Mark A Squire (NPI# 1477566172, PAC ID# 9739169228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1477566172 |
| PAC ID by PECOS | 9739169228 |
| Professional Enrollment ID | I20040723001234 |
| Full Name | Mark A Squire |
| Organization Legal Name | HENRY FORD HEALTH SYSTEM |
| Address |
24725 Jefferson Ave St Clair Shores MI 48080-4500 |
| Phone Number | 5867747800 |
| Gender | M |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0547178311 |
| Number of Group Practice Members | 1861 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230053 | HENRY FORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2799 W Grand Blvd, Detroit, MI 48202-2608 | 3139162000 | HENRY FORD HEALTH SYSTEM |
| 131 Kercheval, Grosse Pointe Farms, MI 48236-3629 | 3138827900 | HENRY FORD HEALTH SYSTEM |
| 29200 Schoolcraft, Livonia, MI 48150-2228 | 7345231050 | HENRY FORD HEALTH SYSTEM |
| 24725 Jefferson Ave, St Clair Shores, MI 48080-4500 | 5867747800 | HENRY FORD HEALTH SYSTEM |
| Organization Legal Name | HENRY FORD HEALTH SYSTEM |
| Physicians | 2034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vneshe Parekh | Family Medicine | Henry Ford Health System | 6620 Highland Rd, Suite 101, Waterford, MI 48327-1682 |
| Kristin Marika Work | Nurse Practitioner | Henry Ford Health System | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 |
| Komal Dhanoa | Family Medicine | Henry Ford Health System | 22505 Allen Rd, Woodhaven, MI 48183-2237 |
| Kristen Horner Angster | Otolaryngology | Henry Ford Health System | 14500 Hall Rd, Sterling Heights, MI 48313-1229 |
| Andrew R Larson | Internal Medicine | Henry Ford Health System | 1265 N Milford Rd, Milford, MI 48381-1018 |
| Shera C Thompson | Nurse Practitioner | Henry Ford Health System | 45 Grand River Ave, Detroit, MI 48226-1701 |
| Lisa S Zetuna | Certified Registered Nurse Anesthetist (crna) | Henry Ford Health System | 2799 W Grand Boulevard, Detroit, MI 48202-2608 |
| Jarida Begum | Nurse Practitioner | Henry Ford Health System | 159 Kercheval Ave, Grosse Pointe, MI 48236-3610 |
| Brett T Tolpa | Certified Registered Nurse Anesthetist (crna) | Henry Ford Health System | 2333 Biddle, Wyandotte, MI 48192-4668 |
| Katherine Cybinski | Family Medicine | Henry Ford Health System | 7800 W Outer Dr, Detroit, MI 48235-3461 |
| Street Address |
24725 JEFFERSON AVE |
| City | ST CLAIR SHORES |
| State | MI |
| Zip | 48080-4500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakshmi V Pandrangi | Family Medicine | Henry Ford Health System | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 |
| Khaled Abdul Nour | Cardiovascular Disease (cardiology) | Henry Ford Health System | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 |
| Keerthy Krishnamani | Family Medicine | Henry Ford Health System | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 |
| Eshel S Turk | Family Medicine | Henry Ford Health System | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 |
| Paola E Di Liddo | Podiatry | Henry Ford Health System | 24725 Jefferson Ave, St Clair Shores, MI 48080-4500 |
| Rachelle Savalli | Family Medicine | Henry Ford Health System | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 |
| Susan R Gormezano | Optometry | Henry Ford Health System | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wontika R Smith | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Constantine Sam Raphtis | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Michelle A Konieczny | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Anne B Mccarren | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Jennifer G Kuzel | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Kami Kveton | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Zaid Riyadh Kasmikha | Internal Medicine | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| George B Ghanem | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Joan S Crawford | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Simone N Cowan | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Find all physicians in zip 48080 | |||
| City | ST CLAIR SHORES |
| Zip Code | 48080 |
| Specialty | PODIATRY |
| City + Specialty | ST CLAIR SHORES + PODIATRY |
Please comment or provide details below to improve the information on Mark A Squire.
| 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.