Stephanie Maniaci (NPI# 1114302130, PAC ID# 4183992407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114302130 |
| PAC ID by PECOS | 4183992407 |
| Professional Enrollment ID | I20170609000903 |
| Full Name | Stephanie Maniaci |
| Organization Legal Name | PORT HURON INTERNAL MEDICINE ASSOCIATES |
| Address |
2540 16th St Port Huron MI 48060-6405 |
| Phone Number | 8109871000 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567497910 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230031 | LAKE HURON MEDICAL CENTER |
| 230216 | MCLAREN PORT HURON |
| Address | Phone | Organization |
|---|---|---|
| 2540 16th St, Port Huron, MI 48060-6405 | 8109871000 | PORT HURON INTERNAL MEDICINE ASSOCIATES |
| Organization Legal Name | PORT HURON INTERNAL MEDICINE ASSOCIATES |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anshum Bhalla | Internal Medicine | Port Huron Internal Medicine Associates | 2540 16th St, Port Huron, MI 48060-6405 |
| Cheryl A Canto | Family Medicine | Port Huron Internal Medicine Associates | 2540 16th St, Port Huron, MI 48060-6405 |
| John I Jarad | Internal Medicine | Port Huron Internal Medicine Associates | 2540 16th St, Port Huron, MI 48060-6405 |
| Emad Daher | Internal Medicine | Port Huron Internal Medicine Associates | 2540 16th St, Port Huron, MI 48060-6405 |
| Street Address |
2540 16TH ST |
| City | PORT HURON |
| State | MI |
| Zip | 48060-6405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anshum Bhalla | Internal Medicine | Port Huron Internal Medicine Associates | 2540 16th St, Port Huron, MI 48060-6405 |
| Cheryl A Canto | Family Medicine | Port Huron Internal Medicine Associates | 2540 16th St, Port Huron, MI 48060-6405 |
| John I Jarad | Internal Medicine | Port Huron Internal Medicine Associates | 2540 16th St, Port Huron, MI 48060-6405 |
| Emad Daher | Internal Medicine | Port Huron Internal Medicine Associates | 2540 16th St, Port Huron, MI 48060-6405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette M Mercatante | Family Medicine | 2215 Court, Port Huron, MI 48060 | |
| Fahim Kamal Ibrahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| George J Carley Jr. | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Reid S Stromberg | Family Medicine | George J Carley Do PC | 1943 Holland Ave, Port Huron, MI 48060-1519 |
| Kamal Fahim | Ophthalmology | 2025 Holland Ave, Port Huron, MI 48060-1519 | |
| Mark G Kanitz | Emergency Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dana L Wolfe | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Jay S Guikema | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Dena R Nader | Family Medicine | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Shanae D Bartlett | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 |
| Find all physicians in zip 48060 | |||
| City | PORT HURON |
| Zip Code | 48060 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORT HURON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephanie Maniaci.
| 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.