Thomas J Anan (NPI# 1104820463, PAC ID# 5294863569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104820463 |
| PAC ID by PECOS | 5294863569 |
| Professional Enrollment ID | I20100506000464 |
| Full Name | Thomas J Anan |
| Organization Legal Name | ASCENSION PROVIDENCE HOSPITAL |
| Address |
210 N Lafayette St Providence Medical Center South Lyon South Lyon MI 48178-2048 |
| Phone Number | 2484371744 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6103738703 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 210 N Lafayette St, Providence Medical Center South Lyon, South Lyon, MI 48178-2048 | 2484371744 | ASCENSION PROVIDENCE HOSPITAL |
| Organization Legal Name | ASCENSION PROVIDENCE HOSPITAL |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel A Yashinsky | Internal Medicine | Ascension Providence Hospital | 30055 Northwestern Hwy 150, Farmington Hills, MI 48334-3211 |
| Amanda A Vivian | Internal Medicine | Ascension Providence Hospital | 1435 N Milford Rd, 101 Providence Oakland Internal Medicine, Milford, MI 48381-1015 |
| Renee Beth Stechow | Nurse Practitioner | Ascension Providence Hospital | 210 N Lafayette St, South Lyon, MI 48178-2048 |
| Colin J Zaporski | Physician Assistant | Ascension Providence Hospital | 16001 W 9 Mile Rd 3rd Floor, Providence Hospital Gastrology, Southfield, MI 48075-4818 |
| Nadine N Roumaya | Obstetrics/gynecology | Ascension Providence Hospital | 8641 W Grand River, 4 Providence Hospital, Brighton, MI 48119-4329 |
| Meghan A Griffin | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 235, Farmington Hills, MI 48334-3282 |
| Sharon Miller | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 270, Providence Ob/gyn, Farmington Hills, MI 48334-3240 |
| Mark Rojewski | Family Medicine | Ascension Providence Hospital | 1200 Byron Rd, Howell, MI 48843-1007 |
| Robert G Dodds | Obstetrics/gynecology | Ascension Providence Hospital | 30055 Northwestern Hwy 260, Providence Family Medicine, Farmington Hills, MI 48334-3275 |
| Usha M Singhi | Internal Medicine | Ascension Providence Hospital | 26850 Providence Pkwy, Novi, MI 48374-1213 |
| Street Address |
210 N LAFAYETTE ST PROVIDENCE MEDICAL CENTER SOUTH LYON |
| City | SOUTH LYON |
| State | MI |
| Zip | 48178-2048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee Beth Stechow | Nurse Practitioner | Ascension Providence Hospital | 210 N Lafayette St, South Lyon, MI 48178-2048 |
| Jacquelene C Childs | Family Medicine | Ascension Providence Hospital | 210 N Lafayette St, South Lyon, MI 48178-2048 |
| Eric P Leikert | Family Medicine | Ascension Providence Hospital | 210 N Lafayette St, South Lyon, MI 48178-2048 |
| Lauren M Powers | Family Medicine | Ascension Providence Hospital | 210 N Lafayette St, South Lyon, MI 48178-2048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry G Kaplan | Chiropractic | 410 N Lafayette St, South Lyon, MI 48178-1378 | |
| Veronica Dpt Chenault | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Michael Forgach | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Janet M Cronin | Occupational Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Jennifer R Morris | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 301 S Lafayette St, Ati Physical Therapy, South Lyon, MI 48178-1407 |
| Barbara A Herzog | Physical Therapy | Plymouth Physical Therapy Specialists Limited Partnership | 301 S Lafayette St, Suite A, South Lyon, MI 48178-1407 |
| Prajnya Shenoy Katapadikar | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 22450 Pontiac Trl, South Lyon, MI 48178-1618 |
| Anthony M Mastrogiacomo | Podiatry | 22245 Pontiac Trail, South Lyon, MI 48178-1639 | |
| Philip Kontry | Optometry | 22371 Pontiac Trl, South Lyon, MI 48178-1658 | |
| Mark Zawisa | Family Medicine | Iha Health Services Corporation | 23200 Pontiac Trl, Suite 100, South Lyon, MI 48178-1983 |
| Find all physicians in zip 48178 | |||
| City | SOUTH LYON |
| Zip Code | 48178 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTH LYON + 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.