Carol L Burke (NPI# 1194901835, PAC ID# 9234214065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1194901835 |
| PAC ID by PECOS | 9234214065 |
| Professional Enrollment ID | I20080304000623 |
| Full Name | Carol L Burke |
| Organization Legal Name | EASTSIDE GROUP LLC |
| Address |
28963 Little Mack Ave Suite 103 Saint Clair Shores MI 48081-3017 |
| Phone Number | 5864475110 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4486790219 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| Address | Phone | Organization |
|---|---|---|
| 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 3133431000 | WILLIAM BEAUMONT HOSPITAL |
| 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2488987784 | WILLIAM BEAUMONT HOSPITAL |
| 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 | 5864475110 | EASTSIDE GROUP LLC |
| Organization Legal Name | EASTSIDE GROUP LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Reardon | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Jody Mcmahon | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Jason A Krencicki | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Michael D Linc | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Stephan Phipps Jr. | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Chad Smith | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Karen Marie Piper | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Nitin Verman | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 17700 23 Mile Rd, Suite 250, Macomb, MI 48044-1156 |
| Brandon W Myers | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Kenicia D Adams | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Street Address |
28963 LITTLE MACK AVE SUITE 103 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48081-3017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sudhanshu H Patel | Gastroenterology | Gi Medical Assoc PC | 28963 Little Mack Ave, Suite 101, St Clr Shores, MI 48081-3017 |
| Kianna M Lyons | Nurse Practitioner | Gi Medical Assoc PC | 28963 Little Mack Ave, Suite 101, St Clr Shores, MI 48081-3017 |
| Jody Mcmahon | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Jason A Krencicki | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Michael D Linc | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Chad Smith | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Jennifer L Kozak | Nurse Practitioner | Gi Medical Assoc PC | 28963 Little Mack Ave, Suite 101, St Clr Shores, MI 48081-3017 |
| Barbara Lawson | Nurse Practitioner | Gi Medical Assoc PC | 28963 Little Mack Ave, Suite 101, St Clr Shores, MI 48081-3017 |
| Brandon W Myers | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Kenicia D Adams | Certified Registered Nurse Anesthetist (crna) | Eastside Group LLC | 28963 Little Mack Ave, Suite 103, Saint Clair Shores, MI 48081-3017 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Xavier Burgoyne | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Anthony Gerald Paniccia | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Neil Thomas Shaw | Podiatry | Anthony V Benenati Dpm PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 |
| James R Hrynik | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Brigitte M Ngoyi | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| John Woo Lee | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Regina R Frost | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in zip 48081 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SAINT CLAIR SHORES + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Carol L Burke.
| 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.