Thomas Nelson (NPI# 1376841536, PAC ID# 7113238106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1376841536 |
| PAC ID by PECOS | 7113238106 |
| Professional Enrollment ID | I20150617001560 |
| Full Name | Thomas Nelson |
| Organization Legal Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address |
22151 Moross Rd Suite 134 Detroit MI 48236-2165 |
| Phone Number | 3133434850 |
| Gender | M |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 22101 Moross Rd, Detroit, MI 48236-2148 | ST JOHN HOSPITAL AND MEDICAL CENTER | |
| 22151 Moross Rd, Suite 134, Detroit, MI 48236-2165 | 3133434850 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22151 Moross Rd, Suite 320, Detroit, MI 48236-2196 | 3133437374 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22151 Moross Rd, Detroit, MI 48236-2177 | 3133433978 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22151 Moross Rd, Suite 209, Detroit, MI 48236-2177 | 3133433978 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22151 Moross Rd, Detroit, MI 48236-2196 | 3133437374 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22151 Moross Rd, Detroit, MI 48236-2165 | 3133434850 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22201 Moross Rd, Detroit, MI 48236-2166 | ST JOHN HOSPITAL AND MEDICAL CENTER | |
| 22201 Moross Rd, Detroit, MI 48236-2175 | 3133434411 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22201 Moross Rd, Suite 252, Detroit, MI 48236-2175 | 3133434411 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22101 Moross Rd, Grosse Pointe, MI 48236-2148 | 3133434000 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22151 Moross Rd, Grosse Pointe, MI 48236-2197 | 3133433494 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197 | 3133433494 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22201 Moross Rd, Grosse Pointe, MI 48236-2175 | 3133433481 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22201 Moross Rd, Suite 270, Grosse Pointe, MI 48236-2175 | 3133433481 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 | ST JOHN HOSPITAL AND MEDICAL CENTER | |
| 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 | 3133437280 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2898 | 3133437280 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Organization Legal Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean P Skeffington | Speech Language Pathologist | St John Hospital and Medical Center | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Minuchehe Kashef | Obstetrics/gynecology | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Howard S Rosman | Cardiovascular Disease (cardiology) | St John Hospital and Medical Center | 22101 Moross Rd, Grosse Pointe, MI 48236-2148 |
| Riad El Khatib | Infectious Disease | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Marcus Eber Degraw | Pediatric Medicine | St John Hospital and Medical Center | 22201 Moross Rd, Suite 270, Grosse Pointe, MI 48236-2175 |
| Jason Wulff | Nurse Practitioner | St John Hospital and Medical Center | 11885 E 12 Mile Rd, 100a Sjhmc Great Lakes Cancert Management Specialists, Warren, MI 48093-3465 |
| Sai T Katta | Internal Medicine | St John Hospital and Medical Center | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Luise Illuminati | Infectious Disease | St John Hospital and Medical Center | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Matthew C Wilkins | Internal Medicine | St John Hospital and Medical Center | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Denise M Freeman | Certified Registered Nurse Anesthetist | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Street Address |
22151 MOROSS RD SUITE 134 |
| City | DETROIT |
| State | MI |
| Zip | 48236-2165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Ouillette | Obstetrics/gynecology | Ascension St John Hospital | 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197 |
| James A Brown | Dermatology | 22151 Moross Rd, Suite 234, Detroit, MI 48236-2195 | |
| Torri L Elliott | Clinical Social Worker | Ascension Eastwood Behavioral Health | 22151 Moross Rd, Detroit, MI 48236-2167 |
| David Michael Zalenski | Obstetrics/gynecology | Ascension St John Hospital | 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197 |
| Cassie Laasch | Obstetrics/gynecology | Ascension St John Hospital | 22151 Moross Rd, Suite 313, Detroit, MI 48236-2197 |
| Steven E Minnick | Internal Medicine | 22151 Moross Rd, G33, Detroit, MI 48236-2144 | |
| Michael A Mcilroy | Internal Medicine | 22151 Moross Rd, Suite G33, Detroit, MI 48236-2144 | |
| Louis D Saravolatz | Infectious Disease | Ascension St John Hospital | 22151 Moross Rd, Suite 134, Detroit, MI 48236-2165 |
| Crystal A Thomas | Clinical Social Worker | Eastwood Community Clinics | 22151 Moross Rd, Detroit, MI 48236-2167 |
| Laura E Cipa | Emergency Medicine | St John Hospital and Medical Center | 22151 Moross Rd, Detroit, MI 48236-2177 |
| Find all physicians in the same address | |||
| 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 | DETROIT |
| Zip Code | 48236 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DETROIT + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Thomas Nelson.
| 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.