Jeffrey A Osguthorpe (NPI# 1427127422, PAC ID# 8426231440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
Nation Provider ID (NPI) | 1427127422 |
PAC ID by PECOS | 8426231440 |
Professional Enrollment ID | I20110328000810 |
Full Name | Jeffrey A Osguthorpe |
Organization Legal Name | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
Address |
15870 19 Mile Rd Clinton Township MI 48038-3527 |
Phone Number | 5862861600 |
Gender | M |
Medical School | UNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY |
Graduation Year | 2001 |
Primary Specialty | MAXILLOFACIAL SURGERY |
Group Practice PAC ID | 5991772287 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230029 | ST JOSEPH MERCY OAKLAND |
230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
15870 19 Mile Rd, Clinton Township, MI 48038-3527 | 5862861600 | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
20675 Mack Ave, Grosse Pointe Woods, MI 48236-1618 | 3138858344 | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
29427 Ryan Rd, Warren, MI 48092-2203 | 5867559340 | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
Organization Legal Name | SUMMIT ORAL AND MAXILLOFACIAL SURGERY PC |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rosolino V Sclafani | Oral Surgery | Summit Oral and Maxillofacial Surgery PC | 15870 19 Mile Rd, Clinton Township, MI 48038-3527 |
Michael B Kraemer | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
Arshi Lehal | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
John M Hackenberger | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
Claude C Lerose Jr. | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
Shyam Prasad Aravindaksha | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
Gregory J Thomas | Maxillofacial Surgery | Summit Oral and Maxillofacial Surgery PC | 29427 Ryan Rd, Warren, MI 48092-2203 |
Street Address |
15870 19 MILE RD |
City | CLINTON TOWNSHIP |
State | MI |
Zip | 48038-3527 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rosolino V Sclafani | Oral Surgery | Summit Oral and Maxillofacial Surgery PC | 15870 19 Mile Rd, Clinton Township, MI 48038-3527 |
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 | MAXILLOFACIAL SURGERY |
City + Specialty | CLINTON TOWNSHIP + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Jeffrey A Osguthorpe.
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.