Michelle Kornblum (NPI# 1093019465, PAC ID# 6800036484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1093019465 |
| PAC ID by PECOS | 6800036484 |
| Professional Enrollment ID | I20150105000677 |
| Full Name | Michelle Kornblum |
| Organization Legal Name | LIVONIA OPHTHALMOLOGISTS PC |
| Address |
29927 W 6 Mile Rd Livonia MI 48152-3670 |
| Phone Number | 7345220800 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2009 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6901905520 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 29927 W 6 Mile Rd, Livonia, MI 48152-3670 | 7345220800 | LIVONIA OPHTHALMOLOGISTS PC |
| Organization Legal Name | LIVONIA OPHTHALMOLOGISTS PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Lupovitch | Ophthalmology | Livonia Ophthalmologists PC | 29927 W 6 Mile Rd, Livonia, MI 48152-3670 |
| Martin B Berman | Ophthalmology | Livonia Ophthalmologists PC | 29927 W 6 Mile Rd, Livonia, MI 48152-3670 |
| Street Address |
29927 W 6 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip | 48152-3670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Lupovitch | Ophthalmology | Livonia Ophthalmologists PC | 29927 W 6 Mile Rd, Livonia, MI 48152-3670 |
| Martin B Berman | Ophthalmology | Livonia Ophthalmologists PC | 29927 W 6 Mile Rd, Livonia, MI 48152-3670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil K Jain | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Mark Stacherski | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Courtney Paladino | Clinical Social Worker | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Michael L Schwartz | Diagnostic Radiology | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Maribeth Knight | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Stacy L Smith | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Renee L Bayer | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Lisa Elconin | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Clint E Bernhard | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Jason M St John | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Find all physicians in zip 48152 | |||
| City | LIVONIA |
| Zip Code | 48152 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LIVONIA + OPHTHALMOLOGY |
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| 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.