| Dr Arunthathi Tabitha Stallwood, MD | |
|
1985 Gratiot Blvd, Marysville, MI 48040-2215 | |
| (810) 364-0692 | |
| (810) 364-0698 |
| Full Name | Dr Arunthathi Tabitha Stallwood |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 1985 Gratiot Blvd, Marysville, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972899680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301099109 (Michigan) | Primary |
| 208000000X | Pediatrics | 4301099109 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Home Health Care | Detroit, MI | Home health agency |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Henry Ford Macomb Hospital Corporation | 7911808381 | 304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Entity Name | Prime Healthcare Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285092767 PECOS PAC ID: 8022158336 Enrollment ID: O20160321001306 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Arunthathi Tabitha Stallwood, MD Po Box 610669, Port Huron, MI 48061-0669 Ph: (810) 985-1884 | Dr Arunthathi Tabitha Stallwood, MD 1985 Gratiot Blvd, Marysville, MI 48040-2215 Ph: (810) 364-0692 |
Dr. Robert Raymond Dembosky, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1750 Busha Hwy, Marysville, MI 48040 Phone: 810-364-4130 Fax: 810-364-4574 | |
Dr. Marie G Walsh, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1985 Gratiot Ave, Suite 2a, Marysville, MI 48040 Phone: 810-364-5050 Fax: 810-364-5688 | |
Paul A Bruer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-5995 |