Michael Ian Ghilezan (NPI# 1164481859, PAC ID# 7113021577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1164481859 |
| PAC ID by PECOS | 7113021577 |
| Professional Enrollment ID | I20070326000309 |
| Full Name | Michael Ian Ghilezan |
| Organization Legal Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Address |
130 Town Ctr Dr Suite 200 Troy MI 48084-1744 |
| Phone Number | 2487400670 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 1052223492 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230029 | ST JOSEPH MERCY OAKLAND |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 70 Fulton St, Pontiac, MI 48341-2755 | 2483380300 | AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN PC |
| 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744 | 2487400670 | MICHIGAN INSTITUTE OF UROLOGY PC |
| Organization Legal Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kalen J Rimar | Urology | Michigan Institute of Urology PC | 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744 |
| John R Harding | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Laris Edgar Galejs | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Robert L Elgin | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Jaclyn C Milose | Urology | Michigan Institute of Urology PC | 18100 Oakwood Blvd, Suite 315, Dearborn, MI 48124-4085 |
| Brian Guz | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Gregory V Mcintosh | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Scott M Wilkinson | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Ryan J Nelson | Urology | Michigan Institute of Urology PC | 44344 Dequindre Rd, Suite 210, Sterling Heights, MI 48314-1039 |
| James D Relle | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Street Address |
130 TOWN CTR DR SUITE 200 |
| City | TROY |
| State | MI |
| Zip | 48084-1744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kalen J Rimar | Urology | Michigan Institute of Urology PC | 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744 |
| Christopher C Smith | Certified Registered Nurse Anesthetist (crna) | Michigan Interventional Pain Associates Pllc | 130 Town Ctr Dr, Suite 130, Troy, MI 48084-1744 |
| Sharon Denise Minott | Anesthesiology | Michigan Interventional Pain Associates Pllc | 130 Town Ctr Dr, Suite 130, Troy, MI 48084-1744 |
| Courtney Anne Ciotti | Nurse Practitioner | Michigan Institute of Urology PC | 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Paul Cogswell | Family Practice | 900 Wilshire Dr, Suite 202, Troy, MI 48084-1600 | |
| Laura E Lucas | Obstetrics/gynecology | 310 Town Ctr Dr, Troy, MI 48084-1742 | |
| Kristy Sue Bouchard | Chiropractic | 308 Town Ctr Dr, Troy, MI 48084-1742 | |
| Molly Rae Varon | Occupational Therapy | Behavioral Outcomes Management,llc | 210 Town Ctr Dr, Troy, MI 48084-1774 |
| Jodie Carley | Occupational Therapy | Behavioral Outcomes Management,llc | 210 Town Ctr Dr, Troy, MI 48084-1774 |
| Sheryl G Bentzley | Podiatry | 967 Brooklawn Dr, Troy, MI 48084-2659 | |
| Maria Theresa Pacis Biederman | Cardiovascular Disease (cardiology) | Drs Housecalls PC | 3310 W Big Beaver Rd, Troy, MI 48084-2807 |
| Ramesh Srinivasan | Physical Therapy | 3250 W Big Beaver Rd, Suite 300a, Troy, MI 48084-2900 | |
| Mune Gowda | Plastic and Reconstructive Surgery | 3270 W Big Beaver, Suite 415, Troy, MI 48084-2901 | |
| Antoinette M Kreager | Nurse Practitioner | Meahealth Plc | 3250 W Big Beaver Rd, Suite 144, Troy, MI 48084-2907 |
| Find all physicians in zip 48084 | |||
| City | TROY |
| Zip Code | 48084 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | TROY + RADIATION ONCOLOGY |
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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.