Mark Richards (NPI# 1568487726, PAC ID# 7012911001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1568487726 |
| PAC ID by PECOS | 7012911001 |
| Professional Enrollment ID | I20090113000154 |
| Full Name | Mark Richards |
| Organization Legal Name | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| Address |
730 N Macomb St Suite 228 Monroe MI 48162-3087 |
| Phone Number | 7342427060 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1999 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4981752938 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| 360090 | ST LUKE'S HOSPITAL |
| 360156 | MEMORIAL HOSPITAL |
| 230099 | PROMEDICA MONROE REGIONAL HOSPITAL |
| 360259 | BAY PARK COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 770 Riverside Ave, Suite 106, Adrian, MI 49221-1465 | 5172660525 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| 1037 Conneaut Ave, Suite 202, Bowling Green, OH 43402-5300 | 4193540110 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| 715 S Taft Ave, Suite 195, Fremont, OH 43420-3237 | 4193339533 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| 730 N Macomb St, Suite 228, Monroe, MI 48162-3087 | 7342427060 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| 2751 Bay Park Dr, Suite 305, Oregon, OH 43616-4922 | 4196907689 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| 2142 N Cove Blvd, Toledo, OH 43606-3895 | 4192914000 | THE TOLEDO HOSPITAL |
| 2142 N Cove Blvd, Toledo, OH 43606-3895 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC | |
| 2901 N Reynolds Rd, Wildwood Orthopaedic and Spine Hospital, Toledo, OH 43615-2035 | 4195787700 | THE TOLEDO HOSPITAL |
| 2940 N Mccord Rd, Toledo, OH 43615-1753 | 4198423000 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| 734 S Shoop Ave, Suite B, Wauseon, OH 43567-1707 | 4193379995 | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| Organization Legal Name | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy P Phelan | Cardiovascular Disease (cardiology) | Promedica Northwest Ohio Cardiology Consultants LLC | 770 Riverside Ave, Suite 106, Adrian, MI 49221-1465 |
| Brenda L Drummond | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 2940 N Mccord Rd, Toledo, OH 43615-1753 |
| John L Schwartz | Cardiovascular Disease (cardiology) | Promedica Northwest Ohio Cardiology Consultants LLC | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Jacob Tyler Corbett | Physician Assistant | Promedica Northwest Ohio Cardiology Consultants LLC | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Emily M Dusa | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 770 Riverside Ave, Suite 106, Adrian, MI 49221-1465 |
| Zachary Davidson | Physician Assistant | Promedica Northwest Ohio Cardiology Consultants LLC | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Shirley R Redfern | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 2142 N Cove Blvd, Toledo, OH 43606-3895 |
| Hazem Malas | Internal Medicine | Promedica Northwest Ohio Cardiology Consultants LLC | 818 Riverside Ave, Adrian, MI 49221-1446 |
| Timothy L Ybarra | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 2940 N Mccord Rd, Toledo, OH 43615-1753 |
| Kristin M Wilhelmi | Nurse Practitioner | Promedica Northwest Ohio Cardiology Consultants LLC | 2940 N Mccord Rd, Toledo, OH 43615-1753 |
| Street Address |
730 N MACOMB ST SUITE 228 |
| City | MONROE |
| State | MI |
| Zip | 48162-3087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Chamberlain | General Surgery | Promedica Monroe Physicians Pllc | 730 N Macomb St, 329 Promedica Physicians General Surger, Monroe, MI 48162-2904 |
| Navin K Jain | Pulmonary Disease | Toledo Clinic Incorporated | 730 N Macomb St, Suite 320, Monroe, MI 48162-2904 |
| John J Kalenkiewicz | Internal Medicine | 730 N Macomb St, Suite 400, Monroe, MI 48162-2904 | |
| Amy Randall | Nurse Practitioner | Toledo Clinic Incorporated | 730 N Macomb St, Suite 320, Monroe, MI 48162-2904 |
| Muhammad F Javaid | Internal Medicine | Toledo Clinic Incorporated | 730 N Macomb St, Suite 320, Monroe, MI 48162-2904 |
| Manhar Tejura | Cardiovascular Disease (cardiology) | Promedica Monroe Cardiology, Pllc | 730 N Macomb St, Suite 429, Monroe, MI 48162-2904 |
| Holly Wuest | Nurse Practitioner | Toledo Clinic Incorporated | 730 N Macomb St, Suite 320, Monroe, MI 48162-2904 |
| Michael J Charboneau Jr. | General Surgery | Promedica Monroe Physicians Pllc | 730 N Macomb St, 329 Promedica Physicians General Surger, Monroe, MI 48162-2904 |
| Ganesh Ramaswami | General Surgery | 730 N Macomb St, Suite 300, Monroe, MI 48162-2904 | |
| William J Medick Ii | Psychologist, Clinical | 730 N Macomb St, Suite 225, Monroe, MI 48162-2969 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amal Butler | Clinical Social Worker | 311 N Monroe St, Monroe, MI 48162-2621 | |
| Kenneth J Mcnamee | Orthopedic Surgery | Promedica Monroe Physicians Pllc | 214 E Elm Ave, 200 Promedica Physicians Orthopaedic Su, Monroe, MI 48162-2678 |
| Marilyn Hatcher | Clinical Social Worker | 214 E Elm Ave, Suite 112, Monroe, MI 48162-2678 | |
| Cliff Ferreira | Nurse Practitioner | Ashwin H Shah Md PC | 718 N Macomb St, Mercy Memorial Hospital, Monroe, MI 48162-2900 |
| Ashwin H Shah | Urology | Ashwin H Shah Md PC | 730 N Macomb St, Suite 319, Monroe, MI 48162-2900 |
| Stacey M Reaume | Clinical Social Worker | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Tracy Gomez | Psychologist, Clinical | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Sherrill Reeves | Clinical Social Worker | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Susan J Revels | Clinical Social Worker | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Debra S L Remley | Nurse Practitioner | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Find all physicians in zip 48162 | |||
| City | MONROE |
| Zip Code | 48162 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | MONROE + CARDIAC ELECTROPHYSIOLOGY |
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| 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.