| Associated Orthopedists Of Detroit Pc | |
|
24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080-3207 | |
| (586) 779-7970 | |
| (586) 779-7748 |
| Full Name | Associated Orthopedists Of Detroit Pc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 24715 Little Mack Ave, St Clair Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083686083 | NPI | - | NPPES |
| 200E076460 | Other | MI | BCBSM PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| Provider Name | Debra Anne Kowalski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780786319 PECOS PAC ID: 4587674288 Enrollment ID: I20060426000040 |
| Provider Name | Jeffrey Zacharias |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326019399 PECOS PAC ID: 0941205900 Enrollment ID: I20060926000024 |
| Provider Name | Stephen E Lemos |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740232792 PECOS PAC ID: 4385649276 Enrollment ID: I20060927000576 |
| Provider Name | Shariff K Bishai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962452524 PECOS PAC ID: 8921010406 Enrollment ID: I20070919000550 |
| Provider Name | Lena S Ross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609990753 PECOS PAC ID: 1557431566 Enrollment ID: I20080603000421 |
| Provider Name | Andrew F Ajluni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871799833 PECOS PAC ID: 2769553767 Enrollment ID: I20090812000623 |
| Provider Name | Benedict P Pellerito |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780655969 PECOS PAC ID: 0648310581 Enrollment ID: I20091228000185 |
| Provider Name | Kenneth R Cervone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316937873 PECOS PAC ID: 4880591643 Enrollment ID: I20100115000834 |
| Provider Name | James D Bookout |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588635767 PECOS PAC ID: 8426190224 Enrollment ID: I20100115000857 |
| Provider Name | Steven J Cusick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174594337 PECOS PAC ID: 7618874470 Enrollment ID: I20100227000056 |
| Provider Name | Jonathan P Narr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376658849 PECOS PAC ID: 5092999748 Enrollment ID: I20110405000647 |
| Provider Name | Alyssa Madison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447643655 PECOS PAC ID: 7113246216 Enrollment ID: I20150511002312 |
| Provider Name | Julie K Plichota |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932651338 PECOS PAC ID: 1153602636 Enrollment ID: I20161220002093 |
| Provider Name | Chelsea Dpt Brettfeld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073051470 PECOS PAC ID: 0547547192 Enrollment ID: I20170508002111 |
| Provider Name | Meghan Elizabeth Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881107738 PECOS PAC ID: 9133486244 Enrollment ID: I20171128002064 |
| Provider Name | Andrew M Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285106799 PECOS PAC ID: 6507102555 Enrollment ID: I20190111000632 |
| Provider Name | Jonathon A Hinz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124368923 PECOS PAC ID: 6608099536 Enrollment ID: I20190823003337 |
| Provider Name | David Pomaville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598390239 PECOS PAC ID: 9739517921 Enrollment ID: I20200323001156 |
| Provider Name | Courtney Arft |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316767742 PECOS PAC ID: 5395271332 Enrollment ID: I20241213000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Orthopedists Of Detroit Pc 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 Ph: (586) 779-7970 | Associated Orthopedists Of Detroit Pc 24715 Little Mack Ave, Suite 100, St Clair Shores, MI 48080-3207 Ph: (586) 779-7970 |