David R Lorelli (NPI# 1710989363, PAC ID# 1557345972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
Nation Provider ID (NPI) | 1710989363 |
PAC ID by PECOS | 1557345972 |
Professional Enrollment ID | I20040615000217 |
Full Name | David R Lorelli |
Organization Legal Name | ST CLAIR SPECIALTY PHYSICIANS PC |
Address |
23857 Greenfield Rd Southfield MI 48075-3122 |
Phone Number | 2485696111 |
Gender | M |
Credential | MD |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1995 |
Primary Specialty | VASCULAR SURGERY |
Secondary Specialties | GENERAL SURGERY |
Group Practice PAC ID | 6204733256 |
Number of Group Practice Members | 32 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
Address | Phone | Organization |
---|---|---|
22101 Moross Rd, Detroit, MI 48236-2148 | ST CLAIR SPECIALTY PHYSICIANS PC | |
22201 Moross Rd, Suite 155, Detroit, MI 48236-2152 | 3138864832 | ST CLAIR SPECIALTY PHYSICIANS PC |
23857 Greenfield Rd, Southfield, MI 48075-3122 | 2485696111 | ST CLAIR SPECIALTY PHYSICIANS PC |
Organization Legal Name | ST CLAIR SPECIALTY PHYSICIANS PC |
Physicians | 32 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mina El Kateb | Nephrology | St Clair Specialty Physicians PC | 16151 19 Mile Rd, Clinton Township, MI 48038-1158 |
Heather L Henderson | Nephrology | St Clair Specialty Physicians PC | 18001 E 10 Mile Rd, Roseville, MI 48066-3803 |
Christopher J Sjoberg | Nurse Practitioner | St Clair Specialty Physicians PC | 5610 W Gage, Suite A, Boise, ID 83706-1332 |
Micheal J Adcox | Nephrology | St Clair Specialty Physicians PC | 515 E Lane, Ontario, OR 97914-3953 |
Angela Ruth Harker Bacchus | Nurse Practitioner | St Clair Specialty Physicians PC | 23857 Greenfield Rd, Southfield, MI 48075-3122 |
Abida Zafar | Nephrology | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
Diana Scanlon | Nurse Practitioner | St Clair Specialty Physicians PC | 15918 19 Mile Rd, Clinton Township, MI 48038-1101 |
Gudalia Alcantara Fajardo | Nurse Practitioner | St Clair Specialty Physicians PC | 2601 Electric Ave, Port Huron, MI 48060-6587 |
Saurabh Gandhi | Internal Medicine | St Clair Specialty Physicians PC | 15918 19 Mile Rd, Clinton Township, MI 48038-1101 |
Ameer Abdulrazzak | Nephrology | St Clair Specialty Physicians PC | 28300 Orchard Lake Rd, Suite 202, Farmington Hills, MI 48334-3704 |
Street Address |
23857 GREENFIELD RD |
City | SOUTHFIELD |
State | MI |
Zip | 48075-3122 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela Ruth Harker Bacchus | Nurse Practitioner | St Clair Specialty Physicians PC | 23857 Greenfield Rd, Southfield, MI 48075-3122 |
Name | Specialty | Organization | Address |
---|---|---|---|
Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Find all physicians in zip 48075 |
City | SOUTHFIELD |
Zip Code | 48075 |
Specialty | VASCULAR SURGERY |
City + Specialty | SOUTHFIELD + VASCULAR SURGERY |
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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.