Harold M Friedman (NPI# 1760462659, PAC ID# 5496767360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760462659 |
| PAC ID by PECOS | 5496767360 |
| Professional Enrollment ID | I20060613000273 |
| Full Name | Harold M Friedman |
| Organization Legal Name | ENVISION MEDICAL GROUP PLLC |
| Address |
17800 Newburgh Rd Suite 103 Livonia MI 48152-2794 |
| Phone Number | 7344649540 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840315867 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2794 | 7344649540 | ENVISION MEDICAL GROUP PLLC |
| Organization Legal Name | ENVISION MEDICAL GROUP PLLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Saleh | Internal Medicine | Envision Medical Group Pllc | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 |
| Radu D Purtuc | Podiatry | Envision Medical Group Pllc | 12660 10 Mile Rd, South Lyon, MI 48178-9141 |
| Sarah A Goehmann | Nurse Practitioner | Envision Medical Group Pllc | 422 N Ctr St, Northville, MI 48167-1224 |
| David Y Ellenberg | Ophthalmology | Envision Medical Group Pllc | 33400 W Six Mile Rd, Suite B, Livonia, MI 48152-3143 |
| Randall T Wurtz | Family Medicine | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Thomas L Selznick | Family Medicine | Envision Medical Group Pllc | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2794 |
| Patrick Robert Brennan | Family Medicine | Envision Medical Group Pllc | 22024 Pontiac Trl, South Lyon, MI 48178-9410 |
| Mary A Miceli | Physician Assistant | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Paul D Jackson | Family Medicine | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| David W Prieskorn | Orthopedic Surgery | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Street Address |
17800 NEWBURGH RD SUITE 103 |
| City | LIVONIA |
| State | MI |
| Zip | 48152-2794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas L Selznick | Family Medicine | Envision Medical Group Pllc | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2794 |
| Sherri P Rosenfeld | Family Medicine | Envision Medical Group Pllc | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil K Jain | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Mark Stacherski | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Courtney Paladino | Clinical Social Worker | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Michael L Schwartz | Diagnostic Radiology | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Maribeth Knight | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Stacy L Smith | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Renee L Bayer | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Lisa Elconin | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Clint E Bernhard | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Jason M St John | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Find all physicians in zip 48152 | |||
| City | LIVONIA |
| Zip Code | 48152 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIVONIA + 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.