Jeffrey J Kirouac (NPI# 1043254337, PAC ID# 7315835493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1043254337 |
| PAC ID by PECOS | 7315835493 |
| Professional Enrollment ID | I20040414001346 |
| Full Name | Jeffrey J Kirouac |
| Organization Legal Name | MICHIGAN PAIN MANAGEMENT CONSULTANTS-WEST, PC |
| Address |
26750 Providence Pkwy Suite 120 Novi MI 48374-1211 |
| Phone Number | 2486798000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 2961580287 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 | 2486798000 | MICHIGAN PAIN MANAGEMENT CONSULTANTS-WEST, PC |
| 47601 Grand River Ave, Novi, MI 48374-1233 | 5862635043 | MICHIGAN PAIN MANAGEMENT CONSULTANTS-WEST, PC |
| 16001 W Nine Mile, Southfield, MI 48075-4818 | 2487465896 | MICHIGAN PAIN MANAGEMENT CONSULTANTS, PC |
| 22255 Greenfield Rd, Suite 500, Southfield, MI 48075-3734 | 2488493142 | MICHIGAN PAIN MANAGEMENT CONSULTANTS, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 63% | |
| MIPS_EC_047_overall | Care Plan | 63% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | MICHIGAN PAIN MANAGEMENT CONSULTANTS-WEST, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey J Kimpson | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| John H Traylor Iii | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Street Address |
26750 PROVIDENCE PKWY SUITE 120 |
| City | NOVI |
| State | MI |
| Zip | 48374-1211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Braswell Deen | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey D Placzek | Hand Surgery | Michigan Hand and Wrist, P.C. | 26750 Providence Pkwy, Suite 220, Novi, MI 48374-1212 |
| Ashwini Mahindrakar | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 240, Novi, MI 48374-1211 |
| Victoria N Dooley | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Amy R Shepard | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Shad Siddiqi | Pain Management | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1212 |
| Diana A Haidar | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kimpson | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Lorenzo Ray M Lim | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Terri Ann Kovacic | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan II PC | 26750 Providence Pkwy, Suite 100, Novi, MI 48374-1211 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Farley | Family Medicine | Primecare On Wixom Pllc | 27250 Wixom Rd A, Novi, MI 48374-1116 |
| Eric A Tomei | Physical Therapy | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Jessica L Wentworth | Nurse Practitioner | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Michael P Montico | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Mohomad Al Sawah | Podiatry | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Marc A Borovoy | Podiatry | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Linda S Greenwood | Physician Assistant | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Gregory M Cibor | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Mark K Banno | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Teniesha Nicole Wright Jones | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Find all physicians in zip 48374 | |||
| City | NOVI |
| Zip Code | 48374 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | NOVI + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Jeffrey J Kirouac.
| 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.