Michelle M Deyoung (NPI# 1669454013, PAC ID# 7012997810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1669454013 |
| PAC ID by PECOS | 7012997810 |
| Professional Enrollment ID | I20040722000614 |
| Full Name | Michelle M Deyoung |
| Organization Legal Name | SHORES PODIATRY ASSOCIATES PC |
| Address |
15959 Hall Rd Suite 109 Macomb MI 48044-5364 |
| Phone Number | 5867723500 |
| Gender | F |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7012997893 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 30795 23 Mile Rd, Suite 207, Chesterfield, MI 48047-5721 | 5867723500 | SHORES PODIATRY ASSOCIATES PC |
| 15959 Hall Rd, Suite 109, Macomb, MI 48044-5364 | 5867723500 | SHORES PODIATRY ASSOCIATES PC |
| 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 | 5867723500 | SHORES PODIATRY ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SHORES PODIATRY ASSOCIATES PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Richard Mastay | Podiatry | Shores Podiatry Associates PC | 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 |
| Bryan C West | Podiatry | Shores Podiatry Associates PC | 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 |
| Kevan Kreitman | Podiatry | Shores Podiatry Associates PC | 15959 Hall Rd, Suite 109, Macomb, MI 48044-5364 |
| Karen Potchynok-lund | Podiatry | Shores Podiatry Associates PC | 15959 Hall Rd, Suite 109, Macomb, MI 48044-5364 |
| Street Address |
15959 HALL RD SUITE 109 |
| City | MACOMB |
| State | MI |
| Zip | 48044-5364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Gwinn | Otolaryngology | Kenneth L Gwinn Md PC | 15959 Hall Rd, Ll104, Macomb, MI 48044-5364 |
| Michael J Raad | Internal Medicine | Silver Pine Medical Group Plc | 15959 Hall Rd, Suite 110, Macomb, MI 48044-5364 |
| Mark S Friedland | Vascular Surgery | 15959 Hall Rd, Suite 203, Macomb, MI 48044-5366 | |
| Robert E Poley | Sports Medicine | 15959 Hall Rd, Suite 405, Macomb, MI 48044-5368 | |
| Jeffrey Richard Varanelli | Optometry | Piero A Simone Md PC | 15959 Hall Rd, Suite 202, Macomb, MI 48044-5366 |
| Piero A Simone | Ophthalmology | Piero A Simone Md PC | 15959 Hall Rd, Suite 202, Macomb, MI 48044-5366 |
| Thomas C Gerbino | Qualified Audiologist | Kenneth L Gwinn Md PC | 15959 Hall Rd, Ll104, Macomb, MI 48044-5364 |
| Becky J Smith | Obstetrics/gynecology | 15959 Hall Rd, Suite 206, Macomb, MI 48044-5366 | |
| Kevan Kreitman | Podiatry | Shores Podiatry Associates PC | 15959 Hall Rd, Suite 109, Macomb, MI 48044-5364 |
| Kelly M Scott | Nurse Practitioner | Kenneth L Gwinn Md PC | 15959 Hall Rd, Ll104, Macomb, MI 48044-5364 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curt A Jacob | Chiropractic | 50954 Romeo Plank Rd, Macomb, MI 48044-1117 | |
| Anthony Vito Benenati | Podiatry | Anthony V Benenati Dpm PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Adam C Rourke | Otolaryngology | Ascension St John Hospital | 17700 23 Mile Rd, Suite 303, Macomb, MI 48044-1154 |
| Ryan C Pollina | Pain Management | Blue Water Pain Specialists PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Sebastian J Lopiccolo | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Allison C Najarian | Physician Assistant | Blue Water Pain Specialists PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Christopher Paul Cassell | General Surgery | 17700 23 Mile Rd, Macomb, MI 48044-1154 | |
| Donn M Schroder | General Surgery | Ascension Medical Group Michigan | 17700 23 Mile Rd, Suite 404, Macomb, MI 48044-1154 |
| Michael J Reardon | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Stephan Phipps Jr. | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Find all physicians in zip 48044 | |||
| City | MACOMB |
| Zip Code | 48044 |
| Specialty | PODIATRY |
| City + Specialty | MACOMB + PODIATRY |
Please comment or provide details below to improve the information on Michelle M Deyoung.
| 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.