| John S Demare Do Pc | |
|
13700 19 Mile Rd Sterling Heights MI 48313-2702 | |
| (586) 247-6020 | |
| (586) 247-7048 |
| Full Name | John S Demare Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 13700 19 Mile Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Linda J Kenny (OFFICE MANAGER) |
| Authorized Official Contact | 5862476020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John S Demare Do Pc 13700 19 Mile Rd Sterling Heights MI 48313-2702 Ph: (586) 247-6020 | John S Demare Do Pc 13700 19 Mile Rd Sterling Heights MI 48313-2702 Ph: (586) 247-6020 |
| NPI Number | 1063527901 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/16/2023 |
| Medicare PECOS PAC ID | 5698763480 |
|---|---|
| Medicare Enrollment ID | O20040501000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063527901 | NPI | - | NPPES |
| 0E01378 | Other | BX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank Anthony Diponio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558344887 PECOS PAC ID: 4486642279 Enrollment ID: I20040501000419 |
| Provider Name | Joyce A Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003882903 PECOS PAC ID: 6103804703 Enrollment ID: I20040709001324 |
| Provider Name | John S Demare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427031756 PECOS PAC ID: 0042208837 Enrollment ID: I20040709001331 |
| Provider Name | Robert Gross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427143387 PECOS PAC ID: 5698671238 Enrollment ID: I20051017000319 |
| Provider Name | Steven Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225018534 PECOS PAC ID: 1153497805 Enrollment ID: I20080904000329 |
| Provider Name | Alisha Rose Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184398810 PECOS PAC ID: 9032515580 Enrollment ID: I20210908002187 |
| Provider Name | Charles Salvatori Porretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801534482 PECOS PAC ID: 5092195370 Enrollment ID: I20220705000126 |
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