Andrew J Sulich (NPI# 1508946385, PAC ID# 3375576119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1508946385 |
| PAC ID by PECOS | 3375576119 |
| Professional Enrollment ID | I20101206000390 |
| Full Name | Andrew J Sulich |
| Organization Legal Name | SHORES RHEUMATOLOGY PC |
| Address |
29200 Harper Ave Saint Clair Shores MI 48081-1274 |
| Phone Number | 5867777577 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 3577596311 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230216 | MCLAREN PORT HURON |
| Address | Phone | Organization |
|---|---|---|
| 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 | 5867777577 | SHORES RHEUMATOLOGY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 23% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 27% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 19% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 34% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 68% |
| Organization Legal Name | SHORES RHEUMATOLOGY PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amar Qadir Majjhoo | Rheumatology | Shores Rheumatology PC | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 |
| Daric Alexander Mueller | Physician Assistant | Shores Rheumatology PC | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 |
| Rebecca Ann Wideman | Nurse Practitioner | Shores Rheumatology PC | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 |
| Timothy A. Brennan | Rheumatology | Shores Rheumatology PC | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 |
| Street Address |
29200 HARPER AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48081-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amar Qadir Majjhoo | Rheumatology | Shores Rheumatology PC | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 |
| Daric Alexander Mueller | Physician Assistant | Shores Rheumatology PC | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 |
| Rebecca Ann Wideman | Nurse Practitioner | Shores Rheumatology PC | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 |
| Timothy A. Brennan | Rheumatology | Shores Rheumatology PC | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Xavier Burgoyne | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Anthony Gerald Paniccia | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Neil Thomas Shaw | Podiatry | Anthony V Benenati Dpm PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 |
| James R Hrynik | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Brigitte M Ngoyi | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| John Woo Lee | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Regina R Frost | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in zip 48081 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | SAINT CLAIR SHORES + RHEUMATOLOGY |
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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.