Peter David Kowynia (NPI# 1851301352, PAC ID# 6709779911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1851301352 |
| PAC ID by PECOS | 6709779911 |
| Professional Enrollment ID | I20050119000955 |
| Full Name | Peter David Kowynia |
| Address |
43211 Dalcoma Dr Suite 4 Clinton Twp MI 48038-6309 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 43211 Dalcoma Dr, Suite 4, Clinton Twp, MI 48038-6309 | ||
| 22101 Moross Rd, Detroit, MI 48236-2148 | 3133434000 | ACUTE CARE SURGEONS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
43211 DALCOMA DR SUITE 4 |
| City | CLINTON TWP |
| State | MI |
| Zip | 48038-6309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin P Skidmore | Clinical Social Worker | Solution-based Counseling Services LLC | 43211 Dalcoma Dr, Suite 7, Clinton Township, MI 48038-6309 |
| Susan R Williams | Clinical Social Worker | Solution-based Counseling Services LLC | 43211 Dalcoma Dr, Suite 7, Clinton Township, MI 48038-6309 |
| Basivi R Baddigam | Psychiatry | Baddigam Family Psychiatric Associates Pllc | 43211 Dalcoma Dr, Suite 3, Clinton Township, MI 48038-6309 |
| Helen H Wilson | Clinical Social Worker | Solution-based Counseling Services LLC | 43211 Dalcoma Dr, Suite 7, Clinton Township, MI 48038-6309 |
| Joyanta K Saha | Internal Medicine | 43211 Dalcoma Dr, Suite 1, Clinton Township, MI 48038-6309 | |
| John D Wilson | Clinical Social Worker | Solution-based Counseling Services LLC | 43211 Dalcoma Dr, Suite 7, Clinton Township, MI 48038-6309 |
| Martin G Wunsch | Psychologist, Clinical | 43211 Dalcoma Dr, Suite 11, Clinton Township, MI 48038-6309 | |
| Prameela D Baddigam | Psychiatry | Baddigam Family Psychiatric Associates Pllc | 43211 Dalcoma Dr, Suite 3, Clinton Township, MI 48038-6309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Mark Allen Miller | Chiropractic | Family Chiropractor PC. | 44476 Hayes Rd, Clinton Township, MI 48038-1090 |
| Rachel M Klamo | Family Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Jessica Szatkowski | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Suresh Kumar | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Daymon Peterson | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Debra A Schmelzer | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Sarah L Wisniewski | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Aji Njie | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TWP |
| Zip Code | 48038 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CLINTON TWP + GENERAL SURGERY |
Please comment or provide details below to improve the information on Peter David Kowynia.
| 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.