Patrick Robert Brennan (NPI# 1770582793, PAC ID# 3173595048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1770582793 |
| PAC ID by PECOS | 3173595048 |
| Professional Enrollment ID | I20040811000201 |
| Full Name | Patrick Robert Brennan |
| Organization Legal Name | ENVISION MEDICAL GROUP PLLC |
| Address |
22024 Pontiac Trl South Lyon MI 48178-9410 |
| Phone Number | 2483488700 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840315867 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230069 | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL |
| 230156 | ST JOSEPH MERCY HOSPITAL |
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 22024 Pontiac Trl, South Lyon, MI 48178-9410 | 2483488700 | ENVISION MEDICAL GROUP PLLC |
| Organization Legal Name | ENVISION MEDICAL GROUP PLLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Saleh | Internal Medicine | Envision Medical Group Pllc | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 |
| Radu D Purtuc | Podiatry | Envision Medical Group Pllc | 12660 10 Mile Rd, South Lyon, MI 48178-9141 |
| Sarah A Goehmann | Nurse Practitioner | Envision Medical Group Pllc | 422 N Ctr St, Northville, MI 48167-1224 |
| David Y Ellenberg | Ophthalmology | Envision Medical Group Pllc | 33400 W Six Mile Rd, Suite B, Livonia, MI 48152-3143 |
| Randall T Wurtz | Family Medicine | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Thomas L Selznick | Family Medicine | Envision Medical Group Pllc | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2794 |
| Mary A Miceli | Physician Assistant | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Paul D Jackson | Family Medicine | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| David W Prieskorn | Orthopedic Surgery | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Assad Sattar | Cardiovascular Disease (cardiology) | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Street Address |
22024 PONTIAC TRL |
| City | SOUTH LYON |
| State | MI |
| Zip | 48178-9410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Thomas Collins | Nurse Practitioner | Envision Medical Group Pllc | 22024 Pontiac Trl, South Lyon, MI 48178-9410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry G Kaplan | Chiropractic | 410 N Lafayette St, South Lyon, MI 48178-1378 | |
| Veronica Dpt Chenault | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Michael Forgach | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Janet M Cronin | Occupational Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Jennifer R Morris | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 301 S Lafayette St, Ati Physical Therapy, South Lyon, MI 48178-1407 |
| Barbara A Herzog | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Prajnya Shenoy Katapadikar | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 22450 Pontiac Trl, South Lyon, MI 48178-1618 |
| Anthony M Mastrogiacomo | Podiatry | 22245 Pontiac Trail, South Lyon, MI 48178-1639 | |
| Philip Kontry | Optometry | 22371 Pontiac Trl, South Lyon, MI 48178-1658 | |
| Mark Zawisa | Family Medicine | Iha Health Services Corporation | 23200 Pontiac Trl, Suite 100, South Lyon, MI 48178-1983 |
| Find all physicians in zip 48178 | |||
| City | SOUTH LYON |
| Zip Code | 48178 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTH LYON + FAMILY MEDICINE |
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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.