Timothy J Blanchet (NPI# 1053355172, PAC ID# 6608991971) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053355172 |
| PAC ID by PECOS | 6608991971 |
| Professional Enrollment ID | I20100910000488 |
| Full Name | Timothy J Blanchet |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Address |
4260 Van Dyke Rd Suite 102 Almont MI 48003-8546 |
| Phone Number | 8107983994 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517162761 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230254 | CRITTENTON HOSPITAL MEDICAL CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 | 8107983994 | ST JOHN PROVIDENCE PHYSICIANS CMG |
| 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 | 5867529629 | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Jacobs | Family Medicine | St John Providence Physicians Cmg | 13951 Plumbrook Rd, Sterling Heights, MI 48312-1727 |
| Jennifer L Carlton | Family Medicine | St John Providence Physicians Cmg | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 |
| Nikolas Dimovski | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Barbara C Tess | Family Medicine | St John Providence Physicians Cmg | 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775 |
| Jeffrey R Hayes | Family Medicine | St John Providence Physicians Cmg | 35050 23 Mile Rd, Suite B, New Baltimore, MI 48047-3606 |
| Mark J Dukaj | Internal Medicine | St John Providence Physicians Cmg | 45640 Schoenherr Rd, Shelby Township, MI 48315-6033 |
| Tanya L Ropes | Nurse Practitioner | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Mark Edward Holowinski | Family Medicine | St John Providence Physicians Cmg | 19357 E Thirteen Mile Rd, Roseville Family Physicians, Roseville, MI 48066-5308 |
| Benjamin O Osowa | Internal Medicine | St John Providence Physicians Cmg | 18263 E 10 Mile Rd E, Associates In Internal Medicine Lakefront Internis, Roseville, MI 48066-5805 |
| Mark Robert Kurzawa | Family Medicine | St John Providence Physicians Cmg | 36367 Harper Ave, Clinton Township, MI 48035-2958 |
| Street Address |
4260 VAN DYKE RD SUITE 102 |
| City | ALMONT |
| State | MI |
| Zip | 48003-8546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Massimiliano P Vitale | Internal Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Keith P Bornstein | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Sherilyn J Russell | Endocrinology | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| John D Kilmer | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Kathleen D Ambrose | Nurse Practitioner | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Tihomir B Mihaylov | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Patricia A Roberts | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Brigitte K Stern | Family Practice | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Mary L Watts | Family Practice | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Kamego | Chiropractic | 716 N Van Dyke Rd, Almont, MI 48003-8500 |
| City | ALMONT |
| Zip Code | 48003 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALMONT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy J Blanchet.
| 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.