Ernesto R Drelichman (NPI# 1801839899, PAC ID# 8022079326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1801839899 |
| PAC ID by PECOS | 8022079326 |
| Professional Enrollment ID | I20100721000938 |
| Full Name | Ernesto R Drelichman |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Address |
43900 Garfield Rd Suite 222 Clinton Township MI 48038-1137 |
| Phone Number | 5862860050 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 7517162761 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Address | Phone | Organization |
|---|---|---|
| 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 | 5862860050 | ST JOHN PROVIDENCE PHYSICIANS CMG |
| 46591 Romeo Plank Rd, Macomb, MI 48044-5705 | ST JOHN PROVIDENCE PHYSICIANS CMG | |
| 20225 E 9 Mile Rd A, St Clair Shores, MI 48080-1775 | ST JOHN PROVIDENCE PHYSICIANS CMG | |
| 20229 E 9 Mile Rd, 220 Bennett Family Foot Care, St Claire Shores, MI 48080-1775 | 5869399900 | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Jacobs | Family Medicine | St John Providence Physicians Cmg | 13951 Plumbrook Rd, Sterling Heights, MI 48312-1727 |
| Jennifer L Carlton | Family Medicine | St John Providence Physicians Cmg | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 |
| Nikolas Dimovski | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Barbara C Tess | Family Medicine | St John Providence Physicians Cmg | 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775 |
| Timothy J Blanchet | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Jeffrey R Hayes | Family Medicine | St John Providence Physicians Cmg | 35050 23 Mile Rd, Suite B, New Baltimore, MI 48047-3606 |
| Mark J Dukaj | Internal Medicine | St John Providence Physicians Cmg | 45640 Schoenherr Rd, Shelby Township, MI 48315-6033 |
| Tanya L Ropes | Nurse Practitioner | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Mark Edward Holowinski | Family Medicine | St John Providence Physicians Cmg | 19357 E Thirteen Mile Rd, Roseville Family Physicians, Roseville, MI 48066-5308 |
| Benjamin O Osowa | Internal Medicine | St John Providence Physicians Cmg | 18263 E 10 Mile Rd E, Associates In Internal Medicine Lakefront Internis, Roseville, MI 48066-5805 |
| Street Address |
43900 GARFIELD RD SUITE 222 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48038-1137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya L Ropes | Nurse Practitioner | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Ferah A Dalaly | Internal Medicine | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Thomas Richard Bolten | Oral Surgery | Michigan Oms PC | 43900 Garfield Rd, Suite 103, Clinton Township, MI 48038-1137 |
| Nicholas J Bournias | Maxillofacial Surgery | Michigan Oms PC | 43900 Garfield Rd, Suite 103, Clinton Township, MI 48038-1137 |
| Michael J Kenneson | Family Medicine | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Mary G Veremis Ley | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Barry I Auster | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Tiffany K Cukrowski | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Beena Nagappala | Family Medicine | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Kent J Krach | Dermatology | Midwest Center for Dermatology and Pathology Pllc | 43900 Garfield Rd, Suite 100, Clinton Township, MI 48038-1137 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| 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 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | CLINTON TOWNSHIP + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Ernesto R Drelichman.
| 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.