| Dr Justino M Zoma, MD | |
|
1135 W University Dr Ste 355, Rochester, MI 48307-1871 | |
| (248) 844-6030 | |
| (248) 652-5726 |
| Full Name | Dr Justino M Zoma |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 1135 W University Dr Ste 355, Rochester, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427436674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301107018 (Michigan) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | 4301107018 (Michigan) | Primary |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justino M Zoma, MD 1135 W University Dr Ste 355, Rochester, MI 48307-1871 Ph: (248) 844-6030 | Dr Justino M Zoma, MD 1135 W University Dr Ste 355, Rochester, MI 48307-1871 Ph: (248) 844-6030 |
Padmavathi Swaminathan Ganapathy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4986 N Adams Rd, Ste C, Rochester, MI 48306 Phone: 248-475-5601 Fax: 248-475-5632 | |
Dr. Renee Elizabeth Barrett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1101 W University Dr Fl 2, Rochester, MI 48307 Phone: 248-652-5331 Fax: 248-652-5748 | |
Pamela Laura Cox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4986 N Adams Rd, Suite C, Rochester, MI 48306 Phone: 248-475-5601 Fax: 248-475-5632 | |
Dr. Jared W Stark, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 455 S Livernois Rd, Ste C14, Rochester, MI 48307 Phone: 248-656-0070 Fax: 248-656-1963 | |
Khalid Kamal, M.D., F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5331 Fax: 248-652-5748 | |
Dr. La Sharon Bobo Samuels, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4986 N Adams Rd, Suite C, Rochester, MI 48306 Phone: 248-475-5601 |