Jessia Ittiara (NPI# 1912081928, PAC ID# 3476501719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912081928 |
| PAC ID by PECOS | 3476501719 |
| Professional Enrollment ID | I20050104000479 |
| Full Name | Jessia Ittiara |
| Organization Legal Name | MICHIGAN PAIN INSTITUTE PLLC |
| Address |
7575 Grand River Rd Brighton MI 48114-9309 |
| Phone Number | 8108447703 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0941292239 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230156 | ST JOSEPH MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7575 Grand River Rd, Brighton, MI 48114-9309 | 8108447703 | MICHIGAN PAIN INSTITUTE PLLC |
| 205 N E Ave, Jackson, MI 49201-1753 | 5177884841 | MICHIGAN PAIN INSTITUTE PLLC |
| 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 7347127246 | MICHIGAN PAIN INSTITUTE PLLC |
| Organization Legal Name | MICHIGAN PAIN INSTITUTE PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gokul Toshniwal | Anesthesiology | Michigan Pain Institute Pllc | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 |
| Rudy Anthony Cueto | Anesthesiology | Michigan Pain Institute Pllc | 7575 Grand River Rd, Brighton, MI 48114-9309 |
| Wen J Chung | Anesthesiology | Michigan Pain Institute Pllc | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 |
| Brandon J Gaetino | Pain Management | Michigan Pain Institute Pllc | 7575 Grand River Rd, Brighton, MI 48114-9309 |
| Scott S Russell | Pain Management | Michigan Pain Institute Pllc | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 |
| Summer Amireh | Nurse Practitioner | Michigan Pain Institute Pllc | 7575 Grand River Rd, Brighton, MI 48114-9309 |
| Joshua M Burkard | Anesthesiology | Michigan Pain Institute Pllc | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 |
| Staci S Cattaneo | Nurse Practitioner | Michigan Pain Institute Pllc | 7575 Grand River Rd, Brighton, MI 48114-9309 |
| Chloe Sadler | Nurse Practitioner | Michigan Pain Institute Pllc | 7575 Grand River Rd, Brighton, MI 48114-9309 |
| Grace E Varilone | Physician Assistant | Michigan Pain Institute Pllc | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 |
| Street Address |
7575 GRAND RIVER RD |
| City | BRIGHTON |
| State | MI |
| Zip | 48114-9309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Albert Ramirez | Pathology | Iha Health Services Corporation | 7575 Grand River Rd, Brighton, MI 48114-9390 |
| Jessica M Ghaferi | Dermatology | Iha Health Services Corporation | 7575 Grand River Rd, Brighton, MI 48114-9390 |
| Chinmaya S Shelgikar | Vascular Surgery | Iha Health Services Corporation | 7575 Grand River Rd, Suite 205, Brighton, MI 48114-9379 |
| Laura Winningham | Physician Assistant | Iha Health Services Corporation | 7575 Grand River Rd, Brighton, MI 48114-9309 |
| Marc Tuchman | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 7575 Grand River Rd, Brighton, MI 48114-9309 |
| Benjamin Gilbert | Family Medicine | Iha Health Services Corporation | 7575 Grand River Rd, Suite 210, Brighton, MI 48114-9379 |
| Matthew James Wasco | Pathology | Iha Health Services Corporation | 7575 Grand River Rd, Brighton, MI 48114-9390 |
| Kathryn Lankton | Family Medicine | Iha Health Services Corporation | 7575 Grand River Rd, Suite 210, Brighton, MI 48114-9379 |
| Rudy Anthony Cueto | Anesthesiology | Michigan Pain Institute Pllc | 7575 Grand River Rd, Brighton, MI 48114-9309 |
| Amy Lynn Opperer Brode | Urology | Iha Health Services Corporation | 7575 Grand River Rd, Suite 202, Brighton, MI 48114-9390 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Camilletti | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Rima F Makhiawala | Obstetrics/gynecology | Iha Health Services Corporation | 2305 Genoa Bus Prk Dr, Suite 230, Brighton, MI 48114 |
| Laura Gerencer | Nurse Practitioner | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Stacie Griffin | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Fred Michael Hankin | Hand Surgery | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Kelly Lynn Arenz | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Kristyn Louise Delecki | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Melissa Joanne Zimmerman I | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Michael Paulson | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Elaine M Tripi | Clinical Psychologist | 2000 Grand River Anx, Brighton, MI 48114-3800 | |
| Find all physicians in zip 48114 | |||
| City | BRIGHTON |
| Zip Code | 48114 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRIGHTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jessia Ittiara.
| 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.