| Dr Nathan Thomas Mckenty, MD, MPH | |
| 
					2799 W Grand Blvd, Detroit, MI 48202-2608  | |
| (313) 916-2181 | |
| (313) 916-2478 | 
| Full Name | Dr Nathan Thomas Mckenty | 
|---|---|
| Gender | Male | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 2799 W Grand Blvd, Detroit, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699331538 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301511324 (Michigan) | Primary | 
| Entity Name | Henry Ford Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023170115 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000587  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nathan Thomas Mckenty, MD, MPH 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806  | Dr Nathan Thomas Mckenty, MD, MPH 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2181  | 
Monica Marie Loving,  Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000  | |
Dr. Medha Shah, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-2550  | |
Mr. Slawomir Edward Janiszewski,  Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-3511  | |
Peter Hanna Gumma, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 17187 Schaefer Hwy, Detroit, MI 48235 Phone: 313-367-2767 Fax: 313-367-2818  | |
Dr. Matthew Thomas Santa Barbara, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2181  | |
Ali Ahmad Bitar, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: Rehabilitation Institute Of Michigan, 261 Mack Blvd, Detroit, MI 48201 Phone: 313-966-0544 Fax: 313-745-1065  | |
Nivin Porwal,  Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1301 Orleans St Apt 1811e, Detroit, MI 48207 Phone: 614-256-1951  |