| Matthew David Paradiso, PA-C | |
|
47601 Grand River Ave, Providence Park Hospital, Novi, MI 48374 | |
| (248) 465-4100 | |
| Not Available |
| Full Name | Matthew David Paradiso |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 47601 Grand River Ave, Novi, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710390950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5601007034 (Michigan) | Primary |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | General Radiology Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801801519 PECOS PAC ID: 4981518644 Enrollment ID: O20031117000659 |
| Entity Name | Mclaren Bay Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508131087 PECOS PAC ID: 5597659011 Enrollment ID: O20040213000277 |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Entity Name | Mclaren Flint |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275807372 PECOS PAC ID: 8628975497 Enrollment ID: O20120620000454 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Mclaren Hospital Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942026174 PECOS PAC ID: 2365968351 Enrollment ID: O20250502001568 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew David Paradiso, PA-C 1601 N Vermont Ave, Royal Oak, MI 48067-1461 Ph: (586) 524-9837 | Matthew David Paradiso, PA-C 47601 Grand River Ave, Providence Park Hospital, Novi, MI 48374 Ph: (248) 465-4100 |
Devyn Porath, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39555 W 10 Mile Rd Ste 302, Novi, MI 48375 Phone: 248-426-7200 |
Christina Rosemarie Byk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39450 W Twelve Mile Rd, Novi, MI 48377 Phone: 248-661-7393 |
Maria Pavia, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41302 Scarborough Ln, Novi, MI 48375 Phone: 248-924-4058 |
Skylar Goldstein, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-860-9150 |
Marina Medhat George, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25500 Meadowbrook Rd Ste 208, Novi, MI 48375 Phone: 248-200-9240 |
Jessica L Gelfand, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26750 Providence Pkwy Ste 200, Novi, MI 48374 Phone: 866-974-2673 Fax: 866-939-2673 |
Geanne Erard Geraghty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River, Novi, MI 48374 Phone: 248-465-4300 |