Peter Joseph Maceroni Jr. (NPI# 1124221668, PAC ID# 6709054000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1124221668 |
| PAC ID by PECOS | 6709054000 |
| Professional Enrollment ID | I20110712000237 |
| Full Name | Peter Joseph Maceroni Jr. |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Address |
955 Fred Moore Hwy Ascension Medical Group Neurological Associates St. Clair MI 48079-4963 |
| Phone Number | 8102239520 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 0648180406 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 27483 Dequindre Rd, Suite 204, Madison Heights, MI 48071-5711 | 2489677326 | ASCENSION MACOMB OAKLAND HOSPITAL |
| 955 Fred Moore Hwy, Ascension Medical Group Neurological Associates, St. Clair, MI 48079-4963 | 8102239520 | ASCENSION MEDICAL GROUP MICHIGAN |
| 37771 Schoenherr Rd, Sterling Heights, MI 48312-2302 | ASCENSION MEDICAL GROUP MICHIGAN | |
| 27472 Schoenherr Rd, Suite 150, Warren, MI 48088-6680 | 5862266170 | ASCENSION MACOMB OAKLAND HOSPITAL |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Marie Cohen | Family Medicine | Ascension Medical Group Michigan | 22050 Greater Mack Ave, Saint Clair Shores, MI 48080-2388 |
| Rose Natheer | Internal Medicine | Ascension Medical Group Michigan | 33464 Schoenherr Rd, Suite 160, Sterling Heights, MI 48312-6392 |
| Sapna S Gupta | Family Medicine | Ascension Medical Group Michigan | 26393 Dequindre Rd, Madison Heights, MI 48071-3821 |
| Jon W Mackey | Internal Medicine | Ascension Medical Group Michigan | 37771 Schoenherr Rd, Sterling Heights, MI 48312-2302 |
| Carlos A Ramirez Neyra | Maxillofacial Surgery | Ascension Medical Group Michigan | 11885 E 12 Mile, Suite 210, Warren, MI 48093-3467 |
| Anna F Boston | Nurse Practitioner | Ascension Medical Group Michigan | 42645 Garfield Rd, Clinton Twp, MI 48038-5022 |
| Srikar T Reddy | Family Medicine | Ascension Medical Group Michigan | 51619 Ten Mile Rd, South Lyon, MI 48178-9720 |
| Basel A Brikho | Internal Medicine | Ascension Medical Group Michigan | 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 |
| Nejla A Israel | Family Medicine | Ascension Medical Group Michigan | 15300 W 9 Mile Rd, 1 Oak Park Medical Center, Oak Park, MI 48237-2585 |
| Mada H Jamil | Internal Medicine | Ascension Medical Group Michigan | 37538 Dequindre Rd, Sterling Heights, MI 48310-3511 |
| Street Address |
955 FRED MOORE HWY ASCENSION MEDICAL GROUP NEUROLOGICAL ASSOCIATES |
| City | ST. CLAIR |
| State | MI |
| Zip | 48079-4963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas T Kizy | Family Medicine | Seton Health Corporation of Southeastern Michigan | 955 Fred Moore Hwy, St Clair, MI 48079-4963 |
| Aaron Ellis | Family Practice | Seton Health Corporation of Southeastern Michigan | 955 Fred Moore Hwy, St Clair, MI 48079-4963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry A Russell | Nurse Practitioner | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| William D Whiting | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Kristen Richardson | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Michael G Yachcik | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Cynthia D Wilcome | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Jeffrey Robert Fraser | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Adele M Beischer | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Courtney R Eveningred | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Hilary M Richards | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Robert D Perrin | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Find all physicians in zip 48079 | |||
| City | ST. CLAIR |
| Zip Code | 48079 |
| Specialty | NEUROLOGY |
| City + Specialty | ST. CLAIR + NEUROLOGY |
Please comment or provide details below to improve the information on Peter Joseph Maceroni Jr..
| 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.