| Osh-mi Physicians Group PC | |
|
11260 E Jefferson Ave Detroit MI 48214-3320 | |
| (313) 749-0148 | |
| (312) 929-0373 |
| Full Name | Osh-mi Physicians Group PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 11260 E Jefferson Ave, Detroit, Michigan |
| Authorized Official Name and Position | Terrance Morton (CMO) |
| Authorized Official Contact | 7406074835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osh-mi Physicians Group PC Po Box 746723 Atlanta GA 30374-6723 Ph: (773) 352-1515 | Osh-mi Physicians Group PC 11260 E Jefferson Ave Detroit MI 48214-3320 Ph: (313) 749-0148 |
| NPI Number | 1700236478 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 07/30/2026 |
| Certification Date | 07/30/2026 |
| Medicare PECOS PAC ID | 7810282191 |
|---|---|
| Medicare Enrollment ID | O20160825001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700236478 | NPI | - | NPPES |
| Provider Name | Darla S Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841284437 PECOS PAC ID: 1850384090 Enrollment ID: I20040405001204 |
| Provider Name | Florence Elizabeth Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649289083 PECOS PAC ID: 5193704450 Enrollment ID: I20040719001397 |
| Provider Name | Neetaben R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174616197 PECOS PAC ID: 3072579564 Enrollment ID: I20041207000227 |
| Provider Name | Del Charbonier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821198003 PECOS PAC ID: 3375501703 Enrollment ID: I20041230000707 |
| Provider Name | Rebecca G Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881799492 PECOS PAC ID: 5991756298 Enrollment ID: I20050203000607 |
| Provider Name | Zana Sotirov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477523033 PECOS PAC ID: 9436101458 Enrollment ID: I20050217000369 |
| Provider Name | Janette R Buhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952327249 PECOS PAC ID: 1456364702 Enrollment ID: I20060803000235 |
| Provider Name | Schawana B Thaxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306928395 PECOS PAC ID: 3173627544 Enrollment ID: I20070326000272 |
| Provider Name | Clarisse M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932247889 PECOS PAC ID: 3173628468 Enrollment ID: I20070416000117 |
| Provider Name | Burhan M Tajour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245431626 PECOS PAC ID: 6103926324 Enrollment ID: I20070717000235 |
| Provider Name | Sandra Manssur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336252329 PECOS PAC ID: 1355436288 Enrollment ID: I20071005000785 |
| Provider Name | Mark a Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790814820 PECOS PAC ID: 7012011109 Enrollment ID: I20090110000203 |
| Provider Name | Alis D Vidinas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720299837 PECOS PAC ID: 5890849608 Enrollment ID: I20090813000230 |
| Provider Name | Rita a Gatia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801122312 PECOS PAC ID: 6002958618 Enrollment ID: I20100120000520 |
| Provider Name | Keyur N Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770543803 PECOS PAC ID: 8022152628 Enrollment ID: I20100220000107 |
| Provider Name | Charles L Loredo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427249408 PECOS PAC ID: 4981720026 Enrollment ID: I20100927000978 |
| Provider Name | Toni R Nickel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992888556 PECOS PAC ID: 3375726318 Enrollment ID: I20110329000119 |
| Provider Name | Angela F Woodley Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861624058 PECOS PAC ID: 7012192263 Enrollment ID: I20110503000408 |
| Provider Name | Kelli Lynn Isralson Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235418138 PECOS PAC ID: 7618148537 Enrollment ID: I20110923000540 |
| Provider Name | Elizabeth M Stob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356621783 PECOS PAC ID: 0345412300 Enrollment ID: I20111017000605 |
| Provider Name | Matthew C Slendebroek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942445945 PECOS PAC ID: 6608913470 Enrollment ID: I20111020000519 |
| Provider Name | Holly a Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780977801 PECOS PAC ID: 8325214273 Enrollment ID: I20111227000691 |
| Provider Name | Kristina L Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750649737 PECOS PAC ID: 8123277217 Enrollment ID: I20121004000691 |
| Provider Name | Esther N Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184998528 PECOS PAC ID: 4789833799 Enrollment ID: I20121008000595 |
| Provider Name | Carrie K Peraino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679824254 PECOS PAC ID: 4880845718 Enrollment ID: I20121127000137 |
| Provider Name | Rachel Leah Sabb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20121130000329 |
| Provider Name | Shanette L Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679815203 PECOS PAC ID: 2961640917 Enrollment ID: I20130603000310 |
| Provider Name | Lekeysha Robinson-royster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497934590 PECOS PAC ID: 0648404814 Enrollment ID: I20131002000438 |
| Provider Name | Tracy L Bradstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518390681 PECOS PAC ID: 7416182670 Enrollment ID: I20131024001846 |
| Provider Name | Kristina M Suede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720328420 PECOS PAC ID: 1355410432 Enrollment ID: I20131109000209 |
| Provider Name | Stephanie J French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578992335 PECOS PAC ID: 7719115732 Enrollment ID: I20140118000310 |
| Provider Name | Enaia Nabha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881907418 PECOS PAC ID: 8426287863 Enrollment ID: I20140206000825 |
| Provider Name | Content G Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841629466 PECOS PAC ID: 7618108267 Enrollment ID: I20140324001071 |
| Provider Name | Nilufa Akhter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962794628 PECOS PAC ID: 5294953964 Enrollment ID: I20140822000659 |
| Provider Name | Brenda Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659617678 PECOS PAC ID: 6406045871 Enrollment ID: I20150120000664 |
| Provider Name | Deborah George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649601840 PECOS PAC ID: 0941529010 Enrollment ID: I20150512002048 |
| Provider Name | Albert Ujkaj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053700328 PECOS PAC ID: 6002127644 Enrollment ID: I20150623001489 |
| Provider Name | Amanda Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518364595 PECOS PAC ID: 0840508131 Enrollment ID: I20151007000070 |
| Provider Name | Shirlene M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427425420 PECOS PAC ID: 6204146988 Enrollment ID: I20151109001831 |
| Provider Name | Joy a Sandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013382357 PECOS PAC ID: 0446559058 Enrollment ID: I20160504000277 |
| Provider Name | Julia Lee Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033561188 PECOS PAC ID: 2163717893 Enrollment ID: I20160819001779 |
| Provider Name | James Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013359645 PECOS PAC ID: 3173814035 Enrollment ID: I20160915001744 |
| Provider Name | Aleisha Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700233889 PECOS PAC ID: 4486932571 Enrollment ID: I20161025000059 |
| Provider Name | Jennifer Bouck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427507953 PECOS PAC ID: 2062791445 Enrollment ID: I20161108002083 |
| Provider Name | Rochelle Lenetta Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083974 PECOS PAC ID: 9638459761 Enrollment ID: I20161207002326 |
| Provider Name | Jennifer Foggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740649680 PECOS PAC ID: 5799074837 Enrollment ID: I20170109000347 |
| Provider Name | Timanika Dansby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083016547 PECOS PAC ID: 5698061299 Enrollment ID: I20170518000514 |
| Provider Name | Jammie K Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972041291 PECOS PAC ID: 7911274774 Enrollment ID: I20170525002461 |
| Provider Name | Nikki Lynn Tocco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194091694 PECOS PAC ID: 8325353436 Enrollment ID: I20170707002358 |
| Provider Name | Lubna Sarraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578973962 PECOS PAC ID: 6204145030 Enrollment ID: I20170811000198 |
| Provider Name | Luma Beydoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114449295 PECOS PAC ID: 9739450636 Enrollment ID: I20170811000671 |
| Provider Name | Rebecca K Busk Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255757985 PECOS PAC ID: 0143445387 Enrollment ID: I20171030000839 |
| Provider Name | Janita Easter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548770456 PECOS PAC ID: 9436416161 Enrollment ID: I20171205000359 |
| Provider Name | Leila Abbas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356857056 PECOS PAC ID: 9739448812 Enrollment ID: I20180117002802 |
| Provider Name | Manpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326514944 PECOS PAC ID: 9638413552 Enrollment ID: I20181204002478 |
| Provider Name | Lekisha R Weathersby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912490129 PECOS PAC ID: 2365781481 Enrollment ID: I20190306002735 |
| Provider Name | Demetris Lavette Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215412416 PECOS PAC ID: 1153661756 Enrollment ID: I20190318002902 |
| Provider Name | Christopher Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922566728 PECOS PAC ID: 2860733581 Enrollment ID: I20190408000202 |
| Provider Name | Laura M Hillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235696436 PECOS PAC ID: 6103168117 Enrollment ID: I20190423001207 |
| Provider Name | Lomyda Mechon Lofton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942552617 PECOS PAC ID: 1254665581 Enrollment ID: I20190620001357 |
| Provider Name | Frank Zuziak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790248821 PECOS PAC ID: 5991036659 Enrollment ID: I20191010000198 |
| Provider Name | Jane Kennedy Bays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053728030 PECOS PAC ID: 9436480845 Enrollment ID: I20191016002979 |
| Provider Name | Gaybriel Morrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114307352 PECOS PAC ID: 6204135742 Enrollment ID: I20200221000496 |
| Provider Name | Randall M Mcpherson Jr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083148829 PECOS PAC ID: 6901175389 Enrollment ID: I20200727001802 |
| Provider Name | Vrikshajanani Chakravarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659891513 PECOS PAC ID: 8224307491 Enrollment ID: I20200807002063 |
| Provider Name | Elizabeth Jager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477095826 PECOS PAC ID: 6901187368 Enrollment ID: I20200902002512 |
| Provider Name | Fredy Masongsong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972951200 PECOS PAC ID: 0648564302 Enrollment ID: I20201125001421 |
| Provider Name | Mira Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20201202002478 |
| Provider Name | Alisha Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528663929 PECOS PAC ID: 6901218544 Enrollment ID: I20201223001756 |
| Provider Name | Justin Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20210114001259 |
| Provider Name | Lori a Klopfenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467630145 PECOS PAC ID: 8022148824 Enrollment ID: I20210416001333 |
| Provider Name | Shibani Tipnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497325476 PECOS PAC ID: 3375946296 Enrollment ID: I20210729000605 |
| Provider Name | Jaleesa Pouncil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376167460 PECOS PAC ID: 7517362064 Enrollment ID: I20210820001132 |
| Provider Name | Hebah Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265951792 PECOS PAC ID: 1557787637 Enrollment ID: I20210820001679 |
| Provider Name | Rebecca Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134557473 PECOS PAC ID: 2365675451 Enrollment ID: I20211118002313 |
| Provider Name | Lindsey Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942957824 PECOS PAC ID: 9133515133 Enrollment ID: I20220330002574 |
| Provider Name | Rachel Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528531258 PECOS PAC ID: 7416299748 Enrollment ID: I20220519002186 |
| Provider Name | Eliza Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811590185 PECOS PAC ID: 5597155408 Enrollment ID: I20220608000637 |
| Provider Name | Kristin Kops |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376100206 PECOS PAC ID: 0446583421 Enrollment ID: I20220627002494 |
| Provider Name | Mayuri Dasari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194037044 PECOS PAC ID: 7810212644 Enrollment ID: I20220719001604 |
| Provider Name | Jill Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285629238 PECOS PAC ID: 1052206000 Enrollment ID: I20220720003049 |
| Provider Name | Leen Nusairat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881257772 PECOS PAC ID: 1254714009 Enrollment ID: I20220811003238 |
| Provider Name | Charles William Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518523877 PECOS PAC ID: 0345618591 Enrollment ID: I20221121000573 |
| Provider Name | Maria F Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699978114 PECOS PAC ID: 1951402098 Enrollment ID: I20221213000479 |
| Provider Name | Larisa Chernishuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720730039 PECOS PAC ID: 6901277185 Enrollment ID: I20230126000759 |
| Provider Name | Peter Vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548535735 PECOS PAC ID: 2466762166 Enrollment ID: I20230620002009 |
| Provider Name | Mitchell Pohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710618095 PECOS PAC ID: 7012375280 Enrollment ID: I20230620002700 |
| Provider Name | Kywona Danielle Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427641109 PECOS PAC ID: 2769840750 Enrollment ID: I20230623000664 |
| Provider Name | Pamela Rochelle Shadaia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831425396 PECOS PAC ID: 7517325285 Enrollment ID: I20230628001662 |
| Provider Name | Diana Florence Stefanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063116317 PECOS PAC ID: 1052774056 Enrollment ID: I20230823003608 |
| Provider Name | Briana Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558003020 PECOS PAC ID: 5193189090 Enrollment ID: I20230911003726 |
| Provider Name | Monique Patrece Yelder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255922860 PECOS PAC ID: 5890149181 Enrollment ID: I20230920001236 |
| Provider Name | Christopher Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478592 PECOS PAC ID: 9436596251 Enrollment ID: I20240328000359 |
| Provider Name | Whitney Lanee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710749254 PECOS PAC ID: 2365983178 Enrollment ID: I20240920000112 |
| Provider Name | Nadine Winsome Larcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437991254 PECOS PAC ID: 6901339753 Enrollment ID: I20241031002207 |
| Provider Name | Quanza Mooring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770281016 PECOS PAC ID: 8224402920 Enrollment ID: I20241125001177 |
| Provider Name | Charles Edward Laymond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083389928 PECOS PAC ID: 3577085042 Enrollment ID: I20250313003842 |
| Provider Name | Kimberly Alabi-isama |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164695086 PECOS PAC ID: 7416035647 Enrollment ID: I20250424002316 |
| Provider Name | Sheila Barrenechea Glashower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104420751 PECOS PAC ID: 4880007962 Enrollment ID: I20250429000193 |
| Provider Name | Lydia Yenoby Nganongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710774393 PECOS PAC ID: 4880105931 Enrollment ID: I20250616001952 |
| Provider Name | Krisshonda D Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013796291 PECOS PAC ID: 4284136839 Enrollment ID: I20250904001350 |
| Provider Name | Adrian Danielle Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389839 PECOS PAC ID: 0244727949 Enrollment ID: I20251016000352 |
| Provider Name | Sukanya Sil |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205151446 PECOS PAC ID: 9133661416 Enrollment ID: I20260114004041 |
Central City Health (cherry Health) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8333 Townsend St, Detroit, MI 48213 Phone: 313-831-3160 |
Smith Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 W Outer Dr, Suite 230, Detroit, MI 48235 Phone: 313-535-0900 Fax: 313-535-3810 |
St. John Hospital and Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 |
Chass Mack Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3426 Mack Avenue, Detroit, MI 48207 Phone: 313-849-3920 |
Soulstead Valorgrid Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14700 Tireman St Apt 2, Detroit, MI 48228 Phone: 313-439-0442 |
Health Care Medical Center PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17141 Hayes St, Detroit, MI 48205 Phone: 313-245-1700 Fax: 313-245-1701 |