Kelly K Machesky (NPI# 1033168125, PAC ID# 0042343253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033168125 |
| PAC ID by PECOS | 0042343253 |
| Professional Enrollment ID | I20100809000196 |
| Full Name | Kelly K Machesky |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Address |
15055 22 Mile Rd Suite 3 Shelby Twp MI 48315-4401 |
| Phone Number | 5865667100 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517162761 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 | 5865667100 | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Jacobs | Family Medicine | St John Providence Physicians Cmg | 13951 Plumbrook Rd, Sterling Heights, MI 48312-1727 |
| Jennifer L Carlton | Family Medicine | St John Providence Physicians Cmg | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 |
| Nikolas Dimovski | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Barbara C Tess | Family Medicine | St John Providence Physicians Cmg | 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775 |
| Timothy J Blanchet | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Jeffrey R Hayes | Family Medicine | St John Providence Physicians Cmg | 35050 23 Mile Rd, Suite B, New Baltimore, MI 48047-3606 |
| Mark J Dukaj | Internal Medicine | St John Providence Physicians Cmg | 45640 Schoenherr Rd, Shelby Township, MI 48315-6033 |
| Tanya L Ropes | Nurse Practitioner | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Mark Edward Holowinski | Family Medicine | St John Providence Physicians Cmg | 19357 E Thirteen Mile Rd, Roseville Family Physicians, Roseville, MI 48066-5308 |
| Benjamin O Osowa | Internal Medicine | St John Providence Physicians Cmg | 18263 E 10 Mile Rd E, Associates In Internal Medicine Lakefront Internis, Roseville, MI 48066-5805 |
| Street Address |
15055 22 MILE RD SUITE 3 |
| City | SHELBY TWP |
| State | MI |
| Zip | 48315-4401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikolas Dimovski | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Trpko Dimovski | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Jef J Getzinger | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Karen L Beasley | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Carl Vincent Poggiolo | Optometry | 15055 22 Mile Rd, Shelby Township, MI 48315-4401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara N Szczomak | Physician Assistant | Academic Dermatology and Cosmetic Surgery Center Pllc | 51189 Shelby Pkwy, Shelby Township, MI 48315-1786 |
| Tincy Oommen | Physician Assistant | Academic Dermatology and Cosmetic Surgery Center Pllc | 51189 Shelby Pkwy, Shelby Township, MI 48315-1786 |
| Victoria Brashaw | Physical Therapy | Team Rehabilitation S3 LLC | 13350 24 Mile Rd, Suite 500, Shelby Township, MI 48315-1814 |
| Ojas M Smart | Physical Therapy | Team Rehabilitation S3 LLC | 13350 24 Mile Rd, Suite 500, Shelby Township, MI 48315-1814 |
| Jennika A Myers | Physical Therapy | Team Rehabilitation S3 LLC | 13350 24 Mile Rd, Suite 500, Shelby Township, MI 48315-1814 |
| Marian Renee Cottingham | Physical Therapy | Team Rehabilitation S3 LLC | 13350 24 Mile Rd, Suite 500, Shelby Township, MI 48315-1814 |
| Allison M Uhazie | Physical Therapy | Team Rehabilitation S3 LLC | 13350 24 Mile Rd, Suite 500, Shelby Township, MI 48315-1814 |
| Matthew Dimovski | Physical Therapy | Team Rehabilitation S3 LLC | 13350 24 Mile Rd, Suite 500, Shelby Township, MI 48315-1814 |
| Jennifer C Rohrborn | Nurse Practitioner | Ascension Medical Group Michigan | 13350 24 Mile Rd, Suite 700, Shelby Township, MI 48315-1827 |
| Michael F Wind | Orthopedic Surgery | Ascension Medical Group Michigan | 13350 24 Mile Rd, Suite 700, Shelby Township, MI 48315-1827 |
| Find all physicians in zip 48315 | |||
| City | SHELBY TWP |
| Zip Code | 48315 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHELBY TWP + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kelly K Machesky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.