David O Washington (NPI# 1104953439, PAC ID# 7214996263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1104953439 |
| PAC ID by PECOS | 7214996263 |
| Professional Enrollment ID | I20041006000646 |
| Full Name | David O Washington |
| Organization Legal Name | DELTA RENAL GROUP, P.C. |
| Address |
20755 Greenfield Rd Suite 203 Southfield MI 48075-5405 |
| Phone Number | 2483952206 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE, PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 8224124805 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230104 | HARPER UNIVERSITY HOSPITAL |
| 230024 | SINAI-GRACE HOSPITAL |
| 230273 | DETROIT RECEIVING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20755 Greenfield Rd, Suite 203, Southfield, MI 48075-5405 | 2483952206 | DELTA RENAL GROUP, P.C. |
| Organization Legal Name | DELTA RENAL GROUP, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Boniface A. Tubie | Nephrology | Delta Renal Group, P.C. | 20755 Greenfield Rd, Suite 203, Southfield, MI 48075-5405 |
| Street Address |
20755 GREENFIELD RD SUITE 203 |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48075-5405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roseline Nzekwa Nanah | Nurse Practitioner | Rsmd Pllc | 20755 Greenfield Rd, Suite 100, Southfield, MI 48075-5400 |
| Demetris Lavette Daniels | Nurse Practitioner | Rsmd Pllc | 20755 Greenfield Rd, Suite 100, Southfield, MI 48075-5400 |
| Uche G Obua | Nurse Practitioner | 20755 Greenfield Rd, Suite 100, Southfield, MI 48075-5400 | |
| Remi O Soile | Internal Medicine | Rsmd Pllc | 20755 Greenfield Rd, Suite 100, Southfield, MI 48075-5400 |
| Larmender Davis | Clinical Social Worker | 20755 Greenfield Rd, Suite 605p, Southfield, MI 48075-5409 | |
| Boniface A. Tubie | Nephrology | Delta Renal Group, P.C. | 20755 Greenfield Rd, Suite 203, Southfield, MI 48075-5405 |
| Meiuttenun Cm Brown | General Practice | 20755 Greenfield Rd, Suite 802, Southfield, MI 48075-5410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
| Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
| James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
| Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
| Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
| Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
| Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Find all physicians in zip 48075 | |||
| City | SOUTHFIELD |
| Zip Code | 48075 |
| Specialty | NEPHROLOGY |
| City + Specialty | SOUTHFIELD + NEPHROLOGY |
Please comment or provide details below to improve the information on David O Washington.
| 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.