Stephen Michael Tait (NPI# 1376534164, PAC ID# 8022047620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1376534164 |
| PAC ID by PECOS | 8022047620 |
| Professional Enrollment ID | I20050804000228 |
| Full Name | Stephen Michael Tait |
| Organization Legal Name | ROBERT T CLARK MD PC |
| Address |
7575 W Grand River Suite 111 Brighton MI 48114-9390 |
| Phone Number | 8108447744 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7810890738 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230069 | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7575 W Grand River, Suite 111, Brighton, MI 48114-9390 | 8108447744 | ROBERT T CLARK MD PC |
| Organization Legal Name | ROBERT T CLARK MD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert T Clark | Ophthalmology | Robert T Clark Md PC | 7575 W Grand River, Suite 111, Brighton, MI 48114-9390 |
| Street Address |
7575 W GRAND RIVER SUITE 111 |
| City | BRIGHTON |
| State | MI |
| Zip | 48114-9390 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert T Clark | Ophthalmology | Robert T Clark Md PC | 7575 W Grand River, Suite 111, Brighton, MI 48114-9390 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Camilletti | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Rima F Makhiawala | Obstetrics/gynecology | Iha Health Services Corporation | 2305 Genoa Bus Prk Dr, Suite 230, Brighton, MI 48114 |
| Laura Gerencer | Nurse Practitioner | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Stacie Griffin | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Fred Michael Hankin | Hand Surgery | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Kelly Lynn Arenz | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Kristyn Louise Delecki | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Melissa Joanne Zimmerman I | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Michael Paulson | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Elaine M Tripi | Clinical Psychologist | 2000 Grand River Anx, Brighton, MI 48114-3800 | |
| Find all physicians in zip 48114 | |||
| City | BRIGHTON |
| Zip Code | 48114 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BRIGHTON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Stephen Michael Tait.
| 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.