Michael William Sullivan (NPI# 1164531042, PAC ID# 2062326846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164531042 |
| PAC ID by PECOS | 2062326846 |
| Professional Enrollment ID | I20081105000098 |
| Full Name | Michael William Sullivan |
| Organization Legal Name | MCLAREN MACOMB |
| Address |
16700 21 Mile Rd Suite 101 Macomb MI 48044-4887 |
| Phone Number | 5862630320 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8921912791 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 16700 21 Mile Rd, Suite 101, Macomb, MI 48044-4887 | 5862630320 | MCLAREN MACOMB |
| Organization Legal Name | MCLAREN MACOMB |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie B Bieber | Obstetrics/gynecology | Mclaren Macomb | 36561 Harper Ave, Clinton Township, MI 48035-2012 |
| Tina Crocenzi | Nurse Practitioner | Mclaren Macomb | 38770 Garfield Rd, Suite 102, Clinton Township, MI 48038-6631 |
| Angelica M Radzioch | Family Medicine | Mclaren Macomb | 35103 Silvano St, Clinton Township, MI 48035-2685 |
| Cassandra N Ramar | Obstetrics/gynecology | Mclaren Macomb | 44200 Garfield Rd, Suite 164, Clinton Township, MI 48038-1142 |
| Kirk F Garcia-rios | Family Medicine | Mclaren Macomb | 46401 Romeo Plank Rd, Suite 4, Macomb, MI 48044-3510 |
| Robert F Carson | Orthopedic Surgery | Mclaren Macomb | 36500 S Gratiot Ave, 102 Multispecialties, Clinton Township, MI 48035-1772 |
| Christopher A Schnurer | Family Medicine | Mclaren Macomb | 33720 Harper Ave, Clinton Township, MI 48035-4255 |
| Mary E Puls | Internal Medicine | Mclaren Macomb | 36539 Harper Ave, Clinton Township, MI 48035-2012 |
| Mimi M Chen | Obstetrics/gynecology | Mclaren Macomb | 37399 Garfield Rd, Clinton Township, MI 48036-3672 |
| Christie Ann Schunemann | Nurse Practitioner | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Street Address |
16700 21 MILE RD SUITE 101 |
| City | MACOMB |
| State | MI |
| Zip | 48044-4887 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mario Coraci | Podiatry | 16700 21 Mile Rd, Suite 102, Macomb, MI 48044-4887 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curt A Jacob | Chiropractic | 50954 Romeo Plank Rd, Macomb, MI 48044-1117 | |
| 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 |
| Sebastian J Lopiccolo | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| 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 |
| Michael J Reardon | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Stephan Phipps Jr. | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Find all physicians in zip 48044 | |||
| City | MACOMB |
| Zip Code | 48044 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MACOMB + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael William Sullivan.
| 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.