Lawrence Detwiler (NPI# 1750373650, PAC ID# 8325020639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1750373650 |
| PAC ID by PECOS | 8325020639 |
| Professional Enrollment ID | I20071029000037 |
| Full Name | Lawrence Detwiler |
| Organization Legal Name | PREMIER PHYSICIANS CENTERS INC |
| Address |
7575 Northcliff Ave Suite 304 Brooklyn OH 44144-3266 |
| Phone Number | 2167498265 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEUROLOGY |
| Group Practice PAC ID | 0345153326 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360041 | PARMA COMMUNITY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7575 Northcliff Ave, Suite 304, Brooklyn, OH 44144-3266 | 2167498265 | PREMIER PHYSICIANS CENTERS INC |
| Organization Legal Name | PREMIER PHYSICIANS CENTERS INC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamed A Elrifai | Hospitalist | Premier Physicians Centers Inc | 2709 Franklin Blvd, Cleveland, OH 44113-2993 |
| Kimberly L May | Nurse Practitioner | Premier Physicians Centers Inc | 2116 Dover Ctr Rd, Westlake, OH 44145-3154 |
| Enrique Cotes | Pathology | Premier Physicians Centers Inc | 24651 Ctr Ridge Rd, Suite 350, Westlake, OH 44145-5627 |
| Natwarlal Jethva | Internal Medicine | Premier Physicians Centers Inc | 18660 E Bagley Rd, Suite 102a, Cleveland, OH 44130-3446 |
| Anita Bhalla | Infectious Disease | Premier Physicians Centers Inc | 25200 Ctr Ridge Rd, Suite 2300, Westlake, OH 44145-4148 |
| Arif S Usmani | Pathology | Premier Physicians Centers Inc | 6777 Engle Rd, Suite N, Cleveland, OH 44130-7941 |
| Khaleel Deeb | Family Medicine | Premier Physicians Centers Inc | 1730 W 25th St, Cleveland, OH 44113-3108 |
| Isam Diab | Rheumatology | Premier Physicians Centers Inc | 25200 Ctr Ridge Rd, Suite 2300, Westlake, OH 44145-4148 |
| Steven C Pearse | General Surgery | Premier Physicians Centers Inc | 1730 W 25th St, Cleveland, OH 44113-3108 |
| Hayder Mohammad Kadhim | Neurology | Premier Physicians Centers Inc | 1730 W 25th St, Suite 3a, Cleveland, OH 44113-3170 |
| Street Address |
7575 NORTHCLIFF AVE SUITE 304 |
| City | BROOKLYN |
| State | OH |
| Zip | 44144-3266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter S Carrillo | General Surgery | 7575 Northcliff Ave, Suite 301, Brooklyn, OH 44144-3265 | |
| Ilana G Kresch | Certified Nurse Midwife (cnm) | The Cleveland Clinic Foundation | 7575 Northcliff Ave, Suite 302, Brooklyn, OH 44144-3265 |
| Seana Rutherford | Nurse Practitioner | 7575 Northcliff Ave, Suite 103, Brooklyn, OH 44144-3267 | |
| Sandra Sadid | Physician Assistant | The Cleveland Clinic Foundation | 7575 Northcliff Ave, Suite 302, Brooklyn, OH 44144-3265 |
| Michael A Silverman | Internal Medicine | Premier Physicians Centers Inc | 7575 Northcliff Ave, Suite 304, Brooklyn, OH 44144-3204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Raymond Oldenburgh | Optometry | Oldenburgh Eye Center LLC | 4338 Ridge Rd, Brooklyn, OH 44144-2715 |
| Mariann Myers | Clinical Social Worker | 9650 Idlewood Dr, Brooklyn, OH 44144-3121 | |
| Renee Schnupp | Physician Assistant | North Shore Gastroenterology, Inc. | 7580 Northcliff Ave, Suite 1000, Cleveland, OH 44144-3271 |
| Nicole M Zambory | Nurse Practitioner | North Shore Gastroenterology, Inc. | 7580 Northcliff Ave, Suite 1000, Cleveland, OH 44144-3271 |
| Jill M Reindel | Nurse Practitioner | North Shore Gastroenterology, Inc. | 7580 Northcliff Ave, Suite 1000, Cleveland, OH 44144-3271 |
| James Harris | Gastroenterology | North Shore Gastroenterology, Inc. | 7580 Northcliff Ave, Suite 1000, Cleveland, OH 44144-3271 |
| Matthew M Satola | Physician Assistant | The Cleveland Clinic Foundation | 7580 Northcliff Ave, Suite 700, Brooklyn, OH 44144-3271 |
| City | BROOKLYN |
| Zip Code | 44144 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BROOKLYN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lawrence Detwiler.
| 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.