| Dr Ryan Soheim, MD | |
|
16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230-1923 | |
| (313) 473-4690 | |
| Not Available |
| Full Name | Dr Ryan Soheim |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 6 Years |
| Location | 16815 E Jefferson Ave Ste 240, Grosse Pointe, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982265955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 72990 (Arizona) | Secondary |
| 208600000X | Surgery | 4301515121 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Physician Specialists Arizona Llc | 6204002272 | 234 |
| Entity Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Soheim, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Dr Ryan Soheim, MD 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230-1923 Ph: (313) 473-4690 |
Dr. Dharti Sheth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd Fl 2, Grosse Pointe, MI 48230 Phone: 313-473-6900 Fax: 586-771-8901 | |
Dr. Steven D Rimar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 | |
Dr. Dustin Baker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 | |
Mr. Norman Alexander Bolz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 19229 Mack Ave, Suite 34, Grosse Pointe, MI 48236 Phone: 313-343-0209 Fax: 313-343-0427 | |
Michael C. Coello, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 | |
Dr. Krikor Garo Arman Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 17000 Kercheval Ave Ste 205, Grosse Pointe, MI 48230 Phone: 313-640-2424 | |
Charles J Shanley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 Fax: 248-551-3023 |