Ethan C Preston (NPI# 1982191169, PAC ID# 0143585869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982191169 |
| PAC ID by PECOS | 0143585869 |
| Professional Enrollment ID | I20180530002581 |
| Full Name | Ethan C Preston |
| Organization Legal Name | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Address |
27483 Dequindre Rd Suite 102 Madison Heights MI 48071-5700 |
| Phone Number | 2489677380 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567689540 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 25990 Crocker Blvd, Harrison Township, MI 48045-3450 | 5864665211 | ASCENSION ST JOHN HOSPITAL |
| 27483 Dequindre Rd, Suite 102, Madison Heights, MI 48071-5700 | 2489677380 | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Organization Legal Name | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlyn M Witek | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Tonya M Nelson-williams | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Jessica L Heaney | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 17900 23 Mile Rd, Suite 101, Macomb, MI 48044-1161 |
| Alyssa D Baker | Physician Assistant | Seton Health Corporation of Southeastern Michigan | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5705 |
| Andrea L Dalman | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Lisa Renee Scott | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Brita J Pietila | Physician Assistant | Seton Health Corporation of Southeastern Michigan | 1225 S Latson Rd, 130 Seton Livingston Urgent Care, Howell, MI 48843-7576 |
| Antonia M Jerkins | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Street Address |
27483 DEQUINDRE RD SUITE 102 |
| City | MADISON HEIGHTS |
| State | MI |
| Zip | 48071-5700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy A Northway | Qualified Audiologist | Michigan Healthcare Professionals PC | 27483 Dequindre Rd, Madison Heights, MI 48071-5711 |
| Jessica E Narrett | Nurse Practitioner | Michigan Healthcare Professionals PC | 27483 Dequindre Rd, Suite 302, Madison Heights, MI 48071-5715 |
| Gary B Langnas | Internal Medicine | Michigan Healthcare Professionals PC | 27483 Dequindre Rd, Suite 302, Madison Heights, MI 48071-5715 |
| Gary L Berg | Pulmonary Disease | Michigan Healthcare Professionals PC | 27483 Dequindre Rd, Suite 210, Madison Heights, MI 48071-5711 |
| Ted H Schwartzenfeld | Otolaryngology | Michigan Healthcare Professionals PC | 27483 Dequindre Rd, Madison Heights, MI 48071-5711 |
| Steven P Myers | Physician Assistant | Ascension Macomb Oakland Hospital | 27483 Dequindre Rd, Suite 204, Madison Heights, MI 48071-5711 |
| Gary R Katz | General Surgery | Michigan Healthcare Professionals PC | 27483 Dequindre Rd, Suite 301, Madison Heights, MI 48071-5715 |
| Charles W Mccloskey | Family Medicine | Ascension Macomb Oakland Hospital | 27483 Dequindre Rd, Suite 204, Madison Heights, MI 48071-5711 |
| Warren L Brandes | Otolaryngology | Michigan Healthcare Professionals PC | 27483 Dequindre Rd, Suite 201, Madison Heights, MI 48071-5711 |
| Randall R Colvin | Family Medicine | Ascension Macomb Oakland Hospital | 27483 Dequindre Rd, Suite 303, Madison Heights, MI 48071-5715 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Altenburg | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Maria Schaefer | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Brittni N Cruse | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Brian A Jones | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Steven J Rabaut | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| William Bradley Bean | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Pamela Obare | Nurse Practitioner | City Medical PC | 30581 Stephenson Hwy, Madison Heights, MI 48071-1610 |
| Thomas John Petrou | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Alexander K Grossi | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Christopher E Wicks | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Find all physicians in zip 48071 | |||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MADISON HEIGHTS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ethan C Preston.
| 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.