Brian G Sandler (NPI# 1063493096, PAC ID# 4082680657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1063493096 |
| PAC ID by PECOS | 4082680657 |
| Professional Enrollment ID | I20040903001039 |
| Full Name | Brian G Sandler |
| Organization Legal Name | ACADEMIC DERMATOLOGY AND COSMETIC SURGERY CENTER PLLC |
| Address |
1455 S Lapeer Rd Suite 231 Lake Orion MI 48360-1468 |
| Phone Number | 2486936800 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0941395404 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 1455 S Lapeer Rd, Suite 231, Lake Orion, MI 48360-1468 | 2486936800 | ACADEMIC DERMATOLOGY AND COSMETIC SURGERY CENTER PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% |
| Organization Legal Name | ACADEMIC DERMATOLOGY AND COSMETIC SURGERY CENTER PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara N Szczomak | Physician Assistant | Academic Dermatology and Cosmetic Surgery Center Pllc | 51189 Shelby Pkwy, Shelby Township, MI 48315-1786 |
| Tincy Oommen | Physician Assistant | Academic Dermatology and Cosmetic Surgery Center Pllc | 51189 Shelby Pkwy, Shelby Township, MI 48315-1786 |
| Street Address |
1455 S LAPEER RD SUITE 231 |
| City | LAKE ORION |
| State | MI |
| Zip | 48360-1468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl C Sarnacki | Family Medicine | Orion Family Physicians PC | 1455 S Lapeer Rd, Suite 100, Lake Orion, MI 48360-1468 |
| Walid M Azmeh | General Surgery | Elite Healthcare Plc | 1455 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1468 |
| Bridget Beth-o'brien Wille | Physician Assistant | Orion Family Physicians PC | 1455 S Lapeer Rd, Suite 100, Lake Orion, MI 48360-1468 |
| Mike Polewski | Physician Assistant | Orion Family Physicians PC | 1455 S Lapeer Rd, Suite 100, Lake Orion, MI 48360-1468 |
| Jerry A Dancik | Nephrology | 1455 S Lapeer Rd, Suite 207, Lake Orion, MI 48360-1468 | |
| Melissa A Drallos | Physician Assistant | Orion Family Physicians PC | 1455 S Lapeer Rd, Suite 100, Lake Orion, MI 48360-1468 |
| Sandra Ann Golden | Family Medicine | Orion Family Physicians PC | 1455 S Lapeer Rd, Suite 100, Lake Orion, MI 48360-1468 |
| Jennifer M Prohow | Family Medicine | Orion Family Physicians PC | 1455 S Lapeer Rd, Suite 100, Lake Orion, MI 48360-1468 |
| Erik D Zuckerberg | General Practice | Orion Family Physicians PC | 1455 S Lapeer Rd, Suite 100, Lake Orion, MI 48360-1468 |
| Eileen Kosztowny | Nurse Practitioner | Elite Healthcare Plc | 1455 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1468 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Mccartney Jr. | Chiropractic | Mccartney Family Chiropractic and Wellness PC | 1079 S Baldwin Rd, Lake Orion, MI 48360-1045 |
| Jennifer M Mccartney | Chiropractic | Mccartney Family Chiropractic and Wellness PC | 1079 S Baldwin Rd, Lake Orion, MI 48360-1045 |
| Jihad S Younes | Allergy/immunology | 1251 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1415 | |
| John D Arsen | Podiatry | John D Arsen Dpm Inc | 1251 S Lapeer Rd, Suite 101, Lake Orion, MI 48360-1415 |
| James J Bauer | Family Medicine | 1251 S Lapeer Rd, Suite 202, Lake Orion, MI 48360-1416 | |
| Christopher L Francis | Physical Therapy | Team Rehabilitation Lo LLC | 1261 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1419 |
| Madeline Turner | Dermatology | 1261 S Lapeer Rd, Suite 201, Lake Orion, MI 48360-1419 | |
| Amanda Glazewski | Physical Therapy | Team Rehabilitation Lo LLC | 1261 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1419 |
| Valerie S Ludwig | Physical Therapy | Team Rehabilitation Lo LLC | 1261 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1419 |
| Jennifer Marie Macdonald | Physical Therapy | Team Rehabilitation Lo LLC | 1261 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1419 |
| Find all physicians in zip 48360 | |||
| City | LAKE ORION |
| Zip Code | 48360 |
| Specialty | DERMATOLOGY |
| City + Specialty | LAKE ORION + DERMATOLOGY |
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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.