Aaron Ellis (NPI# 1386611259, PAC ID# 7911034251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1386611259 |
| PAC ID by PECOS | 7911034251 |
| Professional Enrollment ID | I20100419000718 |
| Full Name | Aaron Ellis |
| Organization Legal Name | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Address |
955 Fred Moore Hwy St Clair MI 48079-4963 |
| Phone Number | 8103263894 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2567689540 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 955 Fred Moore Hwy, St Clair, MI 48079-4963 | 8103263894 | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Organization Legal Name | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlyn M Witek | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Tonya M Nelson-williams | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Jessica L Heaney | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 17900 23 Mile Rd, Suite 101, Macomb, MI 48044-1161 |
| Alyssa D Baker | Physician Assistant | Seton Health Corporation of Southeastern Michigan | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5705 |
| Andrea L Dalman | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Lisa Renee Scott | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Brita J Pietila | Physician Assistant | Seton Health Corporation of Southeastern Michigan | 1225 S Latson Rd, 130 Seton Livingston Urgent Care, Howell, MI 48843-7576 |
| Antonia M Jerkins | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Street Address |
955 FRED MOORE HWY |
| City | ST CLAIR |
| State | MI |
| Zip | 48079-4963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Joseph Maceroni Jr. | Neurology | Ascension Medical Group Michigan | 955 Fred Moore Hwy, Ascension Medical Group Neurological Associates, St. Clair, MI 48079-4963 |
| Thomas T Kizy | Family Medicine | Seton Health Corporation of Southeastern Michigan | 955 Fred Moore Hwy, St Clair, MI 48079-4963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry A Russell | Nurse Practitioner | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| William D Whiting | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Kristen Richardson | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Michael G Yachcik | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Cynthia D Wilcome | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Jeffrey Robert Fraser | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Adele M Beischer | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Courtney R Eveningred | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Hilary M Richards | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Robert D Perrin | Clinical Social Worker | Norserv Group Ltd | 1322 N River Rd, St Clair, MI 48079-2803 |
| Find all physicians in zip 48079 | |||
| City | ST CLAIR |
| Zip Code | 48079 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | ST CLAIR + FAMILY PRACTICE |
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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.