Eleanor M Medina (NPI# 1588726921, PAC ID# 6608861828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1588726921 |
| PAC ID by PECOS | 6608861828 |
| Professional Enrollment ID | I20040417000177 |
| Full Name | Eleanor M Medina |
| Address |
4050 E 12 Mile Rd Behavior Center of Michigan Warren MI 48092-2534 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1966 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4050 E 12 Mile Rd, Behavior Center of Michigan, Warren, MI 48092-2534 |
| Street Address |
4050 E 12 MILE RD BEHAVIOR CENTER OF MICHIGAN |
| City | WARREN |
| State | MI |
| Zip | 48092-2534 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rowena Cabilac Callo Teodoro | Nurse Practitioner | Im Hospitalists | 4050 E 12 Mile Rd, Warren, MI 48092-2534 |
| Daniel M Appel | Psychiatry | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | |
| David Calderone | Podiatry | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | |
| Faye M Zuhairy | Psychiatry | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | |
| Caroline Morris | Physician Assistant | Im Hospitalists | 4050 E 12 Mile Rd, Warren, MI 48092-2534 |
| Carla E Shock | Nurse Practitioner | Im Hospitalists | 4050 E 12 Mile Rd, Warren, MI 48092-2534 |
| Gina C Valitutti | Physician Assistant | Im Hospitalists | 4050 E 12 Mile Rd, Warren, MI 48092-2534 |
| Allyson Hallahan | Nurse Practitioner | Im Hospitalists | 4050 E 12 Mile Rd, Warren, MI 48092-2534 |
| Catherine Rae Vance | Nurse Practitioner | Im Hospitalists | 4050 E 12 Mile Rd, Warren, MI 48092-2534 |
| Michael C Davis | Internal Medicine | Im Hospitalists | 4050 E 12 Mile Rd, Warren, MI 48092-2534 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manhal H Naoumi | Family Medicine | 31500 Dequindre Rd, Suite 100, Warren, MI 48092-1057 | |
| Laith M Potrous | Family Medicine | Madison Heights Urgent Care, PC | 31200 Dequindre Rd, Warren, MI 48092-1344 |
| Nabeel S Toma | Pediatric Medicine | 31200 Dequindre Rd, Warren, MI 48092-1344 | |
| Lawrence Michael Mosurak Iii | Chiropractic | 6201 Chicago Rd, Warren, MI 48092-1610 | |
| Carrol E Urban Jr. | Chiropractic | Dr Carrol E Urban Chiropractic Physician PC | 6201 Chicago Rd, Warren, MI 48092-1610 |
| Ronald M Urban | Chiropractic | Dr Carrol E Urban Chiropractic Physician PC | 6201 Chicago Rd, Warren, MI 48092-1610 |
| Sheila J Eaton | Psychologist, Clinical | 6200 Chicago Rd, Suite C, Warren, MI 48092-1682 | |
| Laura Gross | Clinical Social Worker | Prestige Creative Arts Therapy LLC | 6655 Chicago Rd, Suite 1, Warren, MI 48092-1685 |
| Aimee Popofski | Podiatry | Foot and Ankle Specialists of Michigan Pllc | 29433 Ryan Rd, Warren, MI 48092-2203 |
| Michael B Kraemer | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
| Find all physicians in zip 48092 | |||
| City | WARREN |
| Zip Code | 48092 |
| Specialty | PSYCHIATRY |
| City + Specialty | WARREN + PSYCHIATRY |
Please comment or provide details below to improve the information on Eleanor M Medina.
| 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.