Stuart Gildenberg (NPI# 1194720276, PAC ID# 3375519317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1194720276 |
| PAC ID by PECOS | 3375519317 |
| Professional Enrollment ID | I20040910000496 |
| Full Name | Stuart Gildenberg |
| Organization Legal Name | MIDWEST CENTER FOR DERMATOLOGY AND PATHOLOGY PLLC |
| Address |
11900 E 12 Mile Rd Suite 201 Warren MI 48093-3490 |
| Phone Number | 5865742800 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0446330492 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230156 | ST JOSEPH MERCY HOSPITAL |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11900 E 12 Mile Rd, Suite 201, Warren, MI 48093-3490 | 5865742800 | MIDWEST CENTER FOR DERMATOLOGY AND PATHOLOGY PLLC |
| 5333 Mcauley Dr, Suite 5003, Ypsilanti, MI 48197-1020 | 7347123376 | IHA HEALTH SERVICES CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% |
| Organization Legal Name | MIDWEST CENTER FOR DERMATOLOGY AND PATHOLOGY PLLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Altman | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 11900 E 12 Mile Rd, Suite 201, Warren, MI 48093-3490 |
| Mary G Veremis Ley | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Barry I Auster | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Tiffany K Cukrowski | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Kent J Krach | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Alyssa Miceli | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Brian M Stewart | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Heather H Orkwis | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Kacie Elizabeth Stoll | Nurse Practitioner | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Adam S Richardson | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Street Address |
11900 E 12 MILE RD SUITE 201 |
| City | WARREN |
| State | MI |
| Zip | 48093-3490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ejaz A Dawson | Nephrology | Metropolitan Nephrologists PC | 11900 E 12 Mile Rd, Suite 200, Warren, MI 48093-3490 |
| Randall S Jacobs | Gastroenterology | Digestive Health Consultants Plc | 11900 E 12 Mile Rd, 307 Digestive Health Associates, Warren, MI 48093-3491 |
| Mohammad Mobayed | Hematology/oncology | Verdi Oncology Michigan PC | 11900 E 12 Mile Rd, Suite 308, Warren, MI 48093-3491 |
| Kim Margolis | Nephrology | Metropolitan Nephrologists PC | 11900 E 12 Mile Rd, Suite 200, Warren, MI 48093-3490 |
| Tarik H Hadid | Hematology/oncology | Verdi Oncology Michigan PC | 11900 E 12 Mile Rd, Suite 308, Warren, MI 48093-3491 |
| Sarah M Havens | Physician Assistant | Mendelson Orthopedics PC | 11900 E 12 Mile Rd, Warren, MI 48093-3487 |
| David A Altman | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 11900 E 12 Mile Rd, Suite 201, Warren, MI 48093-3490 |
| Bal K Gupta | Psychiatry | Bal K Gupta Md PC | 11900 E 12 Mile Rd, Suite 111, Warren, MI 48093-3487 |
| Janice M Fields | Gastroenterology | Digestive Health Consultants Plc | 11900 E 12 Mile Rd, 307 Digestive Health Associates, Warren, MI 48093-3491 |
| Courtney A Watson | Physician Assistant | Mendelson Orthopedics PC | 11900 E 12 Mile Rd, Warren, MI 48093-3487 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Aronovitz | Podiatry | 31730 Hoover Rd B, Warren, MI 48093-1700 | |
| Jane E Krasnick | Allergy/immunology | Warren Allergy and Asthma Care, PC | 31730 Hoover Rd A, Warren, MI 48093-1700 |
| Carey C Linden | Allergy/immunology | Warren Allergy and Asthma Care, PC | 31730 Hoover Rd A, Warren, MI 48093-1700 |
| Ogechi Nita Enyioko | Nurse Practitioner | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Pauline Robinson | Nurse Practitioner | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Barry C Smith | Physician Assistant | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Shobha Subramanian | General Practice | American Home Doctors PC | 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171 |
| Dean A Ruble | General Practice | American Home Doctors PC | 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171 |
| Stephanie M Paluda | Obstetrics/gynecology | Mission Obstetrics and Gynecology P C | 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500 |
| Kristen Wuckert | Obstetrics/gynecology | Mission Obstetrics and Gynecology P C | 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500 |
| Find all physicians in zip 48093 | |||
| City | WARREN |
| Zip Code | 48093 |
| Specialty | DERMATOLOGY |
| City + Specialty | WARREN + DERMATOLOGY |
Please comment or provide details below to improve the information on Stuart Gildenberg.
| 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.