Basel A Brikho (NPI# 1285721514, PAC ID# 4587736590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1285721514 |
| PAC ID by PECOS | 4587736590 |
| Professional Enrollment ID | I20080709000116 |
| Full Name | Basel A Brikho |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Address |
18211 W 12 Mile Rd Lathrup Village MI 48076-2641 |
| Phone Number | 2485574443 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 0648180406 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 | 2485574443 | ASCENSION MEDICAL GROUP MICHIGAN |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Marie Cohen | Family Medicine | Ascension Medical Group Michigan | 22050 Greater Mack Ave, Saint Clair Shores, MI 48080-2388 |
| Rose Natheer | Internal Medicine | Ascension Medical Group Michigan | 33464 Schoenherr Rd, Suite 160, Sterling Heights, MI 48312-6392 |
| Sapna S Gupta | Family Medicine | Ascension Medical Group Michigan | 26393 Dequindre Rd, Madison Heights, MI 48071-3821 |
| Jon W Mackey | Internal Medicine | Ascension Medical Group Michigan | 37771 Schoenherr Rd, Sterling Heights, MI 48312-2302 |
| Carlos A Ramirez Neyra | Maxillofacial Surgery | Ascension Medical Group Michigan | 11885 E 12 Mile, Suite 210, Warren, MI 48093-3467 |
| Anna F Boston | Nurse Practitioner | Ascension Medical Group Michigan | 42645 Garfield Rd, Clinton Twp, MI 48038-5022 |
| Peter Joseph Maceroni Jr. | Neurology | Ascension Medical Group Michigan | 955 Fred Moore Hwy, Ascension Medical Group Neurological Associates, St. Clair, MI 48079-4963 |
| Srikar T Reddy | Family Medicine | Ascension Medical Group Michigan | 51619 Ten Mile Rd, South Lyon, MI 48178-9720 |
| Nejla A Israel | Family Medicine | Ascension Medical Group Michigan | 15300 W 9 Mile Rd, 1 Oak Park Medical Center, Oak Park, MI 48237-2585 |
| Mada H Jamil | Internal Medicine | Ascension Medical Group Michigan | 37538 Dequindre Rd, Sterling Heights, MI 48310-3511 |
| Street Address |
18211 W 12 MILE RD |
| City | LATHRUP VILLAGE |
| State | MI |
| Zip | 48076-2641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Bakalar | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Raka Mahajan | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Lyle S Grant | Family Medicine | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | |
| Katherine R Shaw | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Rao S Botta | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Suresh Anne | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
| Iqbal A Nasir | General Practice | 18161 W 13 Mile Rd, D4, Southfield, MI 48076-1113 | |
| Carolyn Elaine Guidot | Internal Medicine | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
| Jennifer R Hankinson | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, E1, Southfield, MI 48076-1113 |
| Susan Hyde Bakker | Clinical Social Worker | Personal and Family Adjustment Center PC | 30555 Southfield Rd, Suite 510, Southfield, MI 48076-1221 |
| Find all physicians in zip 48076 | |||
| City | LATHRUP VILLAGE |
| Zip Code | 48076 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LATHRUP VILLAGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Basel A Brikho.
| 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.