Vincent R C Maribao


Address: 29167 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48081-1331

Vincent R C Maribao (NPI# 1902835168, PAC ID# 3678578374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1902835168
PAC ID by PECOS 3678578374
Professional Enrollment ID I20061012000117
Full Name Vincent R C Maribao
Address 29167 Jefferson Ave
Suite 100
Saint Clair Shores
MI 48081-1331
Gender M
Credential MD
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230165 ST JOHN HOSPITAL AND MEDICAL CENTER
230089 WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE
230195 ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER

Other Locations

Address Phone Organization
29167 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48081-1331

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 29167 JEFFERSON AVE
SUITE 100
City SAINT CLAIR SHORES
State MI
Zip 48081-1331

Physicians in the same location

Name Specialty Organization Address
Melek R Kayser Plastic and Reconstructive Surgery 29167 Jefferson Ave, Saint Clair Shores, MI 48081-1331

Physicians in the same zip code

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

Competitor

Search similar physicians

City SAINT CLAIR SHORES
Zip Code 48081
Specialty INTERNAL MEDICINE
City + Specialty SAINT CLAIR SHORES + INTERNAL MEDICINE

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Dataset Information

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.

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