Poonam Mishra (NPI# 1437312337, PAC ID# 4587842539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1437312337 |
| PAC ID by PECOS | 4587842539 |
| Professional Enrollment ID | I20110622000661 |
| Full Name | Poonam Mishra |
| Organization Legal Name | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES |
| Address |
25250 Kelly Rd Suite 100 Roseville MI 48066-4473 |
| Phone Number | 5867774668 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214299866 |
| Number of Group Practice Members | 593 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 | 5867774668 | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES |
| 3555 W 13 Mile Rd, Royal Oak, MI 48073-6710 | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES | |
| 3571 W 13 Mile Rd Fl, 2 Beaumont Childrens Hosp Ped Hem Onc, Royal Oak, MI 48073-6710 | 2485510360 | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES |
| 3577 W 13 Mile Rd, Royal Oak, MI 48073-6710 | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES |
| Organization Legal Name | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES |
| Physicians | 456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nidhi Saini | Endocrinology | Beaumont Medical Group-specialty Services | 17412 W 13 Mile Rd, Luis Ospina Md Beaumont, Beverly Hills, MI 48025-5439 |
| Sayee Hardas Kiran | General Surgery | Beaumont Medical Group-specialty Services | 3601 W 13 Mile Rd Bcc, Beaumont Breast Care Center, Royal Oak, MI 48073-6712 |
| Alexandra Noelle Hayosh | Nurse Practitioner | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Robert P Lorenz | Obstetrics/gynecology | Beaumont Medical Group-specialty Services | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 |
| Paul H Finkel | Neurology | Beaumont Medical Group-specialty Services | 3555 W 13 Mile Rd, N120a Beaumont Childrens Hosp Peds Neuro, Royal Oak, MI 48073-6710 |
| Christopher F Carpenter | Infectious Disease | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Andrea Bell Kmiec | Physician Assistant | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Adil Khan | Neurology | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Thomas A Mladsi | Cardiovascular Disease (cardiology) | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Robert James Welsh | Thoracic Surgery | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Street Address |
25250 KELLY RD SUITE 100 |
| City | ROSEVILLE |
| State | MI |
| Zip | 48066-4473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Noelle Hayosh | Nurse Practitioner | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Christopher F Carpenter | Infectious Disease | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Andrea Bell Kmiec | Physician Assistant | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Adil Khan | Neurology | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Thomas A Mladsi | Cardiovascular Disease (cardiology) | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Robert James Welsh | Thoracic Surgery | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Pamela A Marcovitz | Cardiovascular Disease (cardiology) | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Francis L Shannon | Cardiac Surgery | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Ismael Enrique Gonzalez Rangel | Pediatric Medicine | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Denise Kirsch | Infectious Disease | Beaumont Medical Group-specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Stern | Psychologist, Clinical | 18245 Ten Mile Rd, Suite 140, Roseville, MI 48066 | |
| Gulshan Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Ruchika Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Christie Ann Schunemann | Nurse Practitioner | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Anil Singh | Internal Medicine | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Cari L Mcclellan | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Ambika Kunnath Puliyakote | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Lisa S Lee | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Cora Coleman | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Jennifer D Noricks | Clinical Social Worker | 28491 Utica Rd, Roseville, MI 48066-2593 | |
| Find all physicians in zip 48066 | |||
| City | ROSEVILLE |
| Zip Code | 48066 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROSEVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Poonam Mishra.
| 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.