Miguel A Luciano Jr. (NPI# 1629317888, PAC ID# 3476798976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629317888 |
| PAC ID by PECOS | 3476798976 |
| Professional Enrollment ID | I20130405000019 |
| Full Name | Miguel A Luciano Jr. |
| Organization Legal Name | ROCHESTER KNEE AND SPORTS MEDICINE PC |
| Address |
44201 Dequindre Rd Troy MI 48085-1117 |
| Phone Number | 2489648666 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355387564 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230254 | CRITTENTON HOSPITAL MEDICAL CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 3100 Cross Creek Pkwy, Auburn Hills, MI 48326-2775 | ROCHESTER KNEE AND SPORTS MEDICINE PC | |
| 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2776 | 2483778000 | ROCHESTER KNEE AND SPORTS MEDICINE PC |
| 44201 Dequindre Rd, Troy, MI 48085-1117 | 2489648666 | ROCHESTER KNEE AND SPORTS MEDICINE PC |
| Organization Legal Name | ROCHESTER KNEE AND SPORTS MEDICINE PC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Marie Yourick | Physician Assistant | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2776 |
| Michael A Yusaf | Orthopedic Surgery | Rochester Knee and Sports Medicine PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Corey Adam Mccue | Physical Therapy | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Suite 110, Auburn Hills, MI 48326-2775 |
| Sara A Wierzbicki | Physician Assistant | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2776 |
| Peter M Boruta | Orthopedic Surgery | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2776 |
| Megan Jobes | Physical Therapy | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Suite 110, Auburn Hills, MI 48326-2775 |
| Sara M Delikat | Physical Therapy | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Suite 110, Auburn Hills, MI 48326-2775 |
| Jill Ann Ellsasser | Physician Assistant | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2776 |
| John R Olenyn | Orthopedic Surgery | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Auburn Hills, MI 48326-2775 |
| Shannon Marie Cook | Physical Therapy | Rochester Knee and Sports Medicine PC | 3100 Cross Creek Pkwy, Suite 110, Auburn Hills, MI 48326-2775 |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip | 48085-1117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie A Davenport | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Ellen O Martines | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| David Donaldson | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Yan Lin | Hospitalist | Hospital Consultants PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Tiffany Elyse Drane | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Danielle E Braniecki | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Susan Marie Winay | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Michael A Yusaf | Orthopedic Surgery | Rochester Knee and Sports Medicine PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Jennifer Rita Walster | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Danielle Marie Friedrich | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark R Zohoury | Internal Medicine | 44201 Dequindre, Troy, MI 48085-1117 | |
| Emily E Corba | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Anita K Chadha | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Elizabeth A Putt | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Chelsea Niemi | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Anna Marie Glaros | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Matthew V Christensen | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Shane Corey Sluka | Physician Assistant | Michigan Orthopaedic Spine Surgeons PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Suzanne Romadan | Internal Medicine | 44201 Dequindre Rd, Troy, MI 48085-1117 | |
| Kristie L Kaminski | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Find all physicians in zip 48085 | |||
| City | TROY |
| Zip Code | 48085 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TROY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Miguel A Luciano Jr..
| 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.