Nicholas J Rebel (NPI# 1053719278, PAC ID# 2961727508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1053719278 |
| PAC ID by PECOS | 2961727508 |
| Professional Enrollment ID | I20150203000198 |
| Full Name | Nicholas J Rebel |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF MICHIGAN PLLC |
| Address |
3990 John R St Detroit MI 48201-2018 |
| Phone Number | 3139930822 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9638481591 |
| Number of Group Practice Members | 188 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230104 | HARPER UNIVERSITY HOSPITAL |
| 230297 | KARMANOS CANCER CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3990 John R St, Detroit, MI 48201-2018 | 3139930822 | NORTHSTAR ANESTHESIA OF MICHIGAN PLLC |
| 4201 Saint Antoine St, Detroit, MI 48201-2153 | 3137453615 | NORTHSTAR ANESTHESIA OF MICHIGAN PLLC |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF MICHIGAN PLLC |
| Physicians | 127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly D Harris | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Shannon Lee Duncan | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Jeffrey S Smith | Anesthesiology | Northstar Anesthesia of Michigan Pllc | 4201 Saint Antoine St, Detroit, MI 48201-2153 |
| Karen L Pincheck | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Ineka K Irish | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Kathleen A Lowry | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Nabil M Kadi | Anesthesiology | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Eric Y Hsu | Anesthesiology | Northstar Anesthesia of Michigan Pllc | 3901 Beaubien St, Detroit, MI 48201-2119 |
| Jamie Erin David | Anesthesiology | Northstar Anesthesia of Michigan Pllc | 4201 Saint Antoine St, Detroit, MI 48201-2153 |
| Vinay A Pallekonda | Anesthesiology | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Street Address |
3990 JOHN R ST |
| City | DETROIT |
| State | MI |
| Zip | 48201-2018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly D Harris | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Shannon Lee Duncan | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Taylor Dillman | Physician Assistant | Radadvantage A Professional Corporation | 3990 John R St, Detroit, MI 48201-2018 |
| Hassan Amirikia | Obstetrics/gynecology | University Physician Group | 3990 John R St, Detroit, MI 48201-2018 |
| Areej Musa Fares | Physician Assistant | Vhs Physicians of Michigan | 3990 John R St, Detroit, MI 48201-2018 |
| Kirthi Konda Lilley | Gastroenterology | University Physician Group | 3990 John R St, Detroit, MI 48201-2018 |
| David Hassan Rustom | Physical Medicine and Rehabilitation | Vhs Physicians of Michigan | 3990 John R St, Detroit, MI 48201-2018 |
| Karen L Pincheck | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Ineka K Irish | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Kathleen A Lowry | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan Pllc | 3990 John R St, Detroit, MI 48201-2018 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Rose Berger Weber | Neurology | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Jennifer R Noble | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Ronald P Ruffing | Emergency Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Charles B Pelshaw | Physical Medicine and Rehabilitation | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Katherine O'brien Cashen | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Angela L Kavenaugh | Emergency Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Deemah R Mahadin | Cardiovascular Disease (cardiology) | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Robert L Conway | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Elizabeth A Secord | Allergy/immunology | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Melissa Y February | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Find all physicians in zip 48201 | |||
| City | DETROIT |
| Zip Code | 48201 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | DETROIT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.