Ernesto R Drelichman
ST JOHN PROVIDENCE PHYSICIANS CMG


Address: 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137
Phone: 5862860050

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).

Physician Overview

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

Claims Based Hospital Affiliation

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

Other Locations

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

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_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name ST JOHN PROVIDENCE PHYSICIANS CMG
Physicians 70

Physicians with the same organization

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

Office Location

Street Address 43900 GARFIELD RD
SUITE 222
City CLINTON TOWNSHIP
State MI
Zip 48038-1137

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City CLINTON TOWNSHIP
Zip Code 48038
Specialty COLORECTAL SURGERY (PROCTOLOGY)
City + Specialty CLINTON TOWNSHIP + COLORECTAL SURGERY (PROCTOLOGY)

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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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