Justin R Tannir (NPI# 1578740668, PAC ID# 8729263975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1578740668 |
| PAC ID by PECOS | 8729263975 |
| Professional Enrollment ID | I20110503000434 |
| Full Name | Justin R Tannir |
| Organization Legal Name | UNIVERSITY PHYSICIAN GROUP |
| Address |
35776 Harper Rd Clinton Township MI 48035-3212 |
| Phone Number | 5867923891 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8628087681 |
| Number of Group Practice Members | 359 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230104 | HARPER UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 35776 Harper Rd, Clinton Township, MI 48035-3212 | 5867923891 | UNIVERSITY PHYSICIAN GROUP |
| 4717 Saint Antoine St, Detroit, MI 48201-1423 | 3135778900 | UNIVERSITY PHYSICIAN GROUP |
| 6071 W Outer Dr M, Suite 106, Detroit, MI 48235-2624 | 3139662150 | UNIVERSITY PHYSICIAN GROUP |
| 44000 W 12 Mile Rd, Suite 112, Novi, MI 48377-2646 | 5867923891 | UNIVERSITY PHYSICIAN GROUP |
| Organization Legal Name | UNIVERSITY PHYSICIAN GROUP |
| Physicians | 393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony M Parendo | Ophthalmology | University Physician Group | 4717 Saint Antoine St, Detroit, MI 48201-1423 |
| Julia Helene Bellamy | Psychologist, Clinical | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Shira Heisler | Pediatric Medicine | University Physician Group | 50 E Canfield, Suite 101 S, Detroit, MI 48201-1804 |
| John David Cramer | Otolaryngology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Bahig Shehata | Pathology | University Physician Group | 3901 Beaubien St 1st Floor Main Bldg, Detroit, MI 48201-2119 |
| Daniel E Montenegro | Ophthalmology | University Physician Group | 15055 Plaza S Dr, Taylor, MI 48180-5202 |
| Golbon Aghamohammadi | Nurse Practitioner | University Physician Group | 1420 Stephenson Hwy, Suite 200, Troy, MI 48083-1189 |
| Michael Matthew Dominello | Radiation Oncology | University Physician Group | 4100 John R St, Detroit, MI 48201-2013 |
| Ijeoma Onyema Nnodim | Internal Medicine | University Physician Group | 50 E Canfield St, Detroit, MI 48201-1804 |
| Edward F Mischel | Clinical Social Worker | University Physician Group | 35425 W Michigan Ave, Wayne, MI 48184-9800 |
| Street Address |
35776 HARPER RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48035-3212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nimmy Varughese | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Beth A Buchanan | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Carolyn Kessler-sprott | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Mary G Shenouda | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Chakradhar C Reddy | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Ghanshyam N Patel | Gastroenterology | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Jagatbhai A Amin | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Donna M Kelly | Chiropractic | 36410 Garfield Rd, Clinton Township, MI 48035-1131 | |
| Craig E Riffel | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Christopher Brioc | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Find all physicians in zip 48035 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CLINTON TOWNSHIP + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Justin R Tannir.
| 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.