Mark W Root (NPI# 1285647602, PAC ID# 9537133947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1285647602 |
| PAC ID by PECOS | 9537133947 |
| Professional Enrollment ID | I20040823000423 |
| Full Name | Mark W Root |
| Organization Legal Name | HERON RIDGE ASSOCIATES PLC |
| Address |
1785 W Stadium Blvd Suite 203c Ann Arbor MI 48103-5291 |
| Phone Number | 7349131093 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1972 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2961303573 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1785 W Stadium Blvd, Suite 203c, Ann Arbor, MI 48103-5291 | 7349131093 | HERON RIDGE ASSOCIATES PLC |
| Organization Legal Name | HERON RIDGE ASSOCIATES PLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raphael D Levin | Clinical Social Worker | Heron Ridge Associates Plc | 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4321 |
| Christina J Colf | Psychologist, Clinical | Heron Ridge Associates Plc | 705 S Main St, Suite 280, Plymouth, MI 48170-2089 |
| Kathleen P Irvin | Clinical Social Worker | Heron Ridge Associates Plc | 3694 Clarkston Rd, Suite D, Clarkston, MI 48348-5213 |
| Susan M Wotring | Clinical Social Worker | Heron Ridge Associates Plc | 3694 Clarkston Rd D, Clarkston, MI 48348-5213 |
| Peter C Wolf | Clinical Social Worker | Heron Ridge Associates Plc | 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4321 |
| Salpi Tachian | Clinical Social Worker | Heron Ridge Associates Plc | 705 S Main St, Suite 280, Plymouth, MI 48170-2089 |
| Ashwini Gulwadi | Psychiatry | Heron Ridge Associates Plc | 1785 W Stadium Blvd, Suite 203c, Ann Arbor, MI 48103-5291 |
| Cheryl Ann Albertson | Clinical Social Worker | Heron Ridge Associates Plc | 1785 W Stadium Blvd, Suite 203c, Ann Arbor, MI 48103-5291 |
| Susan Elizabeth Arnold | Clinical Social Worker | Heron Ridge Associates Plc | 3694 Clarkston Rd, Suite D, Clarkston, MI 48348-5213 |
| Elliot S Rosen | Clinical Social Worker | Heron Ridge Associates Plc | 3694 Clarkston Rd, Suite D, Clarkston, MI 48348-5213 |
| Street Address |
1785 W STADIUM BLVD SUITE 203C |
| City | ANN ARBOR |
| State | MI |
| Zip | 48103-5291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin D Horn | Clinical Social Worker | 1785 W Stadium Blvd, Suite 106, Ann Arbor, MI 48103-5224 | |
| Ashwini Gulwadi | Psychiatry | Heron Ridge Associates Plc | 1785 W Stadium Blvd, Suite 203c, Ann Arbor, MI 48103-5291 |
| Cheryl Ann Albertson | Clinical Social Worker | Heron Ridge Associates Plc | 1785 W Stadium Blvd, Suite 203c, Ann Arbor, MI 48103-5291 |
| Pearle E Bernick | Clinical Social Worker | Heron Ridge Associates Plc | 1785 W Stadium Blvd, Suite 203c, Ann Arbor, MI 48103-5291 |
| Nasir Ali | Internal Medicine | 1785 W Stadium Blvd, Suite 102, Ann Arbor, MI 48103-5285 | |
| Patricia Melnick | Clinical Social Worker | Heron Ridge Associates Plc | 1785 W Stadium Blvd, Suite 203c, Ann Arbor, MI 48103-5291 |
| Jennifer A Solomon | Clinical Social Worker | Heron Ridge Associates Plc | 1785 W Stadium Blvd, Ann Arbor, MI 48103-5291 |
| Stephen D Daly | Family Practice | American Ambulatory Physicians Pllc | 1785 W Stadium Blvd, Suite 102, Ann Arbor, MI 48103-5285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjorie E Greene | Clinical Social Worker | 2851 Parkridge Dr, Ann Arbor, MI 48103-1734 | |
| Renee A Kirbs | Physical Therapy | 3921 Jackson Rd, Ann Arbor, MI 48103-1823 | |
| Gregory J Peroff | Chiropractic | 4347 Jackson Rd, Ann Arbor, MI 48103-1831 | |
| Gretchen E Zajac | Physician Assistant | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Bailey Tucker | Physician Assistant | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Yvonne R Erickson | Physician Assistant | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Li Li | Internal Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1832 |
| Kristine N Saygan | Family Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Matthew B Ajluni | Family Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Megan H Franzo-romain | Internal Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1832 |
| Find all physicians in zip 48103 | |||
| City | ANN ARBOR |
| Zip Code | 48103 |
| Specialty | PSYCHIATRY |
| City + Specialty | ANN ARBOR + PSYCHIATRY |
Please comment or provide details below to improve the information on Mark W Root.
| 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.