Jacquelyn N Rodriguez (NPI# 1427264902, PAC ID# 2769541101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1427264902 |
| PAC ID by PECOS | 2769541101 |
| Professional Enrollment ID | I20081030000283 |
| Full Name | Jacquelyn N Rodriguez |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Address |
11012 E 13 Mile Rd Suite 212 Warren MI 48093-2547 |
| Phone Number | 5865827150 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0648180406 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 11012 E 13 Mile Rd, Suite 212, Warren, MI 48093-2547 | 5865827150 | ASCENSION MEDICAL GROUP MICHIGAN |
| 11012 E 13 Mile Rd, Warren, MI 48093-2572 | 8105827150 | ASCENSION MEDICAL GROUP MICHIGAN |
| 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 5865735000 | ASCENSION MACOMB OAKLAND HOSPITAL |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Marie Cohen | Family Medicine | Ascension Medical Group Michigan | 22050 Greater Mack Ave, Saint Clair Shores, MI 48080-2388 |
| Rose Natheer | Internal Medicine | Ascension Medical Group Michigan | 33464 Schoenherr Rd, Suite 160, Sterling Heights, MI 48312-6392 |
| Sapna S Gupta | Family Medicine | Ascension Medical Group Michigan | 26393 Dequindre Rd, Madison Heights, MI 48071-3821 |
| Jon W Mackey | Internal Medicine | Ascension Medical Group Michigan | 37771 Schoenherr Rd, Sterling Heights, MI 48312-2302 |
| Carlos A Ramirez Neyra | Maxillofacial Surgery | Ascension Medical Group Michigan | 11885 E 12 Mile, Suite 210, Warren, MI 48093-3467 |
| Anna F Boston | Nurse Practitioner | Ascension Medical Group Michigan | 42645 Garfield Rd, Clinton Twp, MI 48038-5022 |
| Peter Joseph Maceroni Jr. | Neurology | Ascension Medical Group Michigan | 955 Fred Moore Hwy, Ascension Medical Group Neurological Associates, St. Clair, MI 48079-4963 |
| Srikar T Reddy | Family Medicine | Ascension Medical Group Michigan | 51619 Ten Mile Rd, South Lyon, MI 48178-9720 |
| Basel A Brikho | Internal Medicine | Ascension Medical Group Michigan | 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 |
| Nejla A Israel | Family Medicine | Ascension Medical Group Michigan | 15300 W 9 Mile Rd, 1 Oak Park Medical Center, Oak Park, MI 48237-2585 |
| Street Address |
11012 E 13 MILE RD SUITE 212 |
| City | WARREN |
| State | MI |
| Zip | 48093-2547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Ryan | Orthopedic Surgery | Michigan Surgery Specialists PC | 11012 E 13 Mile Rd, Suite 201, Warren, MI 48093-2547 |
| Ronald Rook | Orthopedic Surgery | Michigan Surgery Specialists PC | 11012 E 13 Mile Rd, Suite 201, Warren, MI 48093-2547 |
| Albert Belfie | Physical Medicine and Rehabilitation | Southfield Rehabilitation Company | 11012 E 13 Mile Rd, Suite 111, Warren, MI 48093-2546 |
| Richard P Singer | Neurology | Michigan Surgery Specialists PC | 11012 E 13 Mile Rd, Suite 201, Warren, MI 48093-2547 |
| Dina Kassab | Obstetrics/gynecology | Ascension Medical Group Michigan | 11012 E 13 Mile Rd, Suite 212, Warren, MI 48093-2547 |
| Paige E Paladino | Obstetrics/gynecology | Ascension Medical Group Michigan | 11012 E 13 Mile Rd, Warren, MI 48093-2572 |
| Daphne P Tumaneng | Obstetrics/gynecology | Ascension Medical Group Michigan | 11012 E 13 Mile Rd, Suite 212, Warren, MI 48093-2547 |
| Samson P Samuel | Hand Surgery | Michigan Surgery Specialists PC | 11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2546 |
| Alexander James Colen | Orthopedic Surgery | Michigan Surgery Specialists PC | 11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2546 |
| Edward Aron Haass | Hand Surgery | Michigan Surgery Specialists PC | 11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2546 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Aronovitz | Podiatry | 31730 Hoover Rd B, Warren, MI 48093-1700 | |
| Jane E Krasnick | Allergy/immunology | Warren Allergy and Asthma Care, PC | 31730 Hoover Rd A, Warren, MI 48093-1700 |
| Carey C Linden | Allergy/immunology | Warren Allergy and Asthma Care, PC | 31730 Hoover Rd A, Warren, MI 48093-1700 |
| Ogechi Nita Enyioko | Nurse Practitioner | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Pauline Robinson | Nurse Practitioner | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Barry C Smith | Physician Assistant | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Shobha Subramanian | General Practice | American Home Doctors PC | 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171 |
| Dean A Ruble | General Practice | American Home Doctors PC | 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171 |
| Stephanie M Paluda | Obstetrics/gynecology | Mission Obstetrics and Gynecology P C | 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500 |
| Kristen Wuckert | Obstetrics/gynecology | Mission Obstetrics and Gynecology P C | 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500 |
| Find all physicians in zip 48093 | |||
| City | WARREN |
| Zip Code | 48093 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WARREN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jacquelyn N Rodriguez.
| 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.