Michael J Reardon (NPI# 1124095617, PAC ID# 1355390485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1124095617 |
| PAC ID by PECOS | 1355390485 |
| Professional Enrollment ID | I20050115000153 |
| Full Name | Michael J Reardon |
| Organization Legal Name | EASTSIDE GROUP LLC |
| Address |
17700 23 Mile Rd Suite 250 Macomb MI 48044-1156 |
| Phone Number | 5864167500 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1999 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4486790219 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19725 Allen Rd, Suite 102, Brownstown Twp, MI 48183-1090 | 7344797246 | MICHIGAN CRNAS STAFFING LLC |
| 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 | 5864167500 | EASTSIDE GROUP LLC |
| 23829 Little Mack Ave, Suite 200, Saint Clair Shores, MI 48080-1188 | 7344797246 | MICHIGAN CRNAS STAFFING LLC |
| 7091 Orchard Lake Rd, Suite 230, West Bloomfield, MI 48322-3651 | 2485387095 | MICHIGAN CRNAS STAFFING LLC |
| Organization Legal Name | EASTSIDE GROUP LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol L Burke | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Jody Mcmahon | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Jason A Krencicki | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Michael D Linc | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Stephan Phipps Jr. | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Chad Smith | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Karen Marie Piper | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Nitin Verman | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Brandon W Myers | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Kenicia D Adams | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Street Address |
17700 23 MILE RD SUITE 250 |
| City | MACOMB |
| State | MI |
| Zip | 48044-1156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Vito Benenati | Podiatry | Anthony V Benenati Dpm PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Adam C Rourke | Otolaryngology | Ascension St John Hospital | 17700 23 Mile Rd, Suite 303, Macomb, MI 48044-1154 |
| Ryan C Pollina | Pain Management | Blue Water Pain Specialists PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Stephan Phipps Jr. | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Sebastian J Lopiccolo | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Karen Marie Piper | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Nitin Verman | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Allison C Najarian | Physician Assistant | Blue Water Pain Specialists PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Christopher Paul Cassell | General Surgery | 17700 23 Mile Rd, Macomb, MI 48044-1154 | |
| Donn M Schroder | General Surgery | Ascension Medical Group Michigan | 17700 23 Mile Rd, Suite 404, Macomb, MI 48044-1154 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curt A Jacob | Chiropractic | 50954 Romeo Plank Rd, Macomb, MI 48044-1117 | |
| Tariq Sabir | Hematology/oncology | Ascension St John Hospital | 17900 23 Mile Rd, Macomb, MI 48044-1161 |
| Jessica L Heaney | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 17900 23 Mile Rd, Suite 101, Macomb, MI 48044-1161 |
| Zyad Kafri | Hematology/oncology | Ascension St John Hospital | 17900 23 Mile Rd, Macomb, MI 48044-1161 |
| Charlene L Sebest | Physician Assistant | Ascension St John Hospital | 17900 23 Mile Rd, Macomb, MI 48044-1161 |
| Michael S Fozo | Otolaryngology | Ascension St John Hospital | 17900 23 Mile Rd, Macomb, MI 48044-1161 |
| Derek J Handzo | Otolaryngology | Ascension St John Hospital | 17900 23 Mile Rd, Macomb, MI 48044-1161 |
| Wajahat A Khan | Medical Oncology | Ascension St John Hospital | 17900 23 Mile Rd, Macomb, MI 48044-1161 |
| Stefano M Militello | Podiatry | Premier Foot and Ankle, Pllc | 17900 23 Mile Rd, Suite 204, Macomb, MI 48044-1161 |
| Leonid M Shamban | Gastroenterology | Gi Medical Assoc PC | 17900 23 Mile Rd, Suite 404, Macomb, MI 48044-1161 |
| Find all physicians in zip 48044 | |||
| City | MACOMB |
| Zip Code | 48044 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MACOMB + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Michael J Reardon.
| 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.