CLAIR SHORES
Zip Code 48080
Specialty INTERNAL MEDICINE
City + Specialty ST CLAIR SHORES + INTERNAL MEDICINE

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Dataset Information

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.

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