Tristan Guevara (NPI# 1366475063, PAC ID# 8022095488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366475063 |
| PAC ID by PECOS | 8022095488 |
| Professional Enrollment ID | I20040702000555 |
| Full Name | Tristan Guevara |
| Organization Legal Name | SILVER PINE MEDICAL GROUP PLC |
| Address |
48801 Romeo Plank Rd Suite 103 Macomb MI 48044-2165 |
| Phone Number | 5867264823 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325020332 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 31225 23 Mile Rd, Chesterfield, MI 48047-1848 | 5867264823 | SILVER PINE MEDICAL GROUP PLC |
| 15959 Hall Rd, Suite 110, Macomb, MI 48044-5364 | 5867264823 | SILVER PINE MEDICAL GROUP PLC |
| 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 | 5867264823 | SILVER PINE MEDICAL GROUP PLC |
| 43455 Schoenherr Rd, Suite 2, Sterling Heights, MI 48313-1972 | 5867264823 | SILVER PINE MEDICAL GROUP PLC |
| Organization Legal Name | SILVER PINE MEDICAL GROUP PLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen A Rheaume | Family Medicine | Silver Pine Medical Group Plc | 31225 23 Mile Rd, Chesterfield, MI 48047-1848 |
| Vasilios Gikas | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Parag Pravin Patel | Family Medicine | Silver Pine Medical Group Plc | 43455 Schoenherr Rd, Suite 2, Sterling Heights, MI 48313-1972 |
| Michael J Raad | Internal Medicine | Silver Pine Medical Group Plc | 15959 Hall Rd, Suite 110, Macomb, MI 48044-5364 |
| Angela Soyad Willis | Nurse Practitioner | Silver Pine Medical Group Plc | 43455 Schoenherr Rd, Suite 2, Sterling Heights, MI 48313-1972 |
| Jennifer L Hichme | Family Medicine | Silver Pine Medical Group Plc | 43455 Schoenherr Rd, Suite 2, Sterling Heights, MI 48313-1972 |
| Genevieve J Crandall | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Steven G Kotsonis | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Prameela Nagaraju Patel | Family Medicine | Silver Pine Medical Group Plc | 43455 Schoenherr Rd, Suite 2, Sterling Heights, MI 48313-1972 |
| John J Habicht | Family Medicine | Silver Pine Medical Group Plc | 43455 Schoenherr Rd, Suite 2, Sterling Heights, MI 48313-1972 |
| Street Address |
48801 ROMEO PLANK RD SUITE 103 |
| City | MACOMB |
| State | MI |
| Zip | 48044-2165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vasilios Gikas | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Genevieve J Crandall | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Deborah L Mikula | Obstetrics/gynecology | Clinton Womens Healthcare PC | 48801 Romeo Plank Rd, Suite 103a, Macomb, MI 48044-2165 |
| Steven G Kotsonis | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Michel Monimm Alkhalil | Sleep Medicine | Troy Sleep Center, Plc | 48801 Romeo Plank Rd, Macomb, MI 48044-2165 |
| Gagandeep Cheema | Allergy/immunology | Troy Sleep Center, Plc | 48801 Romeo Plank Rd, Macomb, MI 48044-2165 |
| Theodore L Tangalos | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Courtney Nason | Nurse Practitioner | Academic Cardiology Associates, PC | 48801 Romeo Plank Rd, Macomb, MI 48044-2165 |
| George T Maristela Jr. | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Naysha M Varghese | Family Medicine | Silver Pine Medical Group Plc | 48801 Romeo Plank Rd, Suite 103, Macomb, MI 48044-2165 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curt A Jacob | Chiropractic | 50954 Romeo Plank Rd, Macomb, MI 48044-1117 | |
| Anthony Vito Benenati | Podiatry | Anthony V Benenati Dpm PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Adam C Rourke | Otolaryngology | Ascension St John Hospital | 17700 23 Mile Rd, Suite 303, Macomb, MI 48044-1154 |
| Ryan C Pollina | Pain Management | Blue Water Pain Specialists PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Sebastian J Lopiccolo | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Allison C Najarian | Physician Assistant | Blue Water Pain Specialists PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Christopher Paul Cassell | General Surgery | 17700 23 Mile Rd, Macomb, MI 48044-1154 | |
| Donn M Schroder | General Surgery | Ascension Medical Group Michigan | 17700 23 Mile Rd, Suite 404, Macomb, MI 48044-1154 |
| Michael J Reardon | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Stephan Phipps Jr. | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Find all physicians in zip 48044 | |||
| City | MACOMB |
| Zip Code | 48044 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MACOMB + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tristan Guevara.
| 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.