Jennifer L Carlton (NPI# 1003233453, PAC ID# 5092037515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003233453 |
| PAC ID by PECOS | 5092037515 |
| Professional Enrollment ID | I20170510001072 |
| Full Name | Jennifer L Carlton |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Address |
64580 Van Dyke Rd Suite C Washington MI 48095-2811 |
| Phone Number | 5867529629 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517162761 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230254 | CRITTENTON HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 | 5867529629 | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Jacobs | Family Medicine | St John Providence Physicians Cmg | 13951 Plumbrook Rd, Sterling Heights, MI 48312-1727 |
| Nikolas Dimovski | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Barbara C Tess | Family Medicine | St John Providence Physicians Cmg | 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775 |
| Timothy J Blanchet | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Jeffrey R Hayes | Family Medicine | St John Providence Physicians Cmg | 35050 23 Mile Rd, Suite B, New Baltimore, MI 48047-3606 |
| Mark J Dukaj | Internal Medicine | St John Providence Physicians Cmg | 45640 Schoenherr Rd, Shelby Township, MI 48315-6033 |
| Tanya L Ropes | Nurse Practitioner | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Mark Edward Holowinski | Family Medicine | St John Providence Physicians Cmg | 19357 E Thirteen Mile Rd, Roseville Family Physicians, Roseville, MI 48066-5308 |
| Benjamin O Osowa | Internal Medicine | St John Providence Physicians Cmg | 18263 E 10 Mile Rd E, Associates In Internal Medicine Lakefront Internis, Roseville, MI 48066-5805 |
| Mark Robert Kurzawa | Family Medicine | St John Providence Physicians Cmg | 36367 Harper Ave, Clinton Township, MI 48035-2958 |
| Street Address |
64580 VAN DYKE RD SUITE C |
| City | WASHINGTON |
| State | MI |
| Zip | 48095-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis P Craig | Family Medicine | St John Providence Physicians Cmg | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 |
| Alan Lee Stiebel | Podiatry | Romeo Foot Clinic PC | 64580 Van Dyke Rd, Suite A, Washington, MI 48095-2811 |
| Brett W Butler | Podiatry | Romeo Foot Clinic PC | 64580 Van Dyke Rd, Suite A, Washington, MI 48095-2811 |
| Michael Joseph Kasztelan | Family Practice | St John Providence Physicians Cmg | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad B Shahbandar | Cardiovascular Disease (cardiology) | 67200 Van Dyke Rd, Washington, MI 48095-1463 | |
| David W Calton | Family Medicine | 67150 Van Dyke Rd, Suite 200, Washington, MI 48095-1479 | |
| Juli A Grover | Nurse Practitioner | David W Calton Md PC | 67150 Van Dyke Rd, Suite 200, Washington, MI 48095-1479 |
| Mark J Majewski | Physical Therapy | 66841 Van Dyke Rd, Washington, MI 48095-2019 | |
| Farrah F Hafeez | Family Medicine | Henry Ford Macomb Hospital Corporation | 12150 30 Mile Rd, Suite 201, Washington Township, MI 48095-2035 |
| Marcie Nicole Gore | Physician Assistant | Orchardview Physicians, Pllc | 12150 30 Mile Rd, Suite 101, Washington Township, MI 48095-2035 |
| Philip M Ohalloran | General Practice | Orchardview Physicians, Pllc | 12150 30 Mile Rd, Suite 101, Washington Township, MI 48095-2035 |
| Michael T Ross | General Practice | Orchardview Physicians, Pllc | 12150 30 Mile Rd, Suite 101, Washington Township, MI 48095-2035 |
| Brittany M Matti | Physician Assistant | Orchardview Physicians, Pllc | 12150 30 Mile Rd, Suite 101, Washington Township, MI 48095-2035 |
| Sharon E Long | Nurse Practitioner | Orchardview Physicians, Pllc | 12150 30 Mile Rd, Suite 101, Washington Township, MI 48095-2035 |
| Find all physicians in zip 48095 | |||
| City | WASHINGTON |
| Zip Code | 48095 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WASHINGTON + FAMILY MEDICINE |
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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.