Rudy Jerome Vervaeke (NPI# 1922108927, PAC ID# 6800886433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1922108927 |
| PAC ID by PECOS | 6800886433 |
| Professional Enrollment ID | I20040515000418 |
| Full Name | Rudy Jerome Vervaeke |
| Address |
20825 Mack Ave Suite 3 Grosse Pointe Woods MI 48236-1483 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ADDICTION MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 20825 Mack Ave, Suite 3, Grosse Pointe Woods, MI 48236-1483 |
| Street Address |
20825 MACK AVE SUITE 3 |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip | 48236-1483 |
| 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 Rudy Jerome Vervaeke.
| 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.