| Gi Medicine Associates Pc | |
|
28963 Little Mack Ave Suite 101 Saint Clair Shores MI 48081-3017 | |
| (586) 447-0700 | |
| (586) 498-0707 |
| Full Name | Gi Medicine Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 28963 Little Mack Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Richard A Cascio (PRESIDENT/OWNER) |
| Authorized Official Contact | 5864470228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Medicine Associates Pc 28963 Little Mack Ave Suite 101 St Clair Shores MI 48081-3015 Ph: (586) 447-0700 | Gi Medicine Associates Pc 28963 Little Mack Ave Suite 101 Saint Clair Shores MI 48081-3017 Ph: (586) 447-0700 |
| NPI Number | 1154311405 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 03/24/2017 |
| Medicare PECOS PAC ID | 3375525215 |
|---|---|
| Medicare Enrollment ID | O20040603001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154311405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Irena Zalewska |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407846751 PECOS PAC ID: 9638154701 Enrollment ID: I20040622001358 |
| Provider Name | Jennifer L Kozak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801866124 PECOS PAC ID: 3173539582 Enrollment ID: I20060222000453 |
| Provider Name | Sudhanshu H Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104816370 PECOS PAC ID: 7113909060 Enrollment ID: I20100814000045 |
| Provider Name | Satyajit Daniel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770564999 PECOS PAC ID: 1153323829 Enrollment ID: I20100923000073 |
| Provider Name | Mohammed Barawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972584191 PECOS PAC ID: 3870595549 Enrollment ID: I20100923000099 |
| Provider Name | Richard R Cascio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801886155 PECOS PAC ID: 8527040476 Enrollment ID: I20100923000132 |
| Provider Name | Barbara Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861473084 PECOS PAC ID: 4082895974 Enrollment ID: I20110225000162 |
| Provider Name | Kianna M Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134435878 PECOS PAC ID: 2062694300 Enrollment ID: I20110308000905 |
| Provider Name | Lenore M Ranieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447232269 PECOS PAC ID: 5294910568 Enrollment ID: I20110502000135 |
| Provider Name | Susan D Ireland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679858625 PECOS PAC ID: 1759555964 Enrollment ID: I20111129000074 |
| Provider Name | Kerri A Bewick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912103755 PECOS PAC ID: 8820231707 Enrollment ID: I20130823001321 |
| Provider Name | Leonid M Shamban |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225398431 PECOS PAC ID: 7416258975 Enrollment ID: I20160708002060 |
| Provider Name | Molly A Gallaway |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578944849 PECOS PAC ID: 7911219217 Enrollment ID: I20210917002324 |
| Provider Name | Jessica Pontello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588245799 PECOS PAC ID: 6901294065 Enrollment ID: I20211022002211 |
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