Allen James Greenway (NPI# 1760830947, PAC ID# 2264723360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1760830947 |
| PAC ID by PECOS | 2264723360 |
| Professional Enrollment ID | I20160621001287 |
| Full Name | Allen James Greenway |
| Organization Legal Name | ST. CLAIR MEDICAL P.C |
| Address |
3436 River Rd East China MI 48054-2204 |
| Phone Number | 8103297000 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850295916 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231314 | MCKENZIE HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3436 River Rd, East China, MI 48054-2204 | 8103297000 | ST. CLAIR MEDICAL P.C |
| Organization Legal Name | ST. CLAIR MEDICAL P.C |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Michel Sabbagh | Family Medicine | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Stephanie Sharpe | Nurse Practitioner | St. Clair Medical P.c | 7685 Brockway Rd, Brockway, MI 48097-3459 |
| Sharon J Mitchell | General Practice | St. Clair Medical P.c | 1209 10th St D, Port Huron, MI 48060-5262 |
| Renee M Susko | Family Medicine | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Jessica Lynn Young | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Ira M Sabbagh | General Practice | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Matthew R Luttrell | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Katherine Ann Blackwell | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Street Address |
3436 RIVER RD |
| City | EAST CHINA |
| State | MI |
| Zip | 48054-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Michel Sabbagh | Family Medicine | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Renee M Susko | Family Medicine | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Jessica Lynn Young | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Ira M Sabbagh | General Practice | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Matthew R Luttrell | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Katherine Ann Blackwell | Physician Assistant | St. Clair Medical P.c | 3436 River Rd, East China, MI 48054-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica L Green | Physical Medicine and Rehabilitation | 4220 Hospital Dr, East China, MI 48054-2200 | |
| Abida Zafar | Nephrology | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
| Julie M Schock | Nurse Practitioner | St Clair Specialty Physicians PC | 4180 Hospital Dr, East China, MI 48054-2233 |
| Sridhar P Reddy | Internal Medicine | 4050 River Rd, East China, MI 48054-2908 | |
| Kristin Marie Elliott | Nurse Practitioner | St Clair Pulmonary and Critical Care P C | 4050 River Rd, East China, MI 48054-2908 |
| Jordan Vanoverbeke | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Lauri B Conroy | Internal Medicine | Ascension River District Hospital | 4100 River Rd, East China, MI 48054-2909 |
| David P Tracy | Diagnostic Radiology | X-ray Associates of Port Huron PC | 4100 S River Rd, East China, MI 48054-2909 |
| Nicholas Frisch | Orthopedic Surgery | Ascension River District Hospital | 4100 River Rd, East China, MI 48054-2909 |
| Carrie L Cook | Certified Registered Nurse Anesthetist (crna) | Ascension River District Hospital | 4100 S River Rd, East China, MI 48054-2909 |
| Find all physicians in zip 48054 | |||
| City | EAST CHINA |
| Zip Code | 48054 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EAST CHINA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Allen James Greenway.
| 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.