Derek Susalla (NPI# 1508392796, PAC ID# 9537438858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508392796 |
| PAC ID by PECOS | 9537438858 |
| Professional Enrollment ID | I20170629002736 |
| Full Name | Derek Susalla |
| Organization Legal Name | JOEL L YOUNG MD PC |
| Address |
441 S Livernois Rd 100 Rochester Center for Behavioral Medicine Rochester Hls MI 48307-2585 |
| Phone Number | 2486088800 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971575929 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 | 2486088800 | JOEL L YOUNG MD PC |
| Organization Legal Name | JOEL L YOUNG MD PC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine M Tessmar | Clinical Social Worker | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Tara Pradko | Clinical Social Worker | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Christopher J Discenna | Physician Assistant | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Alexis Homicz | Physician Assistant | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Sarah Hutton | Psychiatry | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Joel L Young | Psychiatry | Joel L Young Md PC | 441 S Livernois Rd, Suite 205, Rochester Hills, MI 48307-2586 |
| Paige Jonna | Physician Assistant | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Helene A Kroll | Clinical Social Worker | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Melissa Beth Oleshansky | Psychologist, Clinical | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Jennifer A Lindsey | Clinical Social Worker | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Street Address |
441 S LIVERNOIS RD 100 ROCHESTER CENTER FOR BEHAVIORAL MEDICINE |
| City | ROCHESTER HLS |
| State | MI |
| Zip | 48307-2585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine M Tessmar | Clinical Social Worker | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Tara Pradko | Clinical Social Worker | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Christopher J Discenna | Physician Assistant | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Alexis Homicz | Physician Assistant | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Sarah Hutton | Psychiatry | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Brigitte Lorenz | Obstetrics/gynecology | 441 S Livernois Rd, Suite 175, Rochester Hills, MI 48307-2591 | |
| Joel L Young | Psychiatry | Joel L Young Md PC | 441 S Livernois Rd, Suite 205, Rochester Hills, MI 48307-2586 |
| Paige Jonna | Physician Assistant | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Helene A Kroll | Clinical Social Worker | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Melissa Beth Oleshansky | Psychologist, Clinical | Joel L Young Md PC | 441 S Livernois Rd, 100 Rochester Center for Behavioral Medicine, Rochester Hls, MI 48307-2585 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Sheehan | Physical Therapy | Healthquest Physical Therapy and Wellness Center LLC | 1469 N Rochester Rd, Healthquest North Rochester, Rochester Hills, MI 48307-1122 |
| Anna K Inoue | Physical Therapy | Healthquest Physical Therapy and Wellness Center LLC | 1469 N Rochester Rd, Healthquest North Rochester, Rochester Hills, MI 48307-1122 |
| Mark W Kast | Physical Therapy | Healthquest Physical Therapy and Wellness Center LLC | 1469 N Rochester Rd, Healthquest North Rochester, Rochester Hills, MI 48307-1122 |
| Timothy M Wasmund | Chiropractic | 1420 N Rochester Rd, Rochester Hills, MI 48307-1188 | |
| Melissa T Klave | Chiropractic | 1420 N Rochester Rd, Rochester Hills, MI 48307-1188 | |
| William A Purdy Ii | Chiropractic | 1420 N Rochester Rd, Rochester Hills, MI 48307-1188 | |
| Bruce C Meyers | Podiatry | 969 Oakwood Dr, Rochester, MI 48307-1318 | |
| Das L Kareti | Neurology | 963 Oakwood Dr, Rochester, MI 48307-1318 | |
| Marius Frasie | Internal Medicine | 965 Oakwood Dr, Rochester, MI 48307-1318 | |
| Moon J Pak | Internal Medicine | 811 Oakwood Dr, Suite 201, Rochester, MI 48307-1362 | |
| Find all physicians in zip 48307 | |||
| City | ROCHESTER HLS |
| Zip Code | 48307 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROCHESTER HLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Derek Susalla.
| 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.