Joseph R Pernicone (NPI# 1114975745, PAC ID# 1254341050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1114975745 |
| PAC ID by PECOS | 1254341050 |
| Professional Enrollment ID | I20060424000510 |
| Full Name | Joseph R Pernicone |
| Organization Legal Name | MICHIGAN STATE UNIVERSITY |
| Address |
463 E Circle Dr Rm 102 Michigan State University East Lansing MI 48824-1037 |
| Phone Number | 5178846546 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3870405954 |
| Number of Group Practice Members | 197 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 | 5178846546 | MICHIGAN STATE UNIVERSITY |
| Organization Legal Name | MICHIGAN STATE UNIVERSITY |
| Physicians | 226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Marie Thomas | Physical Therapy | Michigan State University | 4660 S Hagadorn Rd, 400 Msu Rehabilitation, East Lansing, MI 48823-5353 |
| Jennifer Boote | Pediatric Medicine | Michigan State University | 7355 Westshire Dr, Suite 102, Lansing, MI 48917-9764 |
| Robert T Scott | Family Medicine | Michigan State University | 804 Service Rd Rm, A225, East Lansging, MI 48824-7040 |
| Christine L Shafer | Psychiatry | Michigan State University | 909 Fee Rd, Suite B119, East Lansing, MI 48824-6410 |
| Suresh Kumar Mukherji | Diagnostic Radiology | Michigan State University | 1500 S Main, Eaton Rapids, MI 48827-1952 |
| Sandra D Bulemore | Nurse Practitioner | Michigan State University | 138 Service Rd, A142, East Lansing, MI 48824-1376 |
| Albert Aniskiewicz | Psychologist, Clinical | Michigan State University | 804 Service Rd, Rm A217, East Lansing, MI 48824-7015 |
| Cheryl G Mills | Nurse Practitioner | Michigan State University | 4650 S Hagadorn Rd, 100 Msu Medicine Specialty Center, East Lansing, MI 48823-5386 |
| Kevin Charles Robinson | Diagnostic Radiology | Michigan State University | 463 E Circle Dr, Olin Student Health Services, East Lansing, MI 48824-7500 |
| Mark D Ensberg | Internal Medicine | Michigan State University | 1210 W Saginaw, Lansing, MI 48915-1927 |
| Street Address |
463 E CIRCLE DR RM 102 MICHIGAN STATE UNIVERSITY |
| City | EAST LANSING |
| State | MI |
| Zip | 48824-1037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Mangan | Family Medicine | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Timothy Paul Spedoske | Family Medicine | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Leigh A White | Psychiatry | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Andrea Amalfitano | Pediatric Medicine | Michigan State University | 463 E Circle Dr Rm, Suite 102, East Lansing, MI 48824-1037 |
| Stacy S Bull | Family Practice | Michigan State University | 463 E Circle Dr Rm, Suite 102, East Lansing, MI 48824-1037 |
| Qaisra Zubair | Family Practice | Michigan State University | 463 E Circle Dr Rm, Suite 102, East Lansing, MI 48824-1037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra D Bulemore | Nurse Practitioner | Michigan State University | 138 Service Rd, A142, East Lansing, MI 48824-1376 |
| Peter G Bennick | Physician Assistant | Michigan State University | 138 Service Rd, East Lansing, MI 48824-1376 |
| Alice Opiyo Mwanda | Nurse Practitioner | Michigan State University | 138 Service Rd, East Lansing, MI 48824-1376 |
| Kathy Jo Barr | Physician Assistant | Michigan State University | 138 Service Rd, East Lansing, MI 48824-1376 |
| Bruce Wolf | Interventional Radiology | Michigan State University | 4660 S Hagadorn Rd, 600 Msu Womens Imaging Center, East Lansing, MI 48824-5383 |
| David R Anderson | Diagnostic Radiology | Michigan State University | 4660 S Hagadorn Rd, 600 Msu Womens Imaging Center, East Lansing, MI 48824-5383 |
| Christine L Shafer | Psychiatry | Michigan State University | 909 Fee Rd, Suite B119, East Lansing, MI 48824-6410 |
| Samantha Kennedy | Psychiatry | Michigan State University | 909 Fee Rd, Suite B119, East Lansing, MI 48824-6410 |
| Ruth Marie Baer | Psychiatry | Michigan State University | 909 Fee Rd, Suite B119, East Lansing, MI 48824-6410 |
| Deborah B Wagenaar | Psychiatry | Michigan State University | 909 Fee Rd, Suite B119, East Lansing, MI 48824-6410 |
| Find all physicians in zip 48824 | |||
| City | EAST LANSING |
| Zip Code | 48824 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EAST LANSING + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Joseph R Pernicone.
| 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.