Susan A Ivanovic (NPI# 1841231040, PAC ID# 7618030933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1841231040 |
| PAC ID by PECOS | 7618030933 |
| Professional Enrollment ID | I20100723000899 |
| Full Name | Susan A Ivanovic |
| Organization Legal Name | INDEPENDENT OBSERVATION PHYSICIANS PLLC |
| Address |
47601 Grand River Ave Novi MI 48374-1233 |
| Phone Number | 2484653000 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3577603604 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230029 | ST JOSEPH MERCY OAKLAND |
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 205 N E Ave, Jackson, MI 49201-1753 | 5177884880 | INDEPENDENT OBSERVATION PHYSICIANS PLLC |
| 47601 Grand River Ave, Novi, MI 48374-1233 | 2484653000 | INDEPENDENT OBSERVATION PHYSICIANS PLLC |
| 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 | 2488493331 | INDEPENDENT EMERGENCY PHYSICIANS, P.C. |
| Organization Legal Name | INDEPENDENT OBSERVATION PHYSICIANS PLLC |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna Torigian | Physician Assistant | Independent Observation Physicians Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| James E Bishop | Emergency Medicine | Independent Observation Physicians Pllc | 205 N E Ave, Jackson, MI 49201-1753 |
| Jamie Nicole Trudell | Physician Assistant | Independent Observation Physicians Pllc | 205 N E Ave, Jackson, MI 49201-1753 |
| Gary W Pilchak | Emergency Medicine | Independent Observation Physicians Pllc | 205 N E Ave, Jackson, MI 49201-1753 |
| Jennifer A Freij | Emergency Medicine | Independent Observation Physicians Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Alexander S Madgy | Emergency Medicine | Independent Observation Physicians Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Emily N Zoroya | Physician Assistant | Independent Observation Physicians Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Robert Bradley Cohen | Emergency Medicine | Independent Observation Physicians Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Christine Mlynarek | Emergency Medicine | Independent Observation Physicians Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
| Kerri J Chapman | Physician Assistant | Independent Observation Physicians Pllc | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Street Address |
47601 GRAND RIVER AVE |
| City | NOVI |
| State | MI |
| Zip | 48374-1233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Fath | General Surgery | Acute Care Surgeons PC | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Alberto J Aviles | Plastic and Reconstructive Surgery | 47601 Grand River Ave, B223, Novi, MI 48374-1233 | |
| Kerri J Chapman | Physician Assistant | Independent Observation Physicians Pllc | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Ariel Dews | Physician Assistant | Independent Observation Physicians Pllc | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Jasmeet K Easwar | Anesthesiology | Providence Park Anesthesia Associates, PC | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Benjamin J Krater | Emergency Medicine | Independent Observation Physicians Pllc | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Shahina Mohmedyunus Patel | Internal Medicine | Independent Hospitalist Physicians Pllc | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Rose T Kuo | Emergency Medicine | Independent Observation Physicians Pllc | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Jeffry D Belan | Physician Assistant | Independent Observation Physicians Pllc | 47601 Grand River Ave, Novi, MI 48374-1233 |
| Zuhair Aejaz | Internal Medicine | Reliance Hospitalists Pllc | 47601 Grand River Ave, Novi, MI 48374-1233 |
| 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 |
| Braswell Deen | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kirouac | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| 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 |
| 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 zip 48374 | |||
| City | NOVI |
| Zip Code | 48374 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NOVI + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Susan A Ivanovic.
| 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.