Nicholas Leone


Address: 39400 Garfield Rd, Suite 103, Clinton Township, MI 48038-4096

Nicholas Leone (NPI# 1487735858, PAC ID# 7810967742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1487735858
PAC ID by PECOS 7810967742
Professional Enrollment ID I20040728001429
Full Name Nicholas Leone
Address 39400 Garfield Rd
Suite 103
Clinton Township
MI 48038-4096
Gender M
Credential MD
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
231314 MCKENZIE HEALTH SYSTEM
230047 HENRY FORD MACOMB HOSPITAL
230118 HURON MEDICAL CENTER
230195 ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER

Other Locations

Address Phone Organization
1040 S Van Dyke Rd, Suite 3, Bad Axe, MI 48413-9646 9892699855 HURON EYE CARE PC
39400 Garfield Rd, Suite 103, Clinton Township, MI 48038-4096

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 39400 GARFIELD RD
SUITE 103
City CLINTON TOWNSHIP
State MI
Zip 48038-4096

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Name Specialty Organization Address
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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
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Competitor

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City CLINTON TOWNSHIP
Zip Code 48038
Specialty OPHTHALMOLOGY
City + Specialty CLINTON TOWNSHIP + OPHTHALMOLOGY

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Dataset Information

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.

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