Ashley R Imbrunnone (NPI# 1376194597, PAC ID# 9931431780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376194597 |
| PAC ID by PECOS | 9931431780 |
| Professional Enrollment ID | I20191028001166 |
| Full Name | Ashley R Imbrunnone |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Address |
20952 E 12 Mile Rd 100 Lakefront Internists Saint Clair Shores MI 48081-3200 |
| Phone Number | 5864983550 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517162761 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20952 E 12 Mile Rd, 100 Lakefront Internists, Saint Clair Shores, MI 48081-3200 | 5864983550 | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Jacobs | Family Medicine | St John Providence Physicians Cmg | 13951 Plumbrook Rd, Sterling Heights, MI 48312-1727 |
| Jennifer L Carlton | Family Medicine | St John Providence Physicians Cmg | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 |
| Nikolas Dimovski | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Barbara C Tess | Family Medicine | St John Providence Physicians Cmg | 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775 |
| Timothy J Blanchet | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Jeffrey R Hayes | Family Medicine | St John Providence Physicians Cmg | 35050 23 Mile Rd, Suite B, New Baltimore, MI 48047-3606 |
| Mark J Dukaj | Internal Medicine | St John Providence Physicians Cmg | 45640 Schoenherr Rd, Shelby Township, MI 48315-6033 |
| Tanya L Ropes | Nurse Practitioner | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Mark Edward Holowinski | Family Medicine | St John Providence Physicians Cmg | 19357 E Thirteen Mile Rd, Roseville Family Physicians, Roseville, MI 48066-5308 |
| Benjamin O Osowa | Internal Medicine | St John Providence Physicians Cmg | 18263 E 10 Mile Rd E, Associates In Internal Medicine Lakefront Internis, Roseville, MI 48066-5805 |
| Street Address |
20952 E 12 MILE RD 100 LAKEFRONT INTERNISTS |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48081-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Harding | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Laris Edgar Galejs | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Robert L Elgin | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Brian Guz | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Gregory V Mcintosh | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Scott M Wilkinson | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| James D Relle | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Jason Matthew Hafron | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Dinesh John Telang | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Pradeep Nagaraju | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| 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 | NURSE PRACTITIONER |
| City + Specialty | SAINT CLAIR SHORES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ashley R Imbrunnone.
| 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.