Jamie Peysakhov (NPI# 1720389281, PAC ID# 0143419507) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720389281 |
| PAC ID by PECOS | 0143419507 |
| Professional Enrollment ID | I20110117000048 |
| Full Name | Jamie Peysakhov |
| Organization Legal Name | VEIN CENTER AT ALLURE MEDICAL SPA PLLC |
| Address |
19041 E 12 Mile Rd Roseville MI 48066-2609 |
| Phone Number | 5869928300 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173899523 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7300 Dixie Hwy, Suite 200, Clarkston, MI 48346-5102 | 5869928300 | VEIN CENTER AT ALLURE MEDICAL SPA PLLC |
| 37595 7 Mile Rd, Suite 400, Livonia, MI 48152-1003 | 5869928300 | VEIN CENTER AT ALLURE MEDICAL SPA PLLC |
| 19041 E 12 Mile Rd, Roseville, MI 48066-2609 | 5869928300 | VEIN CENTER AT ALLURE MEDICAL SPA PLLC |
| 8180 26 Mile Rd, Suite 300, Shelby Twp, MI 48316-5139 | 5869928300 | VEIN CENTER AT ALLURE MEDICAL SPA PLLC |
| 25531 Schoenherr Rd, Warren, MI 48089-1413 | 5869928300 | VEIN CENTER AT ALLURE MEDICAL SPA PLLC |
| Organization Legal Name | VEIN CENTER AT ALLURE MEDICAL SPA PLLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie A Rey | Nurse Practitioner | Vein Center At Allure Medical Spa Pllc | 4545 Hwy 17, Suite A, Murrells Inlet, SC 29576-5117 |
| Robert A Musson | Family Medicine | Vein Center At Allure Medical Spa Pllc | 117 Park Place Ct, Lexington, SC 29072-6690 |
| James S Isenberg | Nurse Practitioner | Vein Center At Allure Medical Spa Pllc | 427 Us 31w Byp, Bowling Green, KY 42101-1703 |
| Adriana Maria Naidel | Physician Assistant | Vein Center At Allure Medical Spa Pllc | 9114 Town Ctr Pkwy, Lakewood Ranch, FL 34202-5053 |
| Jerimiah E Mason | General Surgery | Vein Center At Allure Medical Spa Pllc | 902 Fleming St, Suite C, Hendersonville, NC 28791-3504 |
| Nicole L Stapp | Nurse Practitioner | Vein Center At Allure Medical Spa Pllc | 8180 26 Mile Rd, Suite 300, Shelby Twp, MI 48316-5139 |
| Krista M Kitzerow | Physician Assistant | Vein Center At Allure Medical Spa Pllc | 1239 Corporate Ctr Dr, Oconomowoc, WI 53066-4898 |
| Danielle M Stabley | Physician Assistant | Vein Center At Allure Medical Spa Pllc | 25531 Schoenherr Rd, Warren, MI 48089-1413 |
| Glenda R Phillips | Nurse Practitioner | Vein Center At Allure Medical Spa Pllc | 427 Us 31w Byp, Bowling Green, KY 42101-1703 |
| Pamela R Valka | Family Medicine | Vein Center At Allure Medical Spa Pllc | 8180 26 Mile Rd, Suite 300, Shelby Twp, MI 48316-5139 |
| Street Address |
19041 E 12 MILE RD |
| City | ROSEVILLE |
| State | MI |
| Zip | 48066-2609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Stern | Psychologist, Clinical | 18245 Ten Mile Rd, Suite 140, Roseville, MI 48066 | |
| Gulshan Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Ruchika Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Christie Ann Schunemann | Nurse Practitioner | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Anil Singh | Internal Medicine | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Cari L Mcclellan | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Ambika Kunnath Puliyakote | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Lisa S Lee | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Cora Coleman | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Jennifer D Noricks | Clinical Social Worker | 28491 Utica Rd, Roseville, MI 48066-2593 | |
| Find all physicians in zip 48066 | |||
| City | ROSEVILLE |
| Zip Code | 48066 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROSEVILLE + PHYSICIAN ASSISTANT |
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| 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.