Angela Ruth Harker Bacchus
ST CLAIR SPECIALTY PHYSICIANS PC


Address: 23857 Greenfield Rd, Southfield, MI 48075-3122
Phone: 2485696111

Angela Ruth Harker Bacchus (NPI# 1346274727, PAC ID# 7416999453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1346274727
PAC ID by PECOS 7416999453
Professional Enrollment ID I20050531000754
Full Name Angela Ruth Harker Bacchus
Organization Legal Name ST CLAIR SPECIALTY PHYSICIANS PC
Address 23857 Greenfield Rd
Southfield
MI 48075-3122
Phone Number 2485696111
Gender F
Credential NP
Graduation Year 2003
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6204733256
Number of Group Practice Members 32
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230036 MIDMICHIGAN MEDICAL CENTER - ALPENA
230105 MCLAREN NORTHERN MICHIGAN

Other Locations

Address Phone Organization
1501 W Chisholm St, Alpena, MI 49707-1401 9893567000 ST CLAIR SPECIALTY PHYSICIANS PC
301 Oxbow Dr, Alpena, MI 49707-1447 9893563125 ST CLAIR SPECIALTY PHYSICIANS PC
23857 Greenfield Rd, Southfield, MI 48075-3122 2485696111 ST CLAIR SPECIALTY PHYSICIANS PC

Organization Information

Organization Legal Name ST CLAIR SPECIALTY PHYSICIANS PC
Physicians 32

Physicians with the same organization

Name Specialty Organization Address
Mina El Kateb Nephrology St Clair Specialty Physicians PC 16151 19 Mile Rd, Clinton Township, MI 48038-1158
Heather L Henderson Nephrology St Clair Specialty Physicians PC 18001 E 10 Mile Rd, Roseville, MI 48066-3803
Christopher J Sjoberg Nurse Practitioner St Clair Specialty Physicians PC 5610 W Gage, Suite A, Boise, ID 83706-1332
Micheal J Adcox Nephrology St Clair Specialty Physicians PC 515 E Lane, Ontario, OR 97914-3953
Abida Zafar Nephrology St Clair Specialty Physicians PC 4180 Hospital Dr, East China, MI 48054-2233
Diana Scanlon Nurse Practitioner St Clair Specialty Physicians PC 15918 19 Mile Rd, Clinton Township, MI 48038-1101
Gudalia Alcantara Fajardo Nurse Practitioner St Clair Specialty Physicians PC 2601 Electric Ave, Port Huron, MI 48060-6587
Saurabh Gandhi Internal Medicine St Clair Specialty Physicians PC 15918 19 Mile Rd, Clinton Township, MI 48038-1101
Ameer Abdulrazzak Nephrology St Clair Specialty Physicians PC 28300 Orchard Lake Rd, Suite 202, Farmington Hills, MI 48334-3704
Navkiranjot Brar Nephrology St Clair Specialty Physicians PC 18001 E 10 Mile Rd, Roseville, MI 48066-3803

Office Location

Street Address 23857 GREENFIELD RD
City SOUTHFIELD
State MI
Zip 48075-3122

Physicians in the same location

Name Specialty Organization Address
David R Lorelli Vascular Surgery St Clair Specialty Physicians PC 23857 Greenfield Rd, Southfield, MI 48075-3122

Physicians in the same zip code

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

Competitor

Search similar physicians

City SOUTHFIELD
Zip Code 48075
Specialty NURSE PRACTITIONER
City + Specialty SOUTHFIELD + NURSE PRACTITIONER

Improve Information

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Dataset Information

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.

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