Nicole Y Marijanovich (NPI# 1003079088, PAC ID# 6406024439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003079088 |
| PAC ID by PECOS | 6406024439 |
| Professional Enrollment ID | I20110719000333 |
| Full Name | Nicole Y Marijanovich |
| Organization Legal Name | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3072875889 |
| Number of Group Practice Members | 578 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES | |
| 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Organization Legal Name | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Physicians | 525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salman Khan | Family Medicine | Beaumont Medical Group Hospital Based Services | 33155 Annapolis St, Wayne, MI 48184-2405 |
| Amit Bahl | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Jessica Beacome | Nurse Practitioner | Beaumont Medical Group Hospital Based Services | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 |
| Joel T Fishbain | Infectious Disease | Beaumont Medical Group Hospital Based Services | 25631 Little Mack Ave, Suite 205, Saint Clair Shores, MI 48081-2108 |
| Stephanie A Davenport | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Maria Thomas | Pathology | Beaumont Medical Group Hospital Based Services | 10000 Telegraph Rd, Taylor, MI 48180-3330 |
| Edward J Jelonek | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Aparna Hariharan | Pathology | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Terrence Metz | Diagnostic Radiology | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Maryana Hanna Alhindi | Nurse Practitioner | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Street Address |
3601 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip | 48073-6712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amit Bahl | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Aparna Hariharan | Pathology | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Terrence Metz | Diagnostic Radiology | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Wesley Richard Barnes | General Surgery | Michigan Healthcare Professionals PC | 3601 W 13 Mile Rd, Hospital Physicians Network, Royal Oak, MI 48073-6712 |
| Rebecca S Moody | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Sarah Elizabeth Rimar | Hospitalist | Hospital Consultants PC | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Maryana Hanna Alhindi | Nurse Practitioner | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Geoffrey Michael Prysak | Internal Medicine | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Chirag Gupta | Ophthalmology | William Beaumont Hospital | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Christopher Robert Nall | Diagnostic Radiology | William Beaumont Hospital | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick Robert Pierce | Physical Therapy | Farmington Physical Therapy Inc | 29480 Woodward Ave, Royal Oak, MI 48073-0903 |
| Michael Leither | Physical Therapy | Farmington Physical Therapy Inc | 29480 Woodward Ave, Royal Oak, MI 48073-0903 |
| Leython Williams | Physical Therapy | Farmington Physical Therapy Inc | 29480 Woodward Ave, Royal Oak, MI 48073-0903 |
| Amanda Marleen Pfost | Physical Therapy | Farmington Physical Therapy Inc | 29480 Woodward Ave, Royal Oak, MI 48073-0903 |
| Donald Frederick Moylan | Urology | Comprehensive Medical Center, Pllc | 31157 Woodward Ave, Royal Oak, MI 48073-0926 |
| Michal W Wiercigroch | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Stephanie H Walton | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Allison Tyler | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Caitlin Bennett | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Chelsea Hazel Bartholomew | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Find all physicians in zip 48073 | |||
| City | ROYAL OAK |
| Zip Code | 48073 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROYAL OAK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nicole Y Marijanovich.
| 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.