John P Speck (NPI# 1740227768, PAC ID# 3375507254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1740227768 |
| PAC ID by PECOS | 3375507254 |
| Professional Enrollment ID | I20041217000212 |
| Full Name | John P Speck |
| Organization Legal Name | NEPHROLOGY CONSULTANTS PC |
| Address |
27901 Woodward Ave Suite 210 Berkley MI 48072-0918 |
| Phone Number | 2484145377 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668436544 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| Address | Phone | Organization |
|---|---|---|
| 27901 Woodward Ave, Suite 210, Berkley, MI 48072-0918 | 2484145377 | NEPHROLOGY CONSULTANTS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 100% | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 73% |
| Organization Legal Name | NEPHROLOGY CONSULTANTS PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sami S Zarouk | Nephrology | Nephrology Consultants PC | 27901 Woodward Ave, Suite 210, Berkley, MI 48072-0918 |
| Radhika K Thalla | Internal Medicine | Nephrology Consultants PC | 27901 Woodward Ave, Suite 210, Berkley, MI 48072-0918 |
| Maria Marin | Internal Medicine | Nephrology Consultants PC | 27901 Woodward Ave, Suite 210, Berkley, MI 48072-0918 |
| Street Address |
27901 WOODWARD AVE SUITE 210 |
| City | BERKLEY |
| State | MI |
| Zip | 48072-0918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine E Lee | Physician Assistant | William Beaumont Hospital | 27901 Woodward Ave, Berkley, MI 48072-0921 |
| Maher M Rabah | Interventional Cardiology | William Beaumont Hospital | 27901 Woodward Ave, Berkley, MI 48072-0921 |
| Kenneth Jackson | Physician Assistant | William Beaumont Hospital | 27901 Woodward Ave, Berkley, MI 48072-0921 |
| Nina Gasperoni | Nurse Practitioner | William Beaumont Hospital | 27901 Woodward Ave, Berkley, MI 48072-0921 |
| Lauren E Taboh | Nurse Practitioner | Asadulla Mohammed Md PC | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0918 |
| Daniel Walsh | Cardiovascular Disease (cardiology) | William Beaumont Hospital | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0921 |
| Amr E Abbas | Interventional Cardiology | William Beaumont Hospital | 27901 Woodward Ave, Berkley, MI 48072-0921 |
| Richard E Gordon | Cardiovascular Disease (cardiology) | William Beaumont Hospital | 27901 Woodward Ave, Berkley, MI 48072-0921 |
| Barak Tanzman | Plastic and Reconstructive Surgery | Chau Plastic Surgery PC | 27901 Woodward Ave, Suite 100, Berkley, MI 48072-0920 |
| Hazim Al Ameri | Cardiac Electrophysiology | William Beaumont Hospital | 27901 Woodward Ave, Berkley, MI 48072-0921 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandria M Cabell | Clinical Social Worker | Oakland Family Services | 2351 W Twelve Mile Rd, Berkley, MI 48072 |
| Tiffany R Chenault | Clinical Social Worker | Oakland Family Services | 2351 W Twelve Mile Rd, Berkley, MI 48072 |
| Dina Arvizu-dal-piaz | Clinical Social Worker | Oakland Family Services | 2351 W Twelve Mile Rd, Berkley, MI 48072 |
| Franklin M Reegen | Chiropractic | 27701 Woodward Ave, Berkley, MI 48072-0906 | |
| Christopher Paul Orow | Physical Therapy | 27803 Woodward Ave, Berkley, MI 48072-0907 | |
| Howard I Manela | Chiropractic | 28817 Woodward Ave, Berkley, MI 48072-0915 | |
| Asadulla S Mohammed | Pulmonary Disease | Asadulla Mohammed Md PC | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0918 |
| Sami S Zarouk | Nephrology | Nephrology Consultants PC | 27901 Woodward Ave, Suite 210, Berkley, MI 48072-0918 |
| Radhika K Thalla | Internal Medicine | Nephrology Consultants PC | 27901 Woodward Ave, Suite 210, Berkley, MI 48072-0918 |
| Maria Marin | Internal Medicine | Nephrology Consultants PC | 27901 Woodward Ave, Suite 210, Berkley, MI 48072-0918 |
| Find all physicians in zip 48072 | |||
| City | BERKLEY |
| Zip Code | 48072 |
| Specialty | NEPHROLOGY |
| City + Specialty | BERKLEY + NEPHROLOGY |
Please comment or provide details below to improve the information on John P Speck.
| 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.