Derrick Anthony Williamson (NPI# 1215922059, PAC ID# 3173605805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215922059 |
| PAC ID by PECOS | 3173605805 |
| Professional Enrollment ID | I20080201000541 |
| Full Name | Derrick Anthony Williamson |
| Organization Legal Name | OSH-MI PHYSICIANS GROUP PC |
| Address |
1142 E 9 Mile Rd Hazel Park Clinic Hazel Park MI 48030-1901 |
| Phone Number | 2488174742 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810282191 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1142 E 9 Mile Rd, Hazel Park Clinic, Hazel Park, MI 48030-1901 | 2488174742 | OSH-MI PHYSICIANS GROUP PC |
| Organization Legal Name | OSH-MI PHYSICIANS GROUP PC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Marie Woodcock | Nurse Practitioner | Osh-mi Physicians Group PC | 102 W Pierson Rd, Flint, MI 48505-3348 |
| Ariola Dixon | Nurse Practitioner | Osh-mi Physicians Group PC | 1142 E 9 Mile Rd, Hazel Park Clinic, Hazel Park, MI 48030-1901 |
| Timanika Ataysha Dansby | Nurse Practitioner | Osh-mi Physicians Group PC | 18610 Fenkell St, Detroit, MI 48223-2378 |
| Joy A Sandy | Nurse Practitioner | Osh-mi Physicians Group PC | 3525 Saginaw Rd, Burton, MI 48529 |
| Azsha R Matthews | Nurse Practitioner | Osh-mi Physicians Group PC | 13667 Eureka Rd, Southgate Clinic, Southgate, MI 48195-1332 |
| Rachel L Sabb | Internal Medicine | Osh-mi Physicians Group PC | 11260 E Jefferson Ave, Jefferson Village Clinic, Detroit, MI 48214-3320 |
| Rachael Ann Kasperowicz | Family Medicine | Osh-mi Physicians Group PC | 27155 Cherry Hill Rd, Inkster, MI 48141-1204 |
| Luma Beydoun | Nurse Practitioner | Osh-mi Physicians Group PC | 18610 Fenkell St, Detroit, MI 48223-2378 |
| Esther N Rogers | Nurse Practitioner | Osh-mi Physicians Group PC | 18610 Fenkell St, Detroit, MI 48223-2378 |
| Leila Abbas | Nurse Practitioner | Osh-mi Physicians Group PC | 27155 Cherry Hill Rd, Inkster, MI 48141-1204 |
| Street Address |
1142 E 9 MILE RD HAZEL PARK CLINIC |
| City | HAZEL PARK |
| State | MI |
| Zip | 48030-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ariola Dixon | Nurse Practitioner | Osh-mi Physicians Group PC | 1142 E 9 Mile Rd, Hazel Park Clinic, Hazel Park, MI 48030-1901 |
| Jeffrey P Yanez | Internal Medicine | Osh-mi Physicians Group PC | 1142 E 9 Mile Rd, Hazel Park Clinic, Hazel Park, MI 48030-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrycja I Czesnowski | Family Medicine | 24503 John R Rd, Hazel Park, MI 48030-1141 | |
| Iyad J Alosachie | Internal Medicine | Michigan Healthcare Professionals PC | 23411 John R Rd, Hazel Park, MI 48030-1404 |
| Musib S Gappy | Internal Medicine | Michigan Healthcare Professionals PC | 23411 John R Rd, Hazel Park, MI 48030-1404 |
| Shawn S Gappy | Ophthalmology | 23411 John R Rd, Suite 4, Hazel Park, MI 48030-1404 | |
| Gary L Grossman | Chiropractic | 23507 John R Rd, Hazel Park, MI 48030-1408 | |
| Edward Fireberg | Chiropractic | 23507 John R Rd, Hazel Park, MI 48030-1408 | |
| Lawrence A Greenberg | Nephrology | 23231 John R Rd, Hazel Park, MI 48030-1476 | |
| Candice N Mcclain | Nurse Practitioner | Minuteclinic Diagnostic of Michigan PC | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 |
| Tasondra L Foltz | Nurse Practitioner | Minuteclinic Diagnostic of Michigan PC | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 |
| Ashlie C Wilbon | Nurse Practitioner | Minuteclinic Diagnostic of Michigan PC | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 |
| Find all physicians in zip 48030 | |||
| City | HAZEL PARK |
| Zip Code | 48030 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HAZEL PARK + 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.