Marie V Boomer (NPI# 1164621009, PAC ID# 5496798019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1164621009 |
| PAC ID by PECOS | 5496798019 |
| Professional Enrollment ID | I20120515000444 |
| Full Name | Marie V Boomer |
| Organization Legal Name | REHABILITATION PHYSICIANS PC |
| Address |
16001 W 9 Mile Rd Southfield MI 48075-4818 |
| Phone Number | 2484245802 |
| Gender | F |
| Graduation Year | 1984 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870484116 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 | 2488933200 | REHABILITATION PHYSICIANS PC |
| 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2484245802 | REHABILITATION PHYSICIANS PC |
| Organization Legal Name | REHABILITATION PHYSICIANS PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chijioke Chika Nwagwu | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Michael J Ellenberg | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Michael F Haenick | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Maury Ruben Ellenberg | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Kori F Rothman | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 6245 Inkster Rd, Garden City, MI 48135-4001 |
| Bhagyalakshmi Policherla | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Jeanette Gluszewski -sauer | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Elizabeth M Hall | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Sherri S Jessup | Nurse Practitioner | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Dennis Allen Bandemer Jr. | Physical Medicine and Rehabilitation | Rehabilitation Physicians PC | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 |
| Street Address |
16001 W 9 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48075-4818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Surinder Mendiratta | Internal Medicine | Surinder Mendiratta Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Jenna Torigian | Physician Assistant | Independent Observation Physicians Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Amanda M Diacono | Physician Assistant | Independent Emergency Physicians, P.C. | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
| Khalid Sabah Zakaria | Internal Medicine | Independent Hospitalist Physicians Pllc | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
| Timothy R Mervak | Pathology | Michigan Diagnostic Pathologists Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Herman S Kado | Cardiovascular Disease (cardiology) | Michigan Healthcare Professionals PC | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Joan M Placido | Clinical Social Worker | Ascension Providence Hospital | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
| Claire Aubrey | Urology | Michigan Healthcare Professionals PC | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Ann E Marsh Senic | Emergency Medicine | Independent Emergency Physicians, P.C. | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
| Gregory Edwin Berger | Internal Medicine | Reliance Hospitalists Pllc | 16001 W 9 Mile Rd, St John Providence, Southfield, MI 48075-4818 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
| Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
| James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
| Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
| Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
| Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
| Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Find all physicians in zip 48075 | |||
| City | SOUTHFIELD |
| Zip Code | 48075 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SOUTHFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marie V Boomer.
| 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.