Chad Thompson (NPI# 1912384850, PAC ID# 9537463799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1912384850 |
| PAC ID by PECOS | 9537463799 |
| Professional Enrollment ID | I20190913000788 |
| Full Name | Chad Thompson |
| Organization Legal Name | COVENANT COMMUNITY CARE, INC. |
| Address |
20901 Moross Rd Detroit MI 48236-2058 |
| Phone Number | 3136262600 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254393549 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 20901 Moross Rd, Detroit, MI 48236-2058 | 3136262600 | COVENANT COMMUNITY CARE, INC. |
| Organization Legal Name | COVENANT COMMUNITY CARE, INC. |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Byl | Physician Assistant | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Megan Justine Fincher | Nurse Practitioner | Covenant Community Care, Inc. | 20901 Moross Rd, Detroit, MI 48236-2058 |
| Sarah Fay Cornwell | Physician Assistant | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Laura Pfeiffer | Nurse Practitioner | Covenant Community Care, Inc. | 5716 Michigan Ave, Detroit, MI 48210-3039 |
| Susan G Smith | Nurse Practitioner | Covenant Community Care, Inc. | 18917 Joy Rd, Detroit, MI 48228-3050 |
| Marisa Rose Abbo | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Kai K Palm | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Lisa J Mcintosh | Obstetrics/gynecology | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Anna M Gladstone | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Sherwood D Pope | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Street Address |
20901 MOROSS RD |
| City | DETROIT |
| State | MI |
| Zip | 48236-2058 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Justine Fincher | Nurse Practitioner | Covenant Community Care, Inc. | 20901 Moross Rd, Detroit, MI 48236-2058 |
| Jeffrey D Ghioto | Family Medicine | Covenant Community Care, Inc. | 20901 Moross Rd, Detroit, MI 48236-2058 |
| 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 | FAMILY MEDICINE |
| City + Specialty | DETROIT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Chad Thompson.
| 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.