Edward I Nazareno (NPI# 1679645972, PAC ID# 2769567643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1679645972 |
| PAC ID by PECOS | 2769567643 |
| Professional Enrollment ID | I20080318000064 |
| Full Name | Edward I Nazareno |
| Address |
13650 Fort St Southgate MI 48195-1152 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230146 | HENRY FORD WYANDOTTE HOSPITAL |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| 230176 | BEAUMONT HOSPITAL - TRENTON |
| 230270 | BEAUMONT HOSPITAL - TAYLOR |
| Address | Phone | Organization |
|---|---|---|
| 13650 Fort St, Southgate, MI 48195-1152 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 70% |
| Street Address |
13650 FORT ST |
| City | SOUTHGATE |
| State | MI |
| Zip | 48195-1152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Baghdoian | Orthopedic Surgery | 13479 Northline Rd, Southgate, MI 48195-1064 | |
| Kate Schmoekel | Physical Therapy | Orthopedic Associates, P.C. | 13479 Northline Rd, Southgate, MI 48195-1064 |
| Ramalingeswara Yalamanchi | Internal Medicine | 13300 Northline Rd, Southgate, MI 48195-1065 | |
| Rajasingh Johnson | Physical Therapy | 13245 Northline Rd, Southgate, MI 48195-1070 | |
| Howard B Shore | Chiropractic | 13560 Northline Rd, Southgate, MI 48195-1080 | |
| Lisa A Marlow | Qualified Audiologist | Sheila M Ray Md PC | 13136 Fort St, Southgate, MI 48195-1102 |
| Sheila M Ray | Otolaryngology | Sheila M Ray Md PC | 13136 Fort St, Southgate, MI 48195-1102 |
| Ali Saad | Allergy/immunology | 12811 Northline Rd, Southgate, MI 48195-1109 | |
| Aaron L Scheinker | Optometry | 13350 Fort St, Southgate, MI 48195-1137 | |
| Amal M Abdul Hussein | Family Medicine | Southgate Medical Center Pllc | 13460 Fort St, Southgate, MI 48195-1138 |
| Find all physicians in zip 48195 | |||
| City | SOUTHGATE |
| Zip Code | 48195 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SOUTHGATE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Edward I Nazareno.
| 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.