April M Provenzino (NPI# 1386194066, PAC ID# 0446495477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386194066 |
| PAC ID by PECOS | 0446495477 |
| Professional Enrollment ID | I20170201000529 |
| Full Name | April M Provenzino |
| Organization Legal Name | GREAT LAKES MEDICAL GROUP PC |
| Address |
19070 E 10 Mile Rd Eastpointe MI 48021-1449 |
| Phone Number | 5867731383 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557679073 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 | 5867731383 | GREAT LAKES MEDICAL GROUP PC |
| Organization Legal Name | GREAT LAKES MEDICAL GROUP PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Forrest Ogilvy | Physician Assistant | Great Lakes Medical Group PC | 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 |
| Suham Dara Salman | Nurse Practitioner | Great Lakes Medical Group PC | 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 |
| Mohamad Said Rahbar | Internal Medicine | Great Lakes Medical Group PC | 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 |
| Norman C Holton | Physician Assistant | Great Lakes Medical Group PC | 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 |
| Street Address |
19070 E 10 MILE RD |
| City | EASTPOINTE |
| State | MI |
| Zip | 48021-1449 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Forrest Ogilvy | Physician Assistant | Great Lakes Medical Group PC | 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 |
| Suham Dara Salman | Nurse Practitioner | Great Lakes Medical Group PC | 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 |
| Mohamad Said Rahbar | Internal Medicine | Great Lakes Medical Group PC | 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 |
| Norman C Holton | Physician Assistant | Great Lakes Medical Group PC | 19070 E 10 Mile Rd, Eastpointe, MI 48021-1449 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suthin Liptawat | General Practice | 15200 E 10 Mile Rd, Eastpointe, MI 48021-1010 | |
| Nwanneka U Odumodu | Family Medicine | 16184 E 10 Mile Rd, Suite 101, Eastpointe, MI 48021-1160 | |
| Magdalena A Oleksy | Nurse Practitioner | Michigan Primary Care Pllc | 17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 |
| Colleen Miller | Nurse Practitioner | Michigan Primary Care Pllc | 17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 |
| Gary G Bill | Internal Medicine | Michigan Primary Care Pllc | 17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 |
| Aleksandra Tasevski | Nurse Practitioner | Michigan Primary Care Pllc | 17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 |
| Zbigniew Purzycki | Internal Medicine | Michigan Primary Care Pllc | 17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 |
| Peter C Dodenhoff | Family Practice | Michigan Primary Care Pllc | 17000 E 10 Mile Rd, Eastpointe, MI 48021-1263 |
| Andrea D Zinke | Nurse Practitioner | Michigan Healthcare Professionals PC | 24901 Kelly Rd, Eastpointe, MI 48021-1367 |
| Haley M Pope | Family Medicine | Michigan Healthcare Professionals PC | 24901 Kelly Rd, Eastpointe, MI 48021-1367 |
| Find all physicians in zip 48021 | |||
| City | EASTPOINTE |
| Zip Code | 48021 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EASTPOINTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on April M Provenzino.
| 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.