Michigan MMP Full Network English Spanish

MI MMP Full Physician Directory

physician directory, pharmacy directory, MI

Molina

MI-2021-MMP-PD-ENES-508
2021
Provider and Pharmacy Directory Directorio de Proveedores y Farmacias
Michigan
Molina Dual Options MI Health Link Medicare-Medicaid Plan
Full-network Directory
If you have additional questions, please call Member Services: (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. Si tiene otras preguntas comuníquese con el Departmento de Servicios para Miembros: (855) 735-5604,TTY: 711, de lunes a viernes, de 8 a.m. a 8 p.m., EST.
MolinaHealthcare.com/Duals
21_MID32PDES0821 H7844_21_17004_66_MIMMPPD Approved H7844_21_17004_66_MIMMPPD Approved es

Molina Dual Options MI Health Link Medicare-Medicaid Plan | 2021 Provider and Pharmacy Directory
Introduction
This Provider and Pharmacy Directory includes information about the provider and pharmacy types in Molina Dual Options and listings of all the plan's providers and pharmacies as of the date of this Directory. The listings contain provider and pharmacy address and contact information as well as other details such as days and hours of operations, specialties, and skills. Key terms and their definitions appear in alphabetical order in the last chapter of the Member Handbook.

Table of Contents A. Disclaimers ................................................................................................................................. B. Providers ....................................................................................................................................
B1. Key terms ............................................................................................................................... B2. Primary Care Provider (PCP) ................................................................................................. B3. Long-term supports and services (LTSS) ................................................................................ B4. How to identify providers in Molina Dual Options' network ................................................. B5. How to find Molina Dual Options providers in your area ...................................................... B6. List of network providers ........................................................................................................ C. Molina Dual Options' network providers ................................................................................... C1. Primary Care Providers ......................................................................................................... C2. Specialists ............................................................................................................................... C3. Hospitals ................................................................................................................................ C4. Urgent Care Centers ............................................................................................................... C5. Skilled Nursing Facility ......................................................................................................... C6. Behavioral Health Providers .................................................................................................. C7. Long-term Supports and Services (LTSS) ............................................................................... C8. Federally Qualified Health Centers (FQHCs) / Rural Health Clinics (RHCs) ........................ C9. Molina Dual Options Supplemental Benefit Information ....................................................... C10. Supplemental Providers - Vision ........................................................................................... D. List of network pharmacies ........................................................................................................ D1. How to identify pharmacies in Molina Dual Options network ...............................................

3 5 5 8 8 9 10 10 11 22 668 3540 3543 3560 3578 3653 3666 3671 3673 3917 3917

If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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D2. Long-term supplies of prescriptions ....................................................................................... E. Molina Dual Options' Network Pharmacies ................................................................................
E1. Retail and Chain Pharmacies .................................................................................................. E2. Mail Order Pharmacy ............................................................................................................. E3. Home Infusion Pharmacies ..................................................................................................... E4. Long-Term Care Pharmacies .................................................................................................. E5. Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies .............. E6. Network pharmacies outside the service area of: Wayne and Macomb .................................. F. Index of Providers and Pharmacies ............................................................................................. F1. Providers ................................................................................................................................. F2. Pharmacies .............................................................................................................................

3918 3919 3925 3974 3975 3976 3979 3980 4083 4083 4166

If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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A. Disclaimers
F Molina Dual Options MI Health Link Medicare-Medicaid Plan is a health plan that contracts with both Medicare and Michigan Medicaid program to provide benefits of both programs to enrollees.
F Molina Healthcare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ethnicity, national origin, religion, gender, sex, age, mental or physical disability, health status, receipt of healthcare, claims experience, medical history, genetic information, evidence of insurability, geographic location.
F This Directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and support providers (such as Adult Day Health and Home Health providers) that you may see as a Molina Dual Options member. We also list the pharmacies that you may use to get your prescription drugs.
F We will refer to these groups as "network providers" in this Directory. These providers signed a contract with us to provide you services. This is a list of Molina Dual Options' network providers for service area providers in: Wayne (cities including: Allen Park; Belleville; Brownstown Charter Township; Canton Charter Township; Dearborn; Dearborn Heights; Detroit; Ecorse; Flat Rock; Garden City; Gibraltar; Grosse Ile Township; Grosse Pointe; Grosse Pointe Farms; Grosse Pointe Park; Grosse Pointe Shores; Grosse Pointe Woods; Hamtramck; Harper Woods; Highland Park; Huron Charter Township; Inkster; Lincoln Park; Livonia; Melvindale; Northville; Northville Charter Township; Plymouth; Plymouth Charter Township; Redford Charter Township; River Rouge; Riverview; Rockwood; Romulus; Southgate; Sumpter Township; Taylor; Trenton; Van Buren Charter Township; Wayne; Westland; Woodhaven; Wyandotte) and Macomb (cities including: Armada; Armada Township; Bruce Township; Center Line; Chesterfield Charter Township; Clinton Charter Township; Eastpointe; Fraser; Grosse Pointe Shores; Harrison Charter Township; Lenox Township; Macomb Township; Memphis; Mount Clemens; New Baltimore; New Haven; Ray Township; Richmond; Richmond Township; Romeo; Roseville; Shelby Charter Township; St. Clair Shores; Sterling Heights; Utica; Warren; Washington Charter Township) counties and additionally lists providers outside of the service area that complete our full-network for the State of Michigan. This full-network provider directory is available online at MolinaHealthcare.com/Duals and hard copy can be mailed upon request. For additional information contact Member Services at (855) 7355604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST.
F This Directory includes providers of both Medicare and Michigan Medicaid services.
F ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (855) 735-5604, (TTY: 711), de lunes a viernes, de 8 a.m. a 8 p.m., EST. Esta es una llamada gratuita.
If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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F   .            :(855) 7355604.   8:00   8:00      711 :   
F You can get this document for free in other formats, such as large print, braille, or audio. Call (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free.
F You can ask that we always send you information in the language or format you need. This is called a standing request. We will keep track of your standing request, so you do not need to make separate requests each time we send you information. To get this document in a language other than English, please contact the State at (800) 642-3195, TTY: 711, Monday - Friday, 8 a.m. to 5 p.m, local time to update your record with the preferred language. To get this document in an alternate format, please contact Member Services at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. A representative can help you make or change a standing request. You can also contact your Care Coordinator to help with standing requests.
F More information in regards to Nursing Facility can be found in the Molina Dual Options Member Handbook. If you have additional questions, please call Member Services at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST.
The list is up-to-date as of 08/2021, but you need to know that:
A Some Molina Dual Options network providers may have been added or removed from our network after this Directory was published.
A Some Molina Dual Options providers in our network may no longer be accepting new members. If you are having trouble finding a provider who will accept new members, call Member Services at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST and we will help you.
A To get the most up-to-date information about Molina Dual Options' network providers in your area, visit MolinaHealthcare.com/Duals or call Member Services at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free.
Doctors and other health care professionals in Molina Dual Options' network are listed on pages 22 - 3916. Pharmacies in our network are listed on pages 3925 - 4082. You can use the Index in the back of the Directory to find the page where a provider or pharmacy is listed.
B. Providers
B1. Key terms
This section explains key terms you'll see in our Provider and Pharmacy Directory.
A Providers are health care professionals and support providers such as doctors, nurses, pharmacists, therapists, and other people who provide care and services.
If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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Services include medical care, long-term supports and services (LTSS), supplies, prescription drugs, equipment and other services.
B The term "providers" also includes facilities such as hospitals, clinics, and other places that provide medical services, medical equipment, and longterm supports and services.
B Providers that are a part of our plan's network are called network providers.
A Network providers are the providers that have contracted with us to provide services to members in our plan. The providers in our network generally bill us directly for care they give you. When you see a network provider, you usually pay nothing for covered services.
A A Primary Care Provider (PCP) is a physician, physician assistant or nurse practitioner and/or medical home or clinic (Federally Qualified Health Centers (FQHC)), who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time. Your PCP will also give you a referral if you need to see a specialist or other provider.
A Specialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples:
B Oncologists care for patients with cancer.
B Cardiologists care for patients with heart conditions.
B Orthopedists care for patients with certain bone, joint, or muscle conditions.
A You may need a referral to see a specialist or someone that is not your PCP. A referral means that your PCP must give you approval before you can see someone that is not your PCP. If you don't get a referral, Molina Dual Options may not cover the service.
B Referrals from your network PCP are not needed for:
E Emergency care;
E Urgently needed care;
E Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are outside the plan's service area; or
E Services from a women's health specialist
E Flu shots and pneumonia vaccinations as long as you get them from a network provider.
B Additionally, if you are eligible to get services from Indian health providers, you may see these providers without a referral. We must pay the Indian health provider for those services even if they are out of our plan's network.
B More information on referrals is available in Chapter 3 of the Member
If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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Handbook.
A Your provider may need prior authorization or an approval from Molina Dual Options before you get certain services. Covered services that need prior authorization are marked in the Benefits Chart in Chapter 4. Some drugs are covered only if you get prior authorization from us. Covered drugs that need prior authorization are marked in the List of Covered Drugs.
A You also have access to a Care Coordinator that you choose.
B A Care Coordinator helps you manage your medical providers and services. Your Care Coordinator is your main contact. This person helps you manage all of your providers, services and makes sure you get what you need. You and/or your caregiver may request a change in the Care Coordinator assigned, as needed, by calling the Care Coordinator or Member Services. Additionally, Molina Dual Options staff may make changes to your Care Coordinator assignment based upon your needs (cultural / linguistic / physical / behavioral health/ religion) or location. Contact your Care Coordinator at (855) 735-5604 from 8:30 a.m. to 5 p.m. EST, Monday - Friday.
B Your Care Team led by a Care Coordinator, is a group of advocates and providers working together to provide you with medical, behavioral health, substance use treatment, Long Term Services and Supports, and social needs. You have access to and input in the development of your own Integrated Care Team. You, your family member and/or your legally authorized representative are the most important members of the Integrated Care Team. You can tell us who else you would like to participate. Your Integrated Care Team may include:
A You
A Your family member and/or authorized representative
A Your Care Coordinator
A Your Primary Care Provider (PCP)
A Representatives from the facility where you receive care
A Your behavioral health clinician (if you have one)
A Your long-term services and supports (LTSS) providers (if you have them).
B Your Integrated Care Team can also include the following people, if it is appropriate and if you agree:
A A pharmacist
A Nurses, specialists, social workers, and other people who can provide expert advice
If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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A Family members A Other informal caregivers A Advocates A State agency or other Care Coordinators B Everyone on the Care Team works together to make sure your care is coordinated. This means that they make sure tests and labs are done once and the results are shared with the appropriate providers. It also means that your PCP should know all medicines you take so that he or she can reduce any negative effects. Your PCP will always get your permission before sharing your medical information with other providers. B2. Primary Care Provider (PCP)
You can get services from any provider who is in our network and accepting new members.
First, you will need to choose a Primary Care Provider. A PCP is a physician, advanced practice nurse practitioner, physician assistant, and/or medical home/clinic (Federally Qualified Health Centers (FQHC) who gives you routine health care. You may also be able to have a specialist act as your PCP, when the specialist is willing to provide your routine healthcare. Please contact Member Services at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST.
To choose a PCP, go to the list of providers on page 22 and choose a provider: A that you use now, or A who has been recommended by someone you trust, or
A whose offices are easy for you to get to. A If you want help in choosing a PCP, please call (855) 735-5604, TTY: 711,
Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. Or, visit MolinaHealthcare.com/Duals.
A If you have questions about whether we will pay for any medical service or care that you want or need, call Member Services and ask before you get the service or care.
B3. Long-term supports and services (LTSS)
As a Molina Dual Options member, you may be able to get long-term supports and services (LTSS), such as home health, personal care, nursing home and home and community based services (adult day program, respite, expanded community living supports, preventive nursing services, private duty nursing, and other services). LTSS help people who need assistance to do everyday tasks like taking a bath, getting dressed, making food, and taking medicine. Most of these services are provided at your
If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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home or in your community but could be provided in a nursing home or hospital.
You should discuss long-term supports and services with your Care Coordinator to determine which services you qualify for and how to access them.
B4. How to identify providers in Molina Dual Options' network
You may need a referral to see someone who is not a Primary Care Provider. There is more information about referrals in Section B1 of this Directory on page 4.
You must get all of your covered services from providers within our network. If you go to providers who are not in Molina Dual Options' network (without prior authorization or approval from us), you will have to pay the bill.
A prior authorization is an approval from Molina Dual Options before you can get a specific service, drug, or see an out-of-network provider. Molina Dual Options may not cover the service or drug if you don't get approval.
The exceptions to this rule are when you need urgent or emergency care or dialysis and cannot get to a provider in the plan, such as when you are away from home. Medicare and Medicaid do not provide coverage for emergency medical care outside the United States and its territories except under limited circumstances. Contact the plan for details. You can contact Molina Dual Options at (855) 735-5604, TTY: 711, Monday Friday, 8 a.m. to 8 p.m., EST. You can also go outside the plan for other nonemergency services if Molina Dual Options gives you permission first.
A You may change providers within the network at any time during the year. If you have been going to one network provider, you do not have to keep going to that same provider. You can call Member Services at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST, if you want more information about our Molina Dual Options providers or if you need help changing your PCP. For some providers, you may need a referral from your PCP.
A Molina Dual Options works with all the providers in our network to accommodate the needs of people with disabilities. As applicable, the list of network providers in this Directory includes information about the accommodations they provide.
A If you need to see a provider and are not sure if they offer the accommodations you need, Molina Dual Options can help you. Talk to your Care Coordinator for assistance.
B5. How to find Molina Dual Options providers in your area
When you enroll in the Molina Dual Options plan, you must choose a PCP to provide
If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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your basic medical care and coordinate your care. You may find a PCP close to where you live by checking the PCP listings in this directory. Locate your county and city and then choose a PCP from that list who are accepting new patients k. All providers have access to language line interpreters.
You can also visit MolinaHealthcare.com/Duals to get the most up-to-date list of network providers. You can get a printed copy of all information posted on the Molina Dual Options website upon request. If you have questions about Molina Dual Options please call Member Services at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST.
B6. List of network providers
This Directory of Molina Dual Options' network providers contains: A Health care professionals including primary care providers, who may be physicians, physician assistants, or nurse practitioners; hearing, dental, or vision specialists A Facilities including hospitals; urgent care centers; skilled nursing facilities/nursing facilities; Prepaid Inpatient Health Plan (PIHP) facilities for needs related to behavioral health, intellectual/developmental disability, and/or substance use A Support providers including adult day programs; assistive technology; chore services; community transitions; environmental modifications; home-delivered meals; LTSS and non-LTSS home health agencies; medical supplies; non-medical transportation; personal care; preventive nursing; private duty nursing; respite care
Providers are listed in alphabetical order by last name. You can also find the provider's name and the page where the provider's additional contact information is in the Index at the end of the Directory. Providers are also listed in alphabetical order by last name in the Index. In addition to contact information, provider listings also include specialties and skills, for example, such as languages spoken or completion of cultural competence training.
Cultural competence training is additional instruction for our health care providers that helps them better understand your background, values, and beliefs to adapt services to meet your social, cultural, and language needs.
C. Molina Dual Options' network providers
You may get services from any of the providers on the list. For some, you may need a referral from your PCP.
If you have questions, please call Molina Dual Options at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.
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Molina Dual Options MI Health Link Plan Medicare-Medicaid | 2021 Directorio de proveedores y farmacias
Introducción
Este Directorio de proveedores y farmacias incluye información sobre el proveedor y los tipos de farmacias en Molina Dual Options y listados de todos los proveedores y farmacias del plan a partir de la fecha de este Directorio. Los listados contienen la dirección del proveedor y de la farmacia, información de contacto, así como otros detalles como días y horas de operaciones, especialidades y habilidades. Los términos clave y sus definiciones aparecen en orden alfabético en el último capítulo del Manual del miembro.
Tabla de contenidos A. Exenciones de responsabilidad .................................................................................................... 12 B. Proveedores ................................................................................................................................. 13
B1. Términos clave ........................................................................................................................ 14 B2. Cómo elegir un proveedor de atención primaria (PCP) ........................................................... 16 B3. Servicios y apoyos a largo plazo (LTSS) ................................................................................. 17 B4. Cómo identificar a los proveedores de la red Molina Dual Options ........................................ 17 B5. Cómo encontrar a los proveedores de Molina Dual Options en su área ................................. 18 B6. Lista de proveedores dentro de la red ..................................................................................... 18 C. Proveedores de la red de Molina Dual Options .......................................................................... 19 C1. Proveedores de atención primaria (PCP) ................................................................................ 22 C2. Especialistas ............................................................................................................................ 668 C3. Hospitales ............................................................................................................................... 3540 C4. Centros de atención urgente ................................................................................................... 3543 C5. Centro de enfermería especializada ......................................................................................... 3560 C6. Proveedores de Salud Conductual .......................................................................................... 3578 C7. Servicios y Apoyo a Largo Plazo ............................................................................................ 3653
C8. Centros de Salud Aprobados por el Gobierno Federal (FQHC) / Clínicas de Salud Rural (RHC) .................................................................................................................................... 3666
C9. Molina Dual Options (Medicare-Medicaid) Información sobre beneficios complementarios 3672 C10. Proveedores complementarios - Visión ................................................................................. 3673 D. Lista de farmacias de la red ......................................................................................................... 3921
Si tiene alguna pregunta, llame a Molina Dual Options al (855) 735-5604, TTY: 711, de lunes a viernes, de 8 a.m. a 8 p.m., EST. Esta llamada es gratuita. Para obtener más información, visite MolinaHealthcare.com/Duals.
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D1. Cómo identificar farmacias de la red de Molina Dual Options .............................................. 3921 D2. Suministro de recetas médicas a largo plazo ........................................................................... 3921

E. Farmacias de la red de Molina Dual Options .............................................................................. 3923 E1. Farmacias de cadena y minoristas .......................................................................................... 3925

E2. Farmacias de pedido por correo ............................................................................................. 3974 E3. Farmacias de infusión en el hogar ........................................................................................... 3975

E4. Farmacias de atención a largo plazo ....................................................................................... 3976

E5. Farmacias para Servicios de Salud para Indígenas Americanos/Tribal/Programa de Salud para Indígenas Urbano (I/T/U) ....................................................................................................... 3979
E6. Farmacias de la red fuera del área de servicio de: Wayne y Macomb ...................................... 3980

F. Índice de proveedores y farmacias ............................................................................................... F1. Proveedores ............................................................................................................................ F2. Farmacias ...............................................................................................................................

4083 4083 4166

Si tiene alguna pregunta, llame a Molina Dual Options al (855) 735-5604, TTY: 711, de lunes a viernes, de 8 a.m. a 8 p.m., EST. Esta llamada es gratuita. Para obtener más información, visite MolinaHealthcare.com/Duals.
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A. Exenciones de responsabilidad
F Molina Dual Options MI Health Link Un plan Medicare-Medicaid es un plan de salud que tiene contratos, tanto con Medicare como con el programa Michigan Medicaid para proporcionar beneficios de ambos programas a los inscritos.
F Molina Healthcare cumple con las leyes federales vigentes de derechos civiles y no discrimina por motivos de raza, origen étnico, nacionalidad, religión, género, sexo, edad, discapacidad mental o física, estado de salud, recepción de atención médica, experiencia de reclamaciones, antecedentes médicos, información genética, evidencia de asegurabilidad o ubicación geográfica.
F Este Directorio contiene los profesionales de atención médica (como médicos, enfermeras especializadas y psicólogos), los centros (como hospitales o clínicas) y los proveedores de apoyo (como atención médica diurna para adultos y proveedores de atención médica domiciliaria) que usted puede visitar como miembro de Molina Dual Options. También contiene las farmacias que usted puede usar para recibir los medicamentos recetados.
F Nos referiremos a estos grupos como "proveedores de la red" en este Directorio. Estos proveedores firmaron un contrato con nosotros para proporcionarle servicios. Esta es una lista de Molina Dual Options' proveedores dentro de la red para proveedores del área de servicio en Wayne (ciudades incluidas: Allen Park; Belleville; Brownstown Charter Township; Canton Charter Township; Dearborn; Dearborn Heights; Detroit; Ecorse; Flat Rock; Garden City; Gibraltar; Grosse Ile Township; Grosse Pointe; Grosse Pointe Farms; Grosse Pointe Park; Grosse Pointe Shores; Grosse Pointe Woods; Hamtramck; Harper Woods; Highland Park; Huron Charter Township; Inkster; Lincoln Park; Livonia; Melvindale; Northville; Northville Charter Township; Plymouth; Plymouth Charter Township; Redford Charter Township; River Rouge; Riverview; Rockwood; Romulus; Southgate; Sumpter Township; Taylor; Trenton; Van Buren Charter Township; Wayne; Westland; Woodhaven; Wyandotte) y Macomb (ciudades como Armada; Armada Township; Bruce Township; Center Line; Chesterfield Charter Township; Clinton Charter Township; Eastpointe; Fraser; Grosse Pointe Shores; Harrison Charter Township; Lenox Township; Macomb Township; Memphis; Mount Clemens; New Baltimore; New Haven; Ray Township; Richmond; Richmond Township; Romeo; Roseville; Shelby Charter Township; St. Clair Shores; Sterling Heights; Utica; Warren; Washington Charter Township) condados y también listas de proveedores fuera del área de servicio que completan nuestra red completa para el estado de Míchigan. Este directorio completo de proveedores de la red está disponible en línea en MolinaHealthcare.com/Duals, y se puede enviar una copia impresa a pedido. Para recibir información adicional, llame al Departamento de Servicios para Miembros al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST.
F En este Directorio, se incluyen proveedores de servicios de Medicare y Michigan Medicaid.
F Puede solicitar este documento sin costo alguno en otros formatos, como braille,
Si tiene preguntas, llame Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. La llamada es gratuita.Para obtener más información, visite MolinaHealthcare.com/Duals.
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audio o letra grande. Llame al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. Esta llamada es gratuita.
F Usted puede pedir que le enviemos siempre información en el idioma o formato que necesite. A esto se le llama una solicitud permanente. Haremos un seguimiento de su solicitud permanente para que así no tenga que hacer solicitudes por separado cada vez que le enviemos información. Para obtener este documento en un idioma que no sea el inglés, comuníquese con el Estado al (800) 642-3195, TTY: 711, De lunes a viernes, de 8:00 a. m. a 5:00 p. m, hora local para actualizar su registro con el idioma de preferencia. Para obtener este documento en un formato alternativo, comuníquese con el Departamento de Servicios para Miembros al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. Un representante puede ayudarlo a realizar o cambiar una solicitud permanente. También puede comunicarse con su Coordinador de Cuidados para obtener ayuda con las solicitudes permanentes.
F Puede obtener más información sobre los centros de enfermería en el manual del miembro de Molina Dual Options. Si tiene alguna pregunta adicional, llame al Departamento de Servicios para Miembros al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST.
La lista está actualizada al 08/2021, pero debe saber lo siguiente:
A Es posible que hayamos agregado o eliminado algunos proveedores de la red de Molina Dual Options después de la publicación de este Directorio.
A Algunos de los proveedores de Molina Dual Options de nuestra red podrían ya no aceptar a nuevos miembros. Si tiene problemas para encontrar un proveedor que acepte nuevos miembros, llame al Departamento de Servicios para Miembros al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST y lo ayudaremos.
A Para obtener la información más actualizada sobre Molina Dual Options'proveedores de la red de su área, visite MolinaHealthcare.com/Duals o llame al Departamento de Servicios para Miembros(855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. Esta llamada es gratuita.
Los doctores y otros profesionales de atención médica que pertenecen a la red de Molina Dual Options' aparecen en las páginas 22 a 3916. Las farmacias de nuestra red se encuentran en las páginas 3925 a 4082. Puede utilizar el Índice situado en la parte posterior del Directorio para buscar la página en la que aparece un proveedor o una farmacia.
B. Proveedores
B1. Términos clave
En esta sección, se explican los términos clave que encontrará en nuestro Directorio de proveedores y farmacias.
Si tiene preguntas, llame Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. La llamada es gratuita.Para obtener más información, visite MolinaHealthcare.com/Duals.
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A Los proveedores son profesionales de atención médica y proveedores de apoyo, como doctores, enfermeras, farmacéuticos, terapeutas y otras personas que brindan atención y servicios. Los servicios incluyen atención médica, Servicios y Apoyo a Largo Plazo (LTSS, por sus siglas en inglés), suministros, medicamentos recetados, equipos y otros servicios.
B El término "proveedores" también se refiere a centros, como hospitales, clínicas y otros lugares que brindan servicios de atención médica, equipo médico y apoyo y servicios a largo plazo.
B Los proveedores que forman parte de la red de nuestro plan se denominan proveedores de la red.
A Los proveedores de la red son los proveedores que tienen un contrato con nosotros para prestar servicios a los miembros de nuestro plan. Por lo general, los proveedores de nuestra red nos emiten directamente una factura a nosotros por la atención que usted recibe. Cuando visita a un proveedor de la red, por lo general usted no paga nada por los servicios cubiertos.
A Un proveedor de cuidados primarios (PCP) es un médico, un médico asociado, una enfermera especializada o un hogar médico o clínica (Centros de Salud Acreditados a Nivel Federal [FQHC, por sus siglas en inglés]), que le brinda atención médica de rutina. Su PCP llevará un registro de su historia clínica y conocerá sus necesidades de salud a lo largo del tiempo. Su PCP también le hará una remisión en caso de que necesite consultar a un especialista u otro proveedor.
A Los especialistas son doctores que proveen servicios de atención médica para una enfermedad o parte del cuerpo específica. Existen muchos tipos de especialistas. Algunos ejemplos son los siguientes:
B Los oncólogos se ocupan de los pacientes con cáncer.
B Los cardiólogos atienden a pacientes con afecciones cardíacas.
B Los médicos ortopedistas atienden a pacientes con ciertas afecciones óseas, articulares o musculares.
A Es posible que necesite una remisión para consultar a un especialista o a alguien que no sea su PCP. Una remisión significa que su PCP debe darle la aprobación antes de poder recibir la atención de alguien que no sea su PCP. Si no recibe una remisión, Molina Dual Options podría no cubrir los servicios.
B Las remisiones de parte de su PCP de la red no son necesarias para lo siguiente:
E atención médica de emergencia;
E atención médica requerida urgentemente;
E servicios de diálisis renal que usted recibe en un centro de diálisis certificado por Medicare cuando se encuentre fuera del área de
Si tiene preguntas, llame Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. La llamada es gratuita.Para obtener más información, visite MolinaHealthcare.com/Duals.
14

servicio del plan; o
E servicios de un especialista en salud para la mujer.
E Vacunaciones contra la gripe y la neumonía, siempre que las obtenga de un proveedor de la red.
B Además, si es elegible para recibir servicios de proveedores de atención médica para indígenas, puede acudir a estos proveedores sin una remisión previa. Debemos pagar al proveedor de salud para indígenas americanos por esos servicios, aunque estén fuera de la red de nuestro plan.
B Encontrará más información disponible sobre las remisiones en el Capítulo 3 del Manual del Miembro.
A Es posible que su proveedor necesite una autorización previa o una aprobación de Molina Dual Options antes de que usted pueda obtener ciertos servicios. Los servicios cubiertos que requieren autorización previa están marcados en la Tabla de beneficios en el Capítulo 4. Algunos medicamentos están cubiertos solamente si usted obtiene autorización previa de nosotros. Los medicamentos cubiertos que necesitan autorización previa están marcados en la Lista de Medicamentos Cubiertos.
A También tiene acceso a un Coordinador de Cuidados que elija.
B Un Coordinador de Cuidados lo ayuda a gestionar sus proveedores y servicios médicos. Su Coordinador de Cuidados es su contacto principal. Esta persona ayuda a administrar todos sus proveedores y servicios y se asegura de que usted obtenga lo que necesite. Usted o su cuidador pueden solicitar un cambio del Coordinador de Cuidados asignado según sea necesario. Para ello, llame al Coordinador de Cuidados o al Departamento de Servicios para Miembros. Además, el personal de Molina Dual Options puede realizar cambios en la asignación del Coordinador de Cuidados en función de sus necesidades (culturales, lingüísticas, físicas, de salud conductual, religiosas) o ubicación. Comuníquese con su Coordinador de Cuidados al (855) 735-5604 de 8:30 a. m. a 5 p. m. hora del este, de lunes a viernes.
B El Equipo de Cuidados a cargo de un Coordinador de Cuidados, es un grupo de defensores y proveedores que trabajan en conjunto para proporcionarle atención médica, salud conductual, tratamiento contra el abuso de sustancias, servicios y apoyo a largo plazo y necesidades sociales. Usted tiene acceso a su propio Equipo de Cuidados Integrados e información sobre el desarrollo de este. Usted, un familiar o su representante autorizado legalmente son los miembros más importantes del Equipo de Cuidado integrado. Puede decirnos a quién más le gustaría incluir en el grupo. El equipo de atención integral puede incluir:
A Usted
A Sus familiares y/o representante autorizado.
Si tiene preguntas, llame Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. La llamada es gratuita.Para obtener más información, visite MolinaHealthcare.com/Duals.
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A Su coordinador de cuidados A Su Proveedor de Cuidados Primarios (PCP) A Representantes del centro donde recibe atención médica A Su médico de salud conductual (si tuviera uno) A Sus proveedores de servicios y apoyo a largo plazo (LTSS) (si
tuviera). B Su Equipo de Cuidados Integrados también puede incluir a las siguientes
personas, si es apropiado y si usted está de acuerdo: A Un farmacéutico A Enfermeras, especialistas, asistentes sociales y otras personas que puedan proporcionar asistencia profesional A Integrantes de la familia A Otros proveedores de atención informal A Defensores A Organismos estatales u otros coordinadores de atención
B Todos en el equipo de cuidados trabajan en conjunto para asegurarse de que su cuidado sea coordinado. Esto significa que se aseguran de que las pruebas y exámenes de laboratorio se hacen una vez y los resultados se comparten con los proveedores correctos. También significa que su PCP debe conocer todos los medicamentos que toma para reducir cualquier efecto negativo. Su PCP siempre obtendrá su permiso antes de compartir su información médica con otros proveedores.
B2. Proveedor de cuidados primarios (PCP)
Puede obtener servicios de cualquier proveedor que se encuentre en nuestra red y que acepte nuevos miembros.
Primero, deberá escoger un proveedor de atención primaria. Un PCP es un médico, una enfermera especializada avanzada, un auxiliar médico o un profesional de atención médica en clínicas/el hogar (centros médicos federalmente calificados - FQHC) que le brinda a usted cuidados de salud de rutina. También podrá contar con un especialista que se desempeñe como su PCP, siempre que el especialista desee proporcionarle atención médica de rutina. Comuníquese con el Departamento de Servicios para Miembros al(855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST.
Para elegir un PCP, consulte la lista de proveedores en la página 22 y elija un proveedor:
A que lo esté atendiendo actualmente, o
A que le haya sido recomendado por alguien de confianza, o
Si tiene preguntas, llame Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. La llamada es gratuita.Para obtener más información, visite MolinaHealthcare.com/Duals.
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A cuyo consultorio sea de fácil acceso para usted. A Si necesita ayuda para elegir a un PCP, llame al (855) 735-5604, TTY: 711,
Lunes a viernes, 8 a.m. a 8 p.m., EST. Esta llamada es gratuita. O, visite MolinaHealthcare.com/Duals. A Si tiene preguntas sobre si pagaremos por cualquier servicio o atención médica que desee o necesite, llame al Departamento de Servicios para Miembros y pregunte antes de obtener el servicio o la atención.
B3. Servicios y Apoyo a Largo Plazo (LTSS, por sus siglas en inglés)
Como miembro de Molina Dual Options, puede obtener acceso a LTSS, como atención médica domiciliaria, cuidado personal, residencia para ancianos y servicios comunitarios y en el hogar (programa de día para adultos, descanso, servicios expandidos para vivir en comunidad, servicios de enfermería preventivos, servicio privado de enfermería y otros servicios). Los LTSS ayudan a las personas que necesitan asistencia para realizar tareas cotidianas como bañarse, vestirse, preparar las comidas y tomar medicamentos. La mayoría de estos servicios se brindan en su casa o su comunidad, pero podrían proporcionarse en una residencia para ancianos o en un hospital.
Usted debe analizar los apoyos y servicios a largo plazo con su Coordinador de atención médica para determinar qué servicios califica y cómo acceder a ellos.
B4. Cómo identificar proveedores Molina Dual Options' en la red
Es posible que necesite una remisión para consultar a alguien que no sea un proveedor de cuidados primarios. Hay más información sobre remisiones en la Sección B1 de este Directorio en la página 4.
Usted debe recibir todos sus servicios cubiertos de parte de proveedores de nuestra red. Si consulta a proveedores que no se encuentran en Molina Dual Options'la red (sin aprobación o autorización previa de nuestra parte), usted tendrá que pagar la factura.
Una autorización previa es una aprobación de Molina Dual Options antes de que usted pueda recibir un servicio o medicamento específicos o consultar a un proveedor fuera de la red. Molina Dual Options podría no cubrir el servicio o el medicamento si usted no recibe esta aprobación.
Las excepciones a esta regla son cuando necesita atención urgente o de emergencia o diálisis y no puede acceder a un proveedor del plan, como cuando está lejos de casa. Medicare y Medicaid no proporcionan cobertura para atención médica de emergencia fuera de los Estados Unidos y sus territorios, salvo en circunstancias limitadas.
Si tiene preguntas, llame Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. La llamada es gratuita.Para obtener más información, visite MolinaHealthcare.com/Duals.
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Consulte con el plan para obtener más información. Puede comunicarse con Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. También puede salir del plan para otros servicios que no sean de emergencia si Molina Dual Options le otorga el permiso con anterioridad.
A Puede cambiar de PCP dentro de la red, en cualquier momento durante el año. Si ha estado consultando a un proveedor de la red, usted no tiene que seguir viendo a ese proveedor. Puede llamar al Departamento de Servicios para Miembros al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST, si desea más información sobre nuestros proveedores de Molina Dual Options o si necesita ayuda para cambiar de PCP. Para algunos proveedores, es posible que necesite una remisión de su PCP.
A Molina Dual Options trabaja junto con todos los proveedores de nuestra red para adaptarse a las necesidades de las personas con discapacidades. Según corresponda, en la lista de proveedores de la red de este Directorio se incluye información sobre las adaptaciones que proporcionan.
A En caso de que deba ver a un proveedor y no esté seguro de si este le ofrece las adaptaciones que usted necesita, Molina Dual Options puede ayudarlo. Hable con su Coordinador de Cuidados para recibir asistencia.
B5. Cómo encontrar proveedores de Molina Dual Options en su área.
Cuando se inscribe en el plan de Molina Dual Options, tiene que elegir un PCP que le proporcione la atención médica básica y coordine su atención médica. Puede encontrar un PCP que esté cerca de su hogar consultando la lista de PCP en este directorio. Localice su condado y ciudad y, a continuación, elija un PCP de esa lista que acepte pacientes nuevos k. Todos los proveedores tienen acceso a intérpretes de línea de idiomas.
También puede visitar MolinaHealthcare.com/Duals para obtener la lista más actualizada de proveedores dentro la red. Usted puede conseguir una copia impresa de toda la información publicada en la página web de Molina Dual Options a pedido. Si tiene preguntas sobre Molina Dual Options, llame al Departamento de Servicios para Miembros al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST.
B6. Lista de proveedores dentro de la red
Este directorio de los proveedores de la red de Molina Dual Options' contiene lo siguiente:
A Profesionales de atención médica, incluidos proveedores de atención primaria, que pueden ser médicos, asistentes médicos o enfermeras especializadas; especialistas en audición, odontología u oftalmología.
A Centros, incluidos hospitales, centros de cuidado urgente; centros de cuidado experto/centros de enfermería, centros del Plan de Salud Prepago para Pacientes
Si tiene preguntas, llame Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. La llamada es gratuita.Para obtener más información, visite MolinaHealthcare.com/Duals.
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Internados (PIHP) para necesidades relacionadas con la salud conductual, la discapacidad intelectual/de desarrollo o el abuso de sustancias. A Proveedores de apoyo, incluidos programas de día para adultos, tecnología de asistencia, servicios de tareas, transiciones comunitarias, modificaciones ambientales, comidas entregadas a domicilio, agencias LTSS y agencias de atención médica domiciliaria que no sean LTSS, suministros médicos, transporte no médico, cuidado personal, enfermería preventiva, enfermería privada, servicios de cuidado de respiro. Los proveedores aparecen en orden alfabético por apellido. También puede encontrar el nombre del proveedor y la página en la que se encuentra la información de contacto adicional del proveedor en el Índice al final del Directorio. Los proveedores también aparecen en orden alfabético por apellido en el Índice. Además de la información de contacto, los listados de proveedores también incluyen especialidades y destrezas, por ejemplo, tales como los idiomas que hablan o la finalización de la capacitación en competencia cultural. La capacitación en competencia cultural es una instrucción adicional para nuestros proveedores de atención médica que los ayuda a comprender mejor sus antecedentes, valores y creencias a fin de adaptar servicios y cumplir con sus necesidades sociales, culturales y lingüísticas.
C. Molina Dual Options' proveedores de la red
Usted puede obtener servicios de cualquiera de los proveedores de esta lista. Para algunos, usted puede necesitar una remisión de su PCP.
Si tiene preguntas, llame Molina Dual Options al (855) 735-5604, TTY: 711, Lunes a viernes, 8 a.m. a 8 p.m., EST. La llamada es gratuita.Para obtener más información, visite MolinaHealthcare.com/Duals.
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Provider and Pharmacy Listing Footer Legend

Provider Symbols: For Handicapped accessibility

Symbol q p

Reference Telehealth services available Accepting New Patients

P

Parking

E

Exterior Building

I

Interior Building

W

Waiting Room/Reception

R

Restroom

X

Exam Room

T

Accessible Table

S

Wheelchair Weight Scale

Q

Medical Equipment Access

x

Basic Accessibility

v

Public Transportation

Pharmacy Symbols: All network pharmacies offer an extended day supply unless otherwise noted. If you have questions, please call Molina Dual Options at (855) 7355604, TTY/TTD: 711, Monday - Friday, 8 a.m. to 8 p.m., EST. The call is free. For more information, visit MolinaHealthcare.com/Duals.

O

Do not offer Extended Day Supply of

Medication

L

Limited Access: Pharmacies may not be available to all members

20

Leyenda de pie de página de la Lista de Proveedores y Farmacias

Símbolos del proveedor: Acceso para discapacitados

Símbolo q p

Referencia Servicios de telesalud disponibles Acepta pacientes nuevos

P

Estacionamiento

E

Edificio exterior

I

Edificio interior

W

Sala de espera/recepción

R

Servicios

X

Sala de examen

T

Mesa accesible

S

Balanza para silla de ruedas

Q

Acceso a equipos médicos

x

Accesibilidad básica

v

Transporte público

Símbolos de la farmacia: Todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario. Si tiene preguntas, llame a Molina Dual Option al (855) 735-5604, TTY / TDD al 711, de lunes a viernes, de 8 a.m. a 8 p.m., EST. La llamada es gratuita. Para obtener más información, visite MolinaHealthcare.com/Duals.

O

No ofrece suministro de medicamentos de

días extendidos

Acceso limitado: es posible que las

L

farmacias no estén disponibles para todos

los miembros

21

Primary Care Providers
Alcona County
Total Count: 5578

Proveedores de atención primaria (PCP)
Condado de Alcona
Cuenta total: 5578

Michigan
Alcona
HARRISVILLE - 48740
Thomas, Melanie, NPp Family Nurse Practitioner License: 4704226273 NPI: 1508315409 Alcona Health Center Inc 205 N State St Ste A Harrisville, MI 48740 (989) 724-5655 Mon-Wed,Fri 8:00am 5:00pm, Thu 8:00am 12:00pm Group(s): Alcona Health Center Inc Pc 1326055450
Allegan
PULLMAN - 49450
Marshall, Lisa, MDp Family Medicine License: 4301063889 NPI: 1104871169 Intercare Community Health Network 5498 109th Ave Pullman, MI 49450 (269) 427-7937 Mon-Thu 8:00am 8:00pm, Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Intercare Community Health Network Pc 1326058512

Alpena
ALPENA - 49707
Bellmore, Jordan, PAp Physician Assistant License: 5601010435 NPI: 1114512092 Alpena Express Practice Plc 109 S 13th Ave Alpena, MI 49707 (989) 356-2400 Mon-Tue,Thu-Fri 9:00am - 4:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Alpena Express Practice Plc 1992981559
Coca Soto, Doris, MDp Family Medicine License: 4301062190 NPI: 1093882631 Alcona Health Center Inc 1185 Us Highway 23 N Alpena, MI 49707 (989) 356-4049 Mon-Tue,Thu 7:30am 5:00pm, Wed,Fri 8:00am - 5:00pm, Sat 9:00am 12:00pm Spanish Group(s): Alcona Health Center Inc Pc 1326055450

Dargis, David, DOp Family Medicine License: 5101014566 NPI: 1457490609 Alpena Express Practice Plc 109 S 13th Ave Alpena, MI 49707 (989) 356-2400 Mon-Tue,Thu-Fri 9:00am - 4:00pm Group(s): Alpena Express Practice Plc 1992981559
Glenn Beatty, Jessica, MDp Family Medicine License: 4301094605 NPI: 1598908063 Bella Rose Skin Care And Wellness Center 114 E Oldfield St Alpena, MI 49707 (989) 464-1883 Mon,Wed,Fri 9:00am 5:00pm Group(s): Bella Rose Skin Care And Wellness Center - 1669004875

King, Douglas, MDp General Practice License: 4301042129 NPI: 1952571192 Alpena Express Practice Plc 109 S 13th Ave Alpena, MI 49707 (989) 356-2400 Mon-Tue,Thu-Fri 9:00am - 4:00pm Certification: Am Board Family Medicine Group(s): Alpena Express Practice Plc 1992981559
Arenac
ALGER - 48610
David, Jenny, NPp Family Nurse Practitioner License: 4704224697 NPI: 1336383660 Primary Care Inc 5170 Rifle River Trl Alger, MI 48610 (989) 873-5323 Mon-Fri 9:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): Primary Care Inc Pc - 1154335933, Mclaren Central Michigan - 1316560741

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

22

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Arenac County continued

Proveedores de atención primaria (PCP)
Condado de Arenac continuación

Jamwal, Mandhir, MDp Family Medicine License: 4301090156 NPI: 1932302346 Primary Care Inc 5170 Rifle River Trl Alger, MI 48610 (989) 873-5323 Mon-Fri 9:00am 5:00pm Group(s): Primary Care Inc Pc - 1154335933, Mclaren Central Michigan - 1316560741
AU GRES - 48703
Britt Dewyer, Rebecca, DO Family Medicine License: 5101019402 NPI: 1255626636 Mclaren Bay Region Pc 401 East Huron Au Gres, MI 48703 (989) 532-4100 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Bay Region Pc - 1528031226

STANDISH - 48658
Mirza, Muhammed, MD p Internal Medicine License: 4301064585 NPI: 1437156015 Mclaren Medical Management Inc 805 W Cedar St Standish, MI 48658 (989) 846-3555 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Medical Group 1346396066
STERLING - 48659
Gallofin, Vivian, NPpq Family Nurse Practitioner License: 4704266017 NPI: 1033691159 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Filipino Group(s): Sterling Area Health Center Pc 1477538239

Kitchen, Elizabeth, NPpq Family Nurse Practitioner License: 4704269933 NPI: 1164066452 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Group(s): Sterling Area Health Center Pc 1477538239
Leonard, Joshua, NPpq Family Nurse Practitioner License: 4704300396 NPI: 1720554363 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Group(s): Sterling Area Health Center Pc 1477538239

Mann, Jeffrey, DOpq Pediatric License: 5101010152 NPI: 1568435212 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Certification: Am Os Bd Pediatrics Group(s): Sterling Area Health Center Pc 1477538239
Meyers, Lynn, NPp Family Nurse Practitioner License: 6301002926 NPI: 1194280081 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Group(s): Sterling Area Health Center Pc 1477538239

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

23

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Arenac County continued

Proveedores de atención primaria (PCP)
Condado de Arenac continuación

Runyon, Linda, MDp Internal Medicine License: 4301048990 NPI: 1285627182 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Spanish Certification: Am Bd Internal Med Group(s): Sterling Area Health Center Pc 1477538239
Spencer, Jessica, NPp Family Nurse Practitioner License: 4704227052 NPI: 1083950976 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Group(s): Sterling Area Health Center Pc 1477538239

Walsh Mcpherson, Danielle, DOp Family Medicine License: 5101013925 NPI: 1720180482 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Sterling Area Health Center Pc 1477538239
Warner, Ronald, NPp Nurse Practitioner License: 4704260161 NPI: 1679912505 Sterling Area Health Center 725 E State St Sterling, MI 48659 (989) 654-2491 Mon,Thu-Fri 8:00am 7:00pm, Tue-Wed 8:00am - 8:00pm Group(s): Sterling Area Health Center Pc 1477538239

Barry

Bay

HASTINGS - 49058
Lagarde, Stacia, MDp Family Medicine License: 4301087952 NPI: 1790871093 Cherry Health 200 S Boltwood St Hastings, MI 49058 (269) 945-4220 Mon-Tue 8:00am 7:00pm, Wed-Fri 8:00am - 5:00pm Spanish Group(s): Cherry Street Health Services Pc 1558459164
Neilly, Chia-Hui, NPp Family Nurse Practitioner License: 4704287104 NPI: 1447744727 Cherry Health 200 S Boltwood St Hastings, MI 49058 (269) 945-4220 Mon-Tue 8:00am 7:00pm, Wed-Fri 8:00am - 5:00pm Chinese, Taiwanese Group(s): Cherry Street Health Services Pc 1558459164

AUBURN - 48611
Filbeck, Lindsay, NPp Nurse Practitioner License: 4704281162 NPI: 1194215186 Mclaren Bay Auburn Family Medicine 312 E Midland Rd Auburn, MI 48611 (989) 416-5200 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Bay Region - Midland Internal Medicine, Mclaren Medical Group - 1346396066
Filbeck, Lindsay, NPp Nurse Practitioner License: 4704281162 NPI: 1194215186 Mclaren Bay Region 312 E Midland Rd Auburn, MI 48611 (989) 416-5200 Mon-Fri 9:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Bay Region Pc - 1508131087

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

24

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Bay County continued

Proveedores de atención primaria (PCP)
Condado de Bay continuación

Hasegawa, Sheryl, DOp Family Medicine License: 5101013503 NPI: 1750315073 Mclaren Bay Auburn Family Medicine 312 E Midland Rd Auburn, MI 48611 (989) 416-5200 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Medical Group 1346396066
Trebilcock, Elizabeth, PA p Physician Assistant License: 5601004642 NPI: 1841237641 Mclaren Bay Region 312 E Midland Rd Auburn, MI 48611 (989) 416-5200 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Mclaren Bay Region Pc - 1508131087

BAY CITY - 48706
Ahmed, Tazeen, MDp Internal Medicine License: 4301066513 NPI: 1356370944 Mclaren Bay Region Pc 1900 Columbus Ave Bay City, MI 48706 (989) 894-3278 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med (Hospice & Palliative Medicine) Group(s): Mclaren Bay Region Pc - 1508131087
Ali, Mohamed, MDp Internal Medicine License: 4301061417 NPI: 1881705580 Mclaren Bay 4818 W Professional Drive Bay City, MI 48706 (989) 686-8100 Mon-Fri 9:00am 5:00pm Italian, Somali Group(s): Mclaren Medical Group 1346396066

Ali, Mohamed, MDp Internal Medicine License: 4301061417 NPI: 1881705580 Mclaren Bay Region Pc 4818 W Professional Dr Bay City, MI 48706 (989) 686-8100 Mon-Fri 8:00am 5:00pm Italian, Somali Group(s): Mclaren Medical Group 1346396066
Dhar, Monica, MDp Pediatric License: 4301073322 NPI: 1083630255 Great Lakes Bay Health Centers 3884 Monitor Rd Bay City, MI 48706 (989) 671-2000 Mon,Wed,Fri 8:00am 5:00pm, Tue 8:00am 8:30pm, Thu 8:00am 8:00pm Certification: Am Board Pediatrics Group(s): Great Lakes Bay Health Centers Pc 1982722039, Great Lakes Bay Health Centers Pc 1801907654

Filbeck, Lindsay, NPp Nurse Practitioner License: 4704281162 NPI: 1194215186 Bay Regional Medical Center Pc 3720 Katalin Court Ste 201 Bay City, MI 48706 (989) 686-2800 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Bay Region Pc - 1508131087
Filbeck, Lindsay, NPp Nurse Practitioner License: 4704281162 NPI: 1194215186 Mclaren Bay Region Pc 3720 Katalin Court Ste 201 Bay City, MI 48706 (989) 893-9705 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Bay Region Pc - 1508131087

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

25

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Bay County continued

Proveedores de atención primaria (PCP)
Condado de Bay continuación

Gibson, Jessica, DOp Family Medicine License: 5101024880 NPI: 1992225478 Mclaren Bay Region Pc 1900 Columbus Ave Bay City, MI 48706 (989) 894-3278 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1508131087
Hasegawa, Sheryl, DOp Family Medicine License: 5101013503 NPI: 1750315073 Bay Regional Medical Center Pc 3720 Katalin Court Ste 201 Bay City, MI 48706 (989) 686-2800 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1508131087

Hasegawa, Sheryl, DOp Family Medicine License: 5101013503 NPI: 1750315073 Mclaren Bay Region Pc 3720 Katalin Court Ste 201 Bay City, MI 48706 (989) 893-9705 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1508131087
Kohner, Melissa, DOp Family Medicine License: 5101025642 NPI: 1295255784 Great Lakes Bay Health Centers 3884 Monitor Rd Bay City, MI 48706 (989) 671-2000 Mon,Wed,Fri 8:00am 5:00pm, Tue 8:00am 8:30pm, Thu 8:00am 8:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Great Lakes Bay Health Centers Pc 1982722039, Great Lakes Bay Health Centers Pc 1801907654

Lupo, Michael, PAp Physician Assistant License: 5601010165 NPI: 1710432646 Great Lakes Bay Health Centers 3884 Monitor Rd Bay City, MI 48706 (989) 671-2000 Mon,Wed,Fri 8:00am 5:00pm, Tue 8:00am 8:30pm, Thu 8:00am 8:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Great Lakes Bay Health Centers Pc 1982722039, Great Lakes Bay Health Centers Pc 1801907654
Molla, Nashita, MD Family Medicine License: 4301503778 NPI: 1417449133 Great Lakes Bay Health Centers 3175 W Professional Dr Bay City, MI 48706 (989) 667-3377 Mon-Wed,Fri 8:00am 5:00pm, Thu 8:00am 6:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1881712669

Molla, Nashita, MD Family Medicine License: 4301503778 NPI: 1417449133 Great Lakes Bay Health Centers Bayside 3884 Monitor Rd Bay City, MI 48706 (989) 671-2000 Mon-Fri 8:30am 5:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1982722039, Great Lakes Bay Health Centers Pc 1881712669
Myers, Nanette, DOp Family Medicine License: 5101014980 NPI: 1679568828 Mclaren Bay Region Pc 1900 Columbus Ave Bay City, MI 48706 (989) 894-3278 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1508131087

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

26

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Bay County continued

Proveedores de atención primaria (PCP)
Condado de Bay continuación

Negrete, Candice, NPp Family Nurse Practitioner License: 4704263385 NPI: 1700127313 Great Lakes Bay Health Centers Bayside 3884 Monitor Rd Bay City, MI 48706 (989) 671-2000 Mon-Fri 8:30am 5:00pm Group(s): Great Lakes Bay Health Centers Pc 1982722039, Great Lakes Bay Health Centers Pc 1881712669, Great Lakes Bay Health Centers Pc 1801907654
Nweke, Onyinyechi, MD p Pediatric License: 4301500545 NPI: 1154876522 Great Lakes Bay Health Centers 3175 W Professional Dr Bay City, MI 48706 (989) 667-3377 Mon-Wed,Fri 8:00am 5:00pm, Thu 8:00am 6:00pm Certification: Am Board Pediatrics Group(s): Great Lakes Bay Health Centers Pc 1881712669, Great Lakes Bay Health Centers Pc 1871684761, Great Lakes Bay Health Centers Pc 1801907654

Nweke, Onyinyechi, MD p Pediatric License: 4301500545 NPI: 1154876522 Great Lakes Bay Health Centers Bayside 3884 Monitor Rd Bay City, MI 48706 (989) 671-2000 Mon-Fri 8:30am 5:00pm Certification: Am Board Pediatrics Group(s): Great Lakes Bay Health Centers Pc 1982722039, Great Lakes Bay Health Centers Pc 1881712669, Great Lakes Bay Health Centers Pc 1801907654
Orow, Nicholas, MDp Family Medicine License: 4301098407 NPI: 1396038972 Bay Regional Medical Center Pc 3720 Katalin Court Ste 201 Bay City, MI 48706 (989) 686-2800 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Bay Region Pc - 1508131087

Sabouri, Lily, DOp Family Medicine License: 5101018137 NPI: 1952538613 Mclaren Bay Region Pc 3720 Katalin Court Ste 201 Bay City, MI 48706 (989) 893-9705 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1508131087
Tamez, Gary, DOp Family Medicine License: 5101008687 NPI: 1265422356 Great Lakes Bay Health Centers 3884 Monitor Rd Bay City, MI 48706 (989) 671-2000 Mon,Wed,Fri 8:00am 5:00pm, Tue,Thu 8:00am - 8:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Great Lakes Bay Health Centers Pc 1871684761

Weeks, Craig, MD Family Medicine License: 4301500953 NPI: 1417338245 Great Lakes Bay Health Centers 3175 W Professional Dr Bay City, MI 48706 (989) 667-3377 Mon-Wed,Fri 8:00am 5:00pm, Thu 8:00am 6:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1881712669, Great Lakes Bay Health Centers Pc 1871684761, Great Lakes Bay Health Centers Pc 1801907654
Weeks, Craig, MD Family Medicine License: 4301500953 NPI: 1417338245 Great Lakes Bay Health Centers 3884 Monitor Rd Bay City, MI 48706 (989) 671-2000 Mon,Wed,Fri 8:00am 5:00pm, Tue 8:00am 8:30pm, Thu 8:00am 8:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1982722039, Great Lakes Bay Health Centers Pc 1801907654

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

27

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Bay County continued

Proveedores de atención primaria (PCP)
Condado de Bay continuación

Zamora, Matthew, PAp Physician Assistant License: 5601008472 NPI: 1659883676 Mclaren Bay 4818 W Professional Drive Bay City, MI 48706 (989) 686-8100 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Medical Group 1346396066
Zamora, Matthew, PAp Physician Assistant License: 5601008472 NPI: 1659883676 Mclaren Bay Region Pc 4818 W Professional Dr Bay City, MI 48706 (989) 686-8100 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Medical Group 1346396066
- 48708
Caszatt, Sarah, NPp Nurse Practitioner License: 4704264101 NPI: 1114336187 Mclaren Bay 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Bay Region Pc - 1508131087

Caszatt, Sarah, NPp Nurse Practitioner License: 4704264101 NPI: 1114336187 Mclaren Bay Region Pc 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Bay Region Pc - 1508131087, Mclaren Bay Region Pc 1528031226
Dandamudi, Rajeshi, MD p Internal Medicine License: 4301090070 NPI: 1942490941 Mclaren Bay 714 S Trumbell St Bay City, MI 48708 (989) 893-5541 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Medical Group 1346396066
Dandamudi, Shyam, MD p Internal Medicine License: 4301041316 NPI: 1801928577 Mclaren Bay 714 S Trumbell St Bay City, MI 48708 (989) 893-5541 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Medical Group 1346396066

Dinsmoore, Jennifer, NP p Family Nurse Practitioner License: 4704293508 NPI: 1023592516 Mclaren Bay Region Pc 4 Columbus Ave Ste 140 Bay City, MI 48708 (989) 393-2850 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Bay Region Pc - 1508131087
Iqbal, Rashid, MDp Internal Medicine License: 4301062180 NPI: 1982627469 Huron Health Care Pc 618 Mulholland St Bay City, MI 48708 (989) 778-2400 Mon-Fri 9:00am 5:00pm Hindi, Punjabi, Urdu Group(s): Huron Health Care Pc - 1639265390
Kaur, Simran, MDp Family Medicine License: 4301094447 NPI: 1649406349 Bay Regional Medical Center Pc 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 8:00am 5:00pm Punjabi Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Mclaren Bay Region Pc - 1508131087

Lampka, Matthew, NPp Nurse Practitioner License: 4704284782 NPI: 1942666896 Mclaren Bay 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Bay Region Pc - 1508131087
Lampka, Matthew, NPp Nurse Practitioner License: 4704284782 NPI: 1942666896 Mclaren Bay Region Pc 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Bay Region Pc - 1508131087
Lazzara, Ralph, MDxp Internal Medicine License: 4301063320 NPI: 1710978689 Mclaren Medical Group 4 Columbus Ave Ste 140 Bay City, MI 48708 (989) 393-2850 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Medical Group 1346396066 PEIRXT

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

28

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Bay County continued

Proveedores de atención primaria (PCP)
Condado de Bay continuación

Lieber, Andrea, NPp Nurse Practitioner License: 4704276168 NPI: 1659763399 Mclaren Bay 714 S Trumbell St Bay City, MI 48708 (989) 893-5541 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Medical Group 1346396066
Molla, Nashita, MD Family Medicine License: 4301503778 NPI: 1417449133 Great Lakes Bay Health Centers Pc 1821 Mckinley St Bay City, MI 48708 (989) 894-2744 Mon-Fri 7:30am 4:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1275003766

Molla, Nashita, MD Family Medicine License: 4301503778 NPI: 1417449133 Great Lakes Bay Health Centers Pc 690 S Trumbull St Bay City, MI 48708 (989) 922-5700 Mon 7:00am - 7:00pm, Tue-Wed 7:00am 5:00pm, Thu 7:00am 6:00pm, Fri 7:00am 3:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1447804604
Orow, Nicholas, MDp Family Medicine License: 4301098407 NPI: 1396038972 Medical Practice Partners Pllc 712 S Trumbull St Bay City, MI 48708 (989) 893-4351 Mon-Thu 8:00am 5:00pm, Fri 8:00am 3:00pm Certification: Am Board Family Medicine Group(s): Mclaren Bay Region Pc - 1508131087, Medical Practice Partners Pllc Pc 1144766965

Reddy, Valluru, MDp Internal Medicine License: 4301041360 NPI: 1265564934 Mclaren Bay 714 S Trumbell St Bay City, MI 48708 (989) 893-5541 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Medical Group 1346396066
Smith, Jeanette, NPp Family Nurse Practitioner License: 4704295405 NPI: 1952889016 Mclaren Bay 714 S Trumbell St Bay City, MI 48708 (989) 893-5541 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Medical Group 1346396066
Smits, Alexandria, DOp Family Medicine License: 5101021275 NPI: 1104230358 Bay Regional Medical Center Pc 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1508131087

Smits, Alexandria, DOp Family Medicine License: 5101021275 NPI: 1104230358 Mclaren Bay 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1508131087
Smits, Alexandria, DOp Family Medicine License: 5101021275 NPI: 1104230358 Mclaren Bay Region Pc 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1508131087
Somerfield, Sarah, NPp Family Nurse Practitioner License: 4704216377 NPI: 1134378532 Bay Regional Medical Center Pc 1900 Columbus Ave Bay City, MI 48708 (989) 894-3278 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Bay Region Pc - 1780722785

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

29

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Bay County continued

Proveedores de atención primaria (PCP)
Condado de Bay continuación

Struble, Russell, MDp Family Medicine License: 4301068547 NPI: 1154355477 Mclaren Bay Region Pc 4 Columbus Ave Ste 380 Bay City, MI 48708 (989) 393-2700 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Bay Region Pc - 1508131087
Tamez, Gary, DOp Family Medicine License: 5101008687 NPI: 1265422356 Great Lakes Bay Health Centers 1821 Mckinley St Bay City, MI 48708 (989) 894-2744 Mon-Fri 7:30am 4:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Great Lakes Bay Health Centers Pc 1871684761

Tamez, Gary, DOp Family Medicine License: 5101008687 NPI: 1265422356 Great Lakes Bay Health Centers Pc 690 S Trumbull St Bay City, MI 48708 (989) 922-5700 Mon 7:00am - 7:00pm, Tue-Wed 7:00am 5:00pm, Thu 7:00am 6:00pm, Fri 7:00am 3:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Great Lakes Bay Health Centers Pc 1871684761
Weaver, Erica, NPp Family Nurse Practitioner License: 4704282090 NPI: 1093225450 Mclaren Bay 714 S Trumbell St Bay City, MI 48708 (989) 893-5541 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Medical Group 1346396066

Weeks, Craig, MD Family Medicine License: 4301500953 NPI: 1417338245 Great Lakes Bay Health Centers Pc 690 S Trumbull St Bay City, MI 48708 (989) 922-5700 Mon 7:00am - 7:00pm, Tue-Wed 7:00am 5:00pm, Thu 7:00am 6:00pm, Fri 7:00am 3:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1871684761, Great Lakes Bay Health Centers Pc 1447804604
ESSEXVILLE - 48732
Balinska, Inez, MDp Pediatric License: 4301072208 NPI: 1831171230 Mclaren Bay Region 1456 W Center Rd Ste 1 Essexville, MI 48732 (989) 895-4840 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Bay Region Pc - 1508131087

Balinski, Dariusz, MDp Pediatric License: 4301073203 NPI: 1891777892 Mclaren Bay Region 1456 W Center Rd Ste 1 Essexville, MI 48732 (989) 895-4840 Mon-Fri 8:00am 5:00pm Estonian Certification: Am Board Pediatrics Group(s): Mclaren Bay Region Pc - 1508131087
Bennett, Danielle, DOp Family Medicine License: 5101021585 NPI: 1881717528 Mclaren Bay Region Pc 1458 W Center Rd Ste 1 Essexville, MI 48732 (989) 895-4625 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Bay Region Pc - 1780722785
Dhar, Monica, MDp Pediatric License: 4301073322 NPI: 1083630255 Mclaren Bay Family Health & Wellness 1458 W Center Rd Essexville, MI 48732 (989) 895-4625 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Mclaren Bay Region Pc - 1780722785, Mclaren Bay Region Pc 1508131087

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

30

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Bay County continued

Proveedores de atención primaria (PCP)
Condado de Bay continuación

Pail, James, PAp Physician Assistant License: 5601007273 NPI: 1093139982 Mid Michigan Medical Corporation Pc 863 N Pine Rd Ste F Ste F Essexville, MI 48732 (989) 895-8514 Mon-Wed,Sat 8:00am 8:00pm, Thu-Fri 8:00am - 5:00pm Group(s): Mid Michigan Medical Corporation Pc - 1972965473
Scharnott, Michelle, DO p Family Medicine License: 5101017297 NPI: 1508060310 Mclaren Bay Fam Hlth & Wellness Ctr 1458 W Center Road Essexville, MI 48732 (989) 895-4625 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians (Hospice & Palliative Medicine) Group(s): Mclaren Bay Region Pc - 1508131087

Scharnott, Michelle, DO p Family Medicine License: 5101017297 NPI: 1508060310 Mclaren Bay Region Pc 1458 West Center Rd Medical Mall 1 Essexville, MI 48732 (989) 895-4625 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians (Hospice & Palliative Medicine) Group(s): Mclaren Bay Region Pc - 1508131087
Wade, Lisa, DOp Family Medicine License: 5101020618 NPI: 1215376330 Mclaren Bay Family Health & Wellness 1458 W Center Rd Essexville, MI 48732 (989) 895-4625 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Bay Region Pc - 1780722785, Mclaren Bay Region Pc 1508131087

Branch
BRONSON - 49028
Billman, Tyann, PAp Physician Assistant License: 5601003977 NPI: 1639129646 Karim Healthcare 735 E Chicago Rd Bronson, MI 49028 (517) 858-1400 Mon,Wed,Fri 8:00am 5:00pm, Tue,Thu 9:00am - 5:00pm Group(s): Hillsdale Pulm Crit Care And Sleep Med Pc - 1730361254
COLDWATER - 49036
Athletico Physical Therapy - 1821085028 Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 398 N Willowbrook Rd Ste A & B Coldwater, MI 49036 (517) 781-5300 Group(s): Athletico Physical Therapy 1821085028

Beavers, John, NPp Family Nurse Practitioner License: 4704234332 NPI: 1003066143 Karim Healthcare 605 W Chicago Rd Coldwater, MI 49036 (517) 924-1444 Mon-Sun 8:00am 8:00pm Group(s): Hillsdale Pulm Crit Care And Sleep Med Pc - 1730361254
Lewis, Terry, NPp Family Nurse Practitioner License: 4704238831 NPI: 1174976773 Karim Healthcare 605 W Chicago Rd Coldwater, MI 49036 (517) 924-1444 Mon-Sun 8:00am 8:00pm Group(s): Hillsdale Pulm Crit Care And Sleep Med Pc - 1730361254
Vogel, Harle, DOp Family Medicine License: 5101006468 NPI: 1396770020 Branch 570 Marshall Rd Coldwater, MI 49036 (517) 279-9561 Certification: Am Os Bd Family Physicians & Omt, Am Os Bd Pediatrics Group(s): Branch-Hillside Stjoseph Comm Health Agency Pc - 1275605594

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

31

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Primary Care Providers
Calhoun County

Proveedores de atención primaria (PCP)
Condado de Calhoun

Calhoun
BATTLE CREEK - 49015
Bhan, Raakesh, MDp Internal Medicine License: 4301048458 NPI: 1649278516 Comprehensive Medical Care Pc 3600 Capital Ave Sw Ste 205 Battle Creek, MI 49015 (269) 441-1000 Mon-Fri 8:00am 4:30pm Hindi Certification: Am Bd Internal Med Group(s): Comprehensive Medical Care Pc
Runowski, Alexander, MDp Family Medicine License: 4301058995 NPI: 1154439339 Comprehensive Medical Care Pc 3600 Capital Ave Sw Ste 205 Battle Creek, MI 49015 (269) 441-1000 Mon-Fri 8:00am 4:30pm Certification: Am Board Family Medicine Group(s): Comprehensive Medical Care Pc

- 49037
Beck, Kayla, NPp Family Nurse Practitioner License: 4704293190 NPI: 1245649813 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278
Buehler, Barbara, MDp Family Medicine License: 4301502495 NPI: 1669909776 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Grace Health Inc Pc - 1518945278
Harris, Kelsey, PAp Physician Assistant License: 5601008466 NPI: 1831600055 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Grace Health Inc Pc - 1518945278

John, Sunil, MDp Pediatric License: 4301068640 NPI: 1306953542 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278
Jones, Sharon, NPp Family Nurse Practitioner License: 4704177088 NPI: 1427036102 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278
Kerschen, Martina, NPp Nurse Practitioner License: 4704278914 NPI: 1912359936 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278

Mar, Aye, MDp Internal Medicine License: 4301073422 NPI: 1154383578 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Burmese Certification: Am Bd Internal Med Group(s): Grace Health Inc Pc - 1518945278
Myers, Kimberly, NPp Family Nurse Practitioner License: 4704285476 NPI: 1497273577 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278
Neiman-Hart, Holli, MD p Family Medicine License: 4301079018 NPI: 1790781508 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Grace Health Inc Pc - 1518945278

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

32

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Calhoun County continued

Proveedores de atención primaria (PCP)
Condado de Calhoun continuación

Petrie, Kathy, NPp Nurse Practitioner License: 4704271968 NPI: 1598197667 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278
Scherrer, Miriam, PAp Physician Assistant License: 5601004395 NPI: 1194831867 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278
Swafford, Krista, NPp Nurse Practitioner License: 4704243940 NPI: 1740659291 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278

Turpin, Paige, NPp Family Nurse Practitioner License: 4704260022 NPI: 1578109732 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Group(s): Grace Health Inc Pc - 1518945278
Wilson, Alec, MDp Internal Medicine License: 4301501183 NPI: 1780064691 Grace Health Inc 181 Emmett St W Battle Creek, MI 49037 (269) 965-8866 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Grace Health Inc Pc - 1518945278

MARSHALL - 49068
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 823 W Michigan Ave Marshall, MI 49068 (269) 248-4300 Mon-Thu 7:00am 8:00pm, Fri 7:00am 7:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Charlevoix
BOYNE CITY - 49712
Bollmann, Carrie, NPp Nurse Practitioner License: 4704177269 NPI: 1417935040 Northern Michigan Medcenter Boyne City 1249 S M 75 Boyne City, MI 49712 (231) 582-1515 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

Cross, Spencer, NPp Nurse Practitioner License: 4704299293 NPI: 1699268805 Northern Michigan Medcenter Boyne City 1249 S M 75 Boyne City, MI 49712 (231) 582-1515 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Lo, Gustav, MDp Family Medicine License: 4301053321 NPI: 1568519635 Northern Michigan Medcenter Boyne City 1249 S M 75 Boyne City, MI 49712 (231) 582-1515 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Panoff, Jessica, PAp Physician Assistant License: 5601007439 NPI: 1548639560 Northern Michigan Medcenter Boyne City 1249 S M 75 Boyne City, MI 49712 (231) 582-1515 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

33

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Charlevoix County continued

Proveedores de atención primaria (PCP)
Condado de Charlevoix continuación

Planck, Ryan, PAp Medical - Physician Assistant License: 5601005853 NPI: 1336456102 Northern Michigan Medcenter Boyne City 1249 S M 75 Boyne City, MI 49712 (231) 582-1515 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Stier, Lisa, NPp Family Nurse Practitioner License: 4704175992 NPI: 1265774269 Northern Michigan Medcenter Boyne City 1249 S M 75 Boyne City, MI 49712 (231) 582-1515 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Warner, Whitney, PAp Physician Assistant License: 5601009817 NPI: 1265071211 Northern Michigan Medcenter Boyne City 1249 S M 75 Boyne City, MI 49712 (231) 582-1515 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

BOYNE FALLS - 49713
Greene, Aaron, PAp Physician Assistant License: 5601005463 NPI: 1598902314 Bear River Primary Care 2329 Center St Ste 1 Boyne Falls, MI 49713 (231) 545-4140 Mon-Fri 8:00am 4:30pm, Sat 9:00am 12:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Bear River Primary Care 1609427541
Kovolski, Carrie, NPp Family Nurse Practitioner License: 4704197129 NPI: 1194366195 Bear River Primary Care 2329 Center St Ste 1 Boyne Falls, MI 49713 (231) 545-4140 Mon-Fri 8:00am 4:30pm, Sat 9:00am 12:00pm Group(s): Bear River Primary Care 1609427541

Cheboygan
CHEBOYGAN - 49721
Lalonde, Kaitlin, PAp Physician Assistant License: 5601007916 NPI: 1922556190 Alcona Health Center Inc 740 S Main St Ste 2B Cheboygan, MI 49721 (231) 627-7118 Mon-Thu 8:00am 6:00pm, Fri 8:00am 5:00pm Group(s): Alcona Health Center Inc Pc 1326055450
Taylor, Kyle, NPp Family Nurse Practitioner License: 4704292758 NPI: 1922593847 Alcona Health Center Inc 740 S Main St 2nd Floor Cheboygan, MI 49721 (231) 627-7118 Mon-Fri 8:00am 6:00pm Group(s): Alcona Health Center Inc Pc 1326055450

INDIAN RIVER - 49749
Ehrke, Holly, NPp Nurse Practitioner License: 4704191276 NPI: 1174079636 Inland Lakes Secondary School 4363 S Straits Hwy Indian River, MI 49749 (989) 238-6868 Mon-Fri 7:30am 5:00pm Group(s): Thunder Bay Community Health Service Inc Pc 1467837336
Hautea, Marion, MDp Family Medicine License: 4301069111 NPI: 1962455972 Inland Lakes Secondary School 4363 S Straits Hwy Indian River, MI 49749 (989) 238-6868 Mon-Fri 7:30am 5:00pm Spanish Group(s): Thunder Bay Community Health Service Inc Pc 1467837336

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

34

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Cheboygan County continued

Proveedores de atención primaria (PCP)
Condado de Cheboygan continuación

Jacala Tadian, Jemellee, MDp Family Medicine License: 4301088607 NPI: 1669681748 Inland Lakes Secondary School 4363 S Straits Hwy Indian River, MI 49749 (989) 238-6868 Mon-Fri 7:30am 5:00pm Tagalog Certification: Am Board Family Medicine Group(s): Thunder Bay Community Health Service Inc Pc 1467837336
Clare
CLARE - 48617
Grove, Diane, PAp Physician Assistant License: 5601004869 NPI: 1639273311 Mdc Clare 1509 N Mcewan Clare, MI 48617 (989) 386-8170 Group(s): Mclaren Central Michigan Pc 1710235775

Eaton
CHARLOTTE - 48813
Hinton, Stacey, NPp Family Nurse Practitioner License: 4704252164 NPI: 1437632874 Cherry Health 1033 Healthcare Dr Charlotte, MI 48813 (517) 541-0992 Mon-Wed,Fri 8:00am 5:00pm, Thu 10:00am 7:00pm Group(s): Cherry Street Health Services Pc 1558459164
EATON RAPIDS - 48827
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 1415-B S Main St Eaton Rapids, MI 48827 (517) 781-4999 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Gupta, Ashok, MD Internal Medicine License: 4301048680 NPI: 1003886565 Ashok K Gupta Md 1500 S Main St Eaton Rapids, MI 48827 (517) 663-2705 Hindi Group(s): Ashok K Gupta Md
LANSING - 48917
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 4324 W Saginaw Hwy Ste A Lansing, MI 48917 (517) 220-6059 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 5849 W Saginaw Hwy Lansing, MI 48917 (517) 827-8644 Mon-Sat 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Emmet
PETOSKEY - 49770
Anderson, Jay, DOp Internal Medicine License: 5101020750 NPI: 1902246465 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Central Michigan Pc 1346862455
Blanchard, Paul, MDp Internal Medicine License: 4301050923 NPI: 1588661086 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

35

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Emmet County continued

Proveedores de atención primaria (PCP)
Condado de Emmet continuación

Bollmann, Carrie, NPp Nurse Practitioner License: 4704177269 NPI: 1417935040 Northern Michigan Medcenter Petoskey North 116 W Mitchell St Petoskey, MI 49770 (231) 348-2828 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Bollmann, Carrie, NPp Nurse Practitioner License: 4704177269 NPI: 1417935040 Northern Michigan Medcenter Petoskey South 1890 Us Highway 131 Unit 4 Petoskey, MI 49770 (231) 487-2000 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

Broz, Tammy, NPp Family Nurse Practitioner License: 4704284370 NPI: 1609392802 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Central Michigan Pc 1346862455
Cross, Spencer, NPp Nurse Practitioner License: 4704299293 NPI: 1699268805 Northern Michigan Medcenter Petoskey North 116 W Mitchell St Petoskey, MI 49770 (231) 348-2828 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

Cross, Spencer, NPp Nurse Practitioner License: 4704299293 NPI: 1699268805 Northern Michigan Medcenter Petoskey South 1890 Us Highway 131 Unit 4 Petoskey, MI 49770 (231) 487-2000 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Dipzinski, Kristi, NPp Gerontologist Nurse Practitioner License: 4704212979 NPI: 1053728840 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455

Doull, Maureen, MDp Internal Medicine License: 4301059135 NPI: 1881691095 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455
Farrell, Daniel, MDp Internal Medicine License: 4301055295 NPI: 1336144260 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Central Michigan Pc 1346862455

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

36

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Emmet County continued

Proveedores de atención primaria (PCP)
Condado de Emmet continuación

Ismond, Timothy, DOp Internal Medicine License: 5101008604 NPI: 1649277153 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455
Jackson, Terry, DOp Internal Medicine License: 5101012250 NPI: 1932106234 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455
Jeffers Wcisel, Carianne, PAp Physician Assistant License: 5601003913 NPI: 1174544696 Little Traverse Bay Bands Of Odawa Indians 1250 Lears Rd Petoskey, MI 49770 (231) 242-1700 Mon-Fri 9:00am 5:00pm Group(s): Little Traverse Bay Bands Pc 1124052816

Jeffers Wcisel, Carianne, PAp Physician Assistant License: 5601003913 NPI: 1174544696 Little Traverse Bay Bands Of Odawa Indians 1260 Ajijaak Ave Petoskey, MI 49770 (231) 242-1700 Mon-Fri 9:00am 5:00pm Group(s): Little Traverse Bay Bands Pc 1124052816
Kramer, David, MDp Internal Medicine License: 4301052895 NPI: 1093705550 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455
Lo, Gustav, MDp Family Medicine License: 4301053321 NPI: 1568519635 Northern Michigan Medcenter Petoskey North 116 W Mitchell St Petoskey, MI 49770 (231) 348-2828 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

Lo, Gustav, MDp Family Medicine License: 4301053321 NPI: 1568519635 Northern Michigan Medcenter Petoskey South 1890 Us Highway 131 Unit 4 Petoskey, MI 49770 (231) 487-2000 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Manary, Melanie, MDp Internal Medicine License: 4301407159 NPI: 1437156940 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455

Mueller, Julia, MDp Internal Medicine License: 4301503595 NPI: 1710272737 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455
Panoff, Jessica, PAp Physician Assistant License: 5601007439 NPI: 1548639560 Northern Michigan Medcenter Petoskey North 116 W Mitchell St Petoskey, MI 49770 (231) 348-2828 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

37

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Emmet County continued

Panoff, Jessica, PAp Physician Assistant License: 5601007439 NPI: 1548639560 Northern Michigan Medcenter Petoskey South 1890 Us Highway 131 Unit 4 Petoskey, MI 49770 (231) 487-2000 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Planck, Ryan, PAp Medical - Physician Assistant License: 5601005853 NPI: 1336456102 Northern Michigan Medcenter Petoskey North 116 W Mitchell St Petoskey, MI 49770 (231) 348-2828 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

Planck, Ryan, PAp Medical - Physician Assistant License: 5601005853 NPI: 1336456102 Northern Michigan Medcenter Petoskey South 1890 Us Highway 131 Unit 4 Petoskey, MI 49770 (231) 487-2000 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Richmond, Mark, MDp Internal Medicine License: 4301058393 NPI: 1144227653 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455

Proveedores de atención primaria (PCP)
Condado de Emmet continuación

Seal, Emily, PAp Physician Assistant License: 5601007466 NPI: 1922381995 Mclaren Northern Michigan Burns Bldg 560 W Mitchell St Ste 300 Petoskey, MI 49770 (231) 487-2460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1346862455
Stier, Lisa, NPp Family Nurse Practitioner License: 4704175992 NPI: 1265774269 Northern Michigan Medcenter Petoskey North 116 W Mitchell St Petoskey, MI 49770 (231) 348-2828 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

Stier, Lisa, NPp Family Nurse Practitioner License: 4704175992 NPI: 1265774269 Northern Michigan Medcenter Petoskey South 1890 Us Highway 131 Unit 4 Petoskey, MI 49770 (231) 487-2000 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Warner, Whitney, PAp Physician Assistant License: 5601009817 NPI: 1265071211 Northern Michigan Medcenter Petoskey North 116 W Mitchell St Petoskey, MI 49770 (231) 348-2828 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

38

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Emmet County continued

Proveedores de atención primaria (PCP)
Condado de Emmet continuación

Warner, Whitney, PAp Physician Assistant License: 5601009817 NPI: 1265071211 Northern Michigan Medcenter Petoskey South 1890 Us Highway 131 Unit 4 Petoskey, MI 49770 (231) 487-2000 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775
Genesee
BURTON - 48519
Lopez, Jose, MDp General Practice License: 4301047858 NPI: 1154305241 Genesee Family Care Pc 3020 S Genesee Rd Burton, MI 48519 (810) 715-3049 Mon-Tue,Thu 9:00am 5:00pm, Wed,Fri 9:00am - 12:00pm Tagalog Group(s): Genesee Family Care Pc 1538222823

Lopez, Jose, MDp General Practice License: 4301047858 NPI: 1154305241 Genesee Family Care Pc 4085 S Center Rd Ste 2 Burton, MI 48519 (810) 715-3049 Mon-Fri 8:00am 5:00pm Tagalog Group(s): Genesee Family Care Pc 1538222823
Phung, Son, MDp Internal Medicine License: 4301079180 NPI: 1174550172 Genesee Community Health Center Pc 2298 S Center Rd Burton, MI 48519 (810) 496-5544 Mon-Fri 8:00am 4:30pm Certification: Am Bd Internal Med Group(s): Genesee Community Health Center Pc - 1982018610

- 48529
Hamaker, David, PAp Physician Assistant License: 5601003107 NPI: 1427092147 Hamilton Community Health Network G3375 S Saginaw St Burton, MI 48529 (810) 743-6830 Mon-Wed 8:30am 8:00pm, Thu-Fri 8:30am - 5:30pm Group(s): Hamilton Community Health Network Pc 1386624278
Hudson, Laura, NPp Adult Nurse Practitioner License: 4704138315 NPI: 1316590052 Oak Street Health 3525 Saginaw Rd Burton, MI 48529 (810) 222-3040 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478

Lott, Tonya, NPp Family Nurse Practitioner License: 4704283558 NPI: 1245874551 Hamilton Community Health Network Incg G3375 S Saginaw St Burton, MI 48529 (810) 743-6830 Mon-Tue,Thu-Fri 8:30am - 5:30pm, Wed 8:30am - 8:00pm Group(s): Hamilton Community Health Network Pc 1386624278
Miller, Shauna, PAp Physician Assistant License: 5601006844 NPI: 1427489293 Hamilton Community Health Network Incg G3375 S Saginaw St Burton, MI 48529 (810) 743-6830 Mon-Tue,Thu-Fri 8:30am - 5:30pm, Wed 8:30am - 8:00pm Group(s): Hamilton Community Health Network Pc 1386624278

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

39

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Nickolaou, Cheryl, NPp Family Nurse Practitioner License: 4704217545 NPI: 1821466277 Oak Street Health 3525 Saginaw Rd Burton, MI 48529 (810) 222-3040 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478
Nickolaou, Cheryl, NPp Family Nurse Practitioner License: 4704217545 NPI: 1821466277 Osh Mi Physicians Group Pc 3525 S Saginaw St Burton, MI 48529 (810) 222-3040 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478
Perzhinsky, Juliette, MD p Internal Medicine License: 4301091749 NPI: 1912128919 Oak Street Health 3525 Saginaw Rd Burton, MI 48529 (810) 222-3040 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Osh Mi Physicians Group Pc 1700236478

Roome, Gary, MDp Family Medicine License: 4301045407 NPI: 1376534396 Hamilton Community Health Network G3375 S Saginaw St Burton, MI 48529 (810) 743-6830 Mon-Wed 8:30am 8:00pm, Thu-Fri 8:30am - 5:30pm Group(s): Hamilton Community Health Network Pc 1386624278
Roome, Gary, MDp Family Medicine License: 4301045407 NPI: 1376534396 Hamilton Community Health Network Incg G3375 S Saginaw St Burton, MI 48529 (810) 743-6830 Mon-Tue,Thu-Fri 8:30am - 5:30pm, Wed 8:30am - 8:00pm Group(s): Hamilton Community Health Network Pc 1386624278

CLIO - 48240
Arbogast, Jonathan, MD Family Medicine License: 4301076078 NPI: 1326140906 Hamilton Community Health Network 4154 W Vienna Rd Clio, MI 48240 (810) 687-1008 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Hamilton Community Health Network Pc 1386624278
Sabo, Mary, NPp Family Nurse Practitioner License: 4704214348 NPI: 1942791074 Hamilton Community Health Network 4154 W Vienna Rd Clio, MI 48240 (810) 687-1008 Mon-Fri 8:00am 5:00pm Group(s): Hamilton Community Health Network Pc 1386624278

Tanner, Christopher, NP p Family Nurse Practitioner License: 4704301058 NPI: 1922566728 Hamilton Community Health Network 4154 W Vienna Rd Clio, MI 48240 (810) 687-1008 Mon-Fri 8:00am 5:00pm Group(s): Hamilton Community Health Network Pc 1386624278
- 48420
Goatley, Mona, PTp Physical Therapist License: 5501002783 NPI: 1083902449 Family Orthopedic Associates Plc 4282 W Vienna Rd Clio, MI 48420 (810) 564-2400 Mon 7:00am - 7:00pm, Tue,Thu 11:30am 7:00pm, Wed,Fri 7:00am - 2:30pm Group(s): Family Orthopedic Associates Plc - 1215930490

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

40

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Hassell, Karen, NPp Family Nurse Practitioner License: 4704215196 NPI: 1396162343 Hamilton Community Health Network 4154 W Vienna Rd Clio, MI 48420 (810) 687-1008 Mon-Fri 8:00am 5:00pm Group(s): Hamilton Community Health Network Inc Pc 1922245299
Holloway, Topaz, NPp Gerontologist Nurse Practitioner License: 4704257322 NPI: 1194151993 Hamilton Community Health Network 4154 W Vienna Rd Clio, MI 48420 (810) 687-1008 Mon-Fri 8:00am 5:00pm Group(s): Hamilton Community Health Network Inc Pc 1922245299

DAVISON - 48423
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 10078 Lapeer Rd Ste B Davison, MI 48423 (810) 653-6200 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Conhon, Stanley, MDp Family Medicine License: 4301069918 NPI: 1487642575 Mclaren Community Medical Center 10090 E Lippincott Blvd Davison, MI 48423 (810) 658-6507 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372

Conhon, Stanley, MDp Family Medicine License: 4301069918 NPI: 1487642575 Mclaren Regional Medical Center 10090 E Lippincott Blvd Davison, MI 48423 (810) 653-1130 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372
Dyson, Bridgette, NPp Family Nurse Practitioner License: 4704210331 NPI: 1306120928 Mclaren Regional Medical Center 10090 E Lippincott Blvd Davison, MI 48423 (810) 653-1130 Mon-Fri 8:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): Mclaren Flint Pc - 1275807372

Evans, Tara, NPp Family Nurse Practitioner License: 4704301205 NPI: 1740792522 Flushing Urgent Care Plc 612 N State Rd Davison, MI 48423 (810) 652-6602 Mon-Sun 9:00am 9:00pm Group(s): Flushing Urgent Care Plc Pc 1780930016
Gohr, Hollie, NPp Nurse Practitioner License: 4704240623 NPI: 1942700711 Mclaren Regional Medical Center 10090 E Lippincott Blvd Davison, MI 48423 (810) 653-1130 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

41

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Gohr, Hollie, NPp Nurse Practitioner License: 4704240623 NPI: 1942700711 Mclaren Regional Medical Center Pc 10090 E Lippincott Blvd Davison, MI 48423 (810) 653-1130 Mon-Fri 9:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Flint Pc - 1275807372
Goleba, Maria, MDp Internal Medicine License: 4301063362 NPI: 1306834429 Mclaren Community Medical Center 10090 E Lippincott Blvd Davison, MI 48423 (810) 658-6507 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372

Goleba, Maria, MDp Internal Medicine License: 4301063362 NPI: 1306834429 Mclaren Regional Medical Center 10090 E Lippincott Blvd Davison, MI 48423 (810) 653-1130 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372
Levashkevich, Zhanna, MDp Pediatric License: 4301087842 NPI: 1770773244 Mclaren Community Medical Center 10090 E Lippincott Blvd Davison, MI 48423 (810) 658-6507 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Mclaren Flint Pc - 1275807372
Optimal Rehab & Wellnessp Rehabilitation NPI: 1124027966 9100 Lapeer Rd Ste C Davison, MI 48423 (810) 653-0100 Mon-Fri 8:00am 6:30pm Group(s): Optimal Rehab & Wellness

Sykes, Amy, NPp Nurse Practitioner License: 4704298940 NPI: 1780220699 Flushing Urgent Care Plc 612 N State Rd Davison, MI 48423 (810) 652-6602 Mon-Sun 9:00am 9:00pm Group(s): Flushing Urgent Care Plc Pc 1780930016
Vobach, Kenneth, MDp Pediatric License: 4301075399 NPI: 1174511125 Kenneth E Vobach Md Pc 110 E Third St Davison, MI 48423 (810) 412-5437 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Kenneth E Vobach Md Pc
Vobach, Kenneth, MDp Pediatric License: 4301075399 NPI: 1174511125 Mclaren Bay Region Pc 110 East Third St Davison, MI 48423 (810) 412-5437 Certification: Am Board Pediatrics Group(s): Kenneth E Vobach Md Pc

FENTON - 48430
Bears, Caitlin, PTp Physical Therapist License: 5501016608 NPI: 1770906034 Family Orthopedic Associates Plc 17015 Silver Pkwy Fenton, MI 48430 (810) 593-0023 Mon 7:00am - 7:00pm, Tue,Thu 8:00am 7:00pm, Wed,Fri 7:00am - 5:00pm Group(s): Family Orthopedic Associates Plc - 1215930490
Bossenberger, Jeffrey, DOp Family Medicine License: 5101012104 NPI: 1467520163 Mclaren Medical Group 17200 Silver Pkwy Fenton, MI 48430 (810) 714-9660 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Medical Group 1346396066

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

42

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Connolly, John, PTp Physical Therapist License: 5501008594 NPI: 1194863035 Family Orthopedic Associates Plc 17015 Silver Pkwy Fenton, MI 48430 (810) 593-0023 Mon 7:00am - 7:00pm, Tue,Thu 8:00am 7:00pm, Wed,Fri 7:00am - 5:00pm Group(s): Family Orthopedic Associates Plc - 1215930490
Goatley, Mona, PTp Physical Therapist License: 5501002783 NPI: 1083902449 Family Orthopedic Associates Plc 17015 Silver Pkwy Fenton, MI 48430 (810) 593-0023 Mon 7:00am - 7:00pm, Tue,Thu 8:00am 7:00pm, Wed,Fri 7:00am - 5:00pm Group(s): Family Orthopedic Associates Plc - 1215930490

Gramith, Patrick, MDp Family Medicine License: 5101021504 NPI: 1023497211 Mclaren Regional Med Ctr 2420 Owen Rd Ste A Fenton, MI 48430 (810) 496-2500 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372
Harrison, Christopher, DOp Family Medicine License: 5101014143 NPI: 1043242605 Mclaren Medical Group 17200 Silver Pkwy Fenton, MI 48430 (810) 714-9660 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Medical Group 1346396066
Littell, Melissa, PAp Physician Assistant License: 5601007156 NPI: 1083015788 Mclaren Medical Group 17200 Silver Pkwy Fenton, MI 48430 (810) 714-9660 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Medical Group 1346396066

Mass, Paula, PAp Physician Assistant License: 5601002093 NPI: 1861639502 Mclaren Regional Med Ctr 2420 Owen Rd Ste A Fenton, MI 48430 (810) 496-2500 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372
Mewada, Manilal, MDp Obstetrics & Gynecology License: 4301041950 NPI: 1992899546 Painless Medical Pllc 404 Rounds Dr Fenton, MI 48430 (810) 208-0424 Mon,Wed-Thu 9:00am 6:00pm, Tue,Fri 9:00am 1:00pm Certification: Am Board Ob/Gyn Group(s): Painless Medical Pllc 1639777162
Mohammed, Shaheen, MDp Internal Medicine License: 4301063556 NPI: 1043309933 Mclaren Regional Med Ctr 2420 Owen Rd Ste A Fenton, MI 48430 (810) 496-2500 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372

Naismith, Kyleigh, DOp Family Medicine License: 5101021319 NPI: 1396163390 Mclaren Regional Med Ctr 2420 Owen Rd Ste A Fenton, MI 48430 (810) 496-2500 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Flint Pc - 1275807372
Oles, Shelly, NPp Nurse Practitioner License: 4704229825 NPI: 1255568523 Mclaren Regional Med Ctr 2420 Owen Rd Ste A Fenton, MI 48430 (810) 496-2500 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372
Penzel, Sarah, NPp Nurse Practitioner License: 4704270819 NPI: 1104157098 Mclaren Regional Med Ctr 2420 Owen Rd Ste A Fenton, MI 48430 (810) 496-2500 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

43

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Persons, Sharon, OTp Occupational Therapist License: 5201002130 NPI: 1609140748 Family Orthopedic Associates Plc 17015 Silver Pkwy Fenton, MI 48430 (810) 593-0023 Mon 7:00am - 7:00pm, Tue,Thu 8:00am 7:00pm, Wed,Fri 7:00am - 5:00pm Group(s): Family Orthopedic Associates Plc - 1215930490
Schwarz, David, MDp Family Medicine License: 4301072821 NPI: 1548230527 Mclaren Regional Med Ctr 2420 Owen Rd Ste A Fenton, MI 48430 (810) 496-2500 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372

Smulski, Hubert, PTp Physical Therapist License: 5501005910 NPI: 1639390610 Family Orthopedic Associates Plc 17015 Silver Pkwy Fenton, MI 48430 (810) 593-0023 Mon 7:00am - 7:00pm, Tue,Thu 8:00am 7:00pm, Wed,Fri 7:00am - 5:00pm Polish Group(s): Family Orthopedic Associates Plc - 1215930490
Szynkowski, Sunhee, PTp Physical Therapist License: 5501009272 NPI: 1023239076 Family Orthopedic Associates Plc 17015 Silver Pkwy Fenton, MI 48430 (810) 593-0023 Mon 7:00am - 7:00pm, Tue,Thu 8:00am 7:00pm, Wed,Fri 7:00am - 5:00pm Korean Group(s): Family Orthopedic Associates Plc - 1215930490

Zerafa, Michael, MDq Family Medicine License: 4301101651 NPI: 1437400579 Michael J Kirby Md Plc 445 N Fenway Dr Fenton, MI 48430 (810) 750-6060 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Michael D Zerafa Pllc - 1417336421
Ziccardi, Michael, DOp Family Medicine License: 5101012293 NPI: 1366433377 Mclaren Regional Med Ctr 2420 Owen Rd Ste A Fenton, MI 48430 (810) 496-2500 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372

FLINT - 48502
Patterson, Zachary, MD pq Pediatric License: 4301503297 NPI: 1326335852 Hurley Medical Center 300 E 1st St Ste 201 Flint, MI 48502 (810) 262-9773 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Hurley Medical Center Pc 1821024910
Stabel, Danelle, DOp Pediatric License: 5101020394 NPI: 1104167808 Hurley Childrens Clinic 300 1st St Ste 201 Flint, MI 48502 (810) 262-9773 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Hurley Medical Center Pc 1821024910

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

44

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

- 48503
Ahmed, Khalid, MDp Internal Medicine License: 4301062460 NPI: 1619965175 Physician Coverage Services Pc 2065 S Center Rd Flint, MI 48503 (810) 235-2004 Mon-Tue,Thu 9:00am 4:00pm, Wed 8:30am 5:00pm, Fri 8:30am 4:00pm American Sign Language, Sudanese Certification: Am Bd Internal Med Group(s): Physician Coverage Services Pc 1669567806
Baig, Mohammed, MDp Internal Medicine License: 4301104970 NPI: 1881000958 Physician Coverage Services Pc 2065 S Center Rd Flint, MI 48503 (810) 235-2004 Mon-Tue,Thu 9:00am 4:00pm, Wed 8:30am 5:00pm, Fri 8:30am 4:00pm Certification: Am Bd Internal Med Group(s): Physician Coverage Services Pc 1669567806

Beck, Brian, DOp Family Medicine License: 5101006099 NPI: 1841288909 Physician Coverage Services Pc 2065 S Center Rd Flint, MI 48503 (810) 235-2004 Mon-Tue,Thu 9:00am 4:00pm, Wed 8:30am 5:00pm, Fri 8:30am 4:00pm Spanish, Hebrew Certification: Am Os Bd Family Physicians & Omt Group(s): Physician Coverage Services Pc 1669567806
Damidi, Sudha, MDpq Pediatric License: 4301089171 NPI: 1407902869 Mott Childrens Health Center 806 Tuuri Pl Flint, MI 48503 (810) 237-7572 Mon-Fri 8:00am 5:00pm Hindi, Telugu Group(s): Mott Childrens Health Center Pc - 1598760795

Donnelly, Maria, NPp Nurse Practitioner License: 4704200253 NPI: 1013928860 Genesee Community Health Center 725 Mason St Flint, MI 48503 (810) 496-5777 Mon-Tue,Thu 7:00am 5:30pm, Wed 7:00am 1:00pm, Fri 8:00am 4:30pm Group(s): Genesee Community Health Center Pc - 1851630115
Dubre, Donald, MDp Internal Medicine License: 4301500477 NPI: 1053707851 Hurley Family Health Center 2 Hurley Plz Ste 211 Flint, MI 48503 (810) 262-6520 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Hurley Family Health Center 1477088904

Mansour, Mohamed, MD p Family Medicine License: 4301092330 NPI: 1790938868 Xpress Care Pllc 3507 Sunset Dr Flint, MI 48503 (407) 620-3003 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Xpress Care Pllc - 1861990855, Xpress Care Pllc
Mansour, Mohamed, MD p Family Medicine License: 4301092330 NPI: 1790938868 Xpress Care Pllc 3507 Sunset Drive Flint, MI 48503 (407) 620-3003 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Xpress Care Pllc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

45

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Phung, Son, MDp Internal Medicine License: 4301079180 NPI: 1174550172 Genesee Community Health Center 725 Mason St Flint, MI 48503 (810) 496-5777 Mon-Tue,Thu 7:00am 5:30pm, Wed 7:00am 1:00pm, Fri 8:00am 4:30pm Certification: Am Bd Internal Med Group(s): Genesee Community Health Center Pc - 1851630115
Pyatt, David, MDpq Family Medicine License: 4301037072 NPI: 1083660641 Genesee Community Health Center 725 Mason St Flint, MI 48503 (810) 496-5777 Mon-Tue,Thu 7:00am 5:30pm, Wed 7:00am 1:00pm, Fri 8:00am 4:30pm Certification: Am Board Family Medicine Group(s): Genesee Community Health Center Pc - 1851630115

Rennells, Jenna, NPpq Family Nurse Practitioner License: 4704285908 NPI: 1740661503 Genesee Community Health Center 725 Mason St Flint, MI 48503 (810) 496-5777 Mon-Tue,Thu 7:00am 5:30pm, Wed 7:00am 1:00pm, Fri 8:00am 4:30pm Group(s): Genesee Community Health Center Pc - 1851630115
Roth, Lindsey, NPpq Family Nurse Practitioner License: 4704246129 NPI: 1053662262 Genesee Community Health Center 725 Mason St Flint, MI 48503 (810) 496-5777 Mon-Tue,Thu 7:00am 5:30pm, Wed 7:00am 1:00pm, Fri 8:00am 4:30pm Group(s): Genesee Community Health Center Pc - 1851630115

Saeed, Seif, MDp Internal Medicine License: 4301056750 NPI: 1598753568 Physician Coverage Services Pc 2065 S Center Rd Flint, MI 48503 (810) 235-2004 Mon-Tue,Thu 9:00am 4:00pm, Wed 8:30am 5:00pm, Fri 8:30am 4:00pm Sudanese Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Physician Coverage Services Pc 1669567806
Stevens, Joyce, MDp Family Medicine License: 4301061264 NPI: 1346332400 Physician Coverage Service Pc 2700 Robert T Longway Blvd Ste B Flint, MI 48503 (810) 235-2004 Mon-Fri 8:00am 5:00pm Group(s): Physician Coverage Services Pc 1669567806

Stevens, Joyce, MDp Family Medicine License: 4301061264 NPI: 1346332400 Physician Coverage Services Pc 2065 S Center Rd Flint, MI 48503 (810) 235-2004 Mon-Tue,Thu 9:00am 4:00pm, Wed 8:30am 5:00pm, Fri 8:30am 4:00pm Group(s): Physician Coverage Services Pc 1669567806
Thomas, Shelia, NPp Adult Nurse Practitioner License: 4704194122 NPI: 1962747311 Hamilton Community Health Network Pc 800 E Court St 1st Fl Flint, MI 48503 (810) 406-4246 Mon-Fri 8:30am 5:30pm Group(s): Hamilton Community Health Network Pc 1386624278

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

46

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Towfiq, Basim, MDp Internal Medicine License: 4301057019 NPI: 1689725483 Hurley Medical Center Pc 1 Hurley Plz Ste C Flint, MI 48503 (810) 424-4787 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Hurley Internal Medicine Research And Education - 1427092998
- 48504
Burtch, Joseph, DOp Internal Medicine License: 5101011276 NPI: 1083676803 Hamilton Community Health Network 5710 Clio Rd Flint, MI 48504 (810) 785-4445 Mon 8:00am - 5:30pm, Tue 8:30am - 8:00pm, Wed-Fri 8:30am 5:30pm Certification: Am Os Bd Internal Medicine Group(s): Hamilton Community Health Network Inc Pc 1336213875, Hamilton Community Health Network Pc 1386624278

Harris, Aisha, MDp Family Medicine License: 4301501444 NPI: 1558893149 Hamilton Community Health Network 5710 Clio Rd Flint, MI 48504 (810) 785-4445 Mon 8:00am - 5:30pm, Tue 8:30am - 8:00pm, Wed-Fri 8:30am 5:30pm Certification: Am Board Family Medicine Group(s): Hamilton Community Health Network Inc Pc 1336213875, Hamilton Community Health Network Pc 1386624278
Penfold, Lynn, NPp Family Nurse Practitioner License: 4704210483 NPI: 1912276502 Hamilton Community Health Network 5710 Clio Rd Flint, MI 48504 (810) 785-4445 Mon 8:00am - 5:30pm, Tue 8:30am - 8:00pm, Wed-Fri 8:30am 5:30pm Group(s): Hamilton Community Health Network Pc 1700950235, Hamilton Community Health Network Inc Pc 1336213875, Hamilton Community Health Network Pc 1386624278

Pierson, Jammie, NPp Family Nurse Practitioner License: 4704275080 NPI: 1972041291 Hamilton Community Health Network 5710 Clio Rd Flint, MI 48504 (810) 785-4445 Mon 8:00am - 5:30pm, Tue 8:30am - 8:00pm, Wed-Fri 8:30am 5:30pm Group(s): Hamilton Community Health Network Pc 1386624278
Robinson, Donald, MDp Family Medicine License: 4301059390 NPI: 1215907159 Hamilton Community Health Network 5710 Clio Rd Flint, MI 48504 (810) 785-4445 Mon 8:00am - 5:30pm, Tue 8:30am - 8:00pm, Wed-Fri 8:30am 5:30pm Group(s): Hamilton Community Health Network Pc 1700950235, Hamilton Community Health Network Inc Pc 1336213875, Hamilton Community Health Network Pc 1386624278

- 48505
Bernabe, Maria, MDp Pediatric License: 4301104392 NPI: 1851619423 Hamilton Community Health Network 2900 N Saginaw St Flint, MI 48505 (810) 789-9141 Mon-Tue,Thu-Fri 8:00am - 5:30pm, Wed 8:00am - 8:00pm Certification: Am Board Pediatrics Group(s): Hamilton Community Health Network Pc 1386624278
Brown, James, MDp Family Medicine License: 4301064316 NPI: 1427169242 Hamilton Community Health Network Inc 2900 N Saginaw St Flint, MI 48505 (810) 789-9141 Mon-Fri 8:00am 5:30pm Spanish Group(s): Hamilton Community Health Network Pc 1386624278

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

47

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Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Chakravarthy, Vrikshajanani, MDp Family Medicine License: 4301502491 NPI: 1659891513 Oak Street Health 102 W Pierson Rd Flint, MI 48505 (810) 222-3033 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Osh Mi Physicians Group Pc 1700236478
Diroff, Christopher, MDp Family Medicine License: 4301501968 NPI: 1982132288 Hamilton Community Health Network Inc 2900 N Saginaw St Flint, MI 48505 (810) 789-9141 Mon-Fri 8:00am 5:30pm Certification: Am Board Family Medicine Group(s): Hamilton Community Health Network Pc 1386624278

Gramith, Christina, DOp Family Medicine License: 5101021640 NPI: 1881073070 Hamilton Community Health Network 2900 N Saginaw St Flint, MI 48505 (810) 789-9141 Mon-Fri 8:00am 5:30pm Group(s): Hamilton Community Health Network Pc 1700950235, Hamilton Community Health Network Pc 1386624278
Hook, Charisse, PAp Physician Assistant License: 5601004619 NPI: 1891822292 Hamilton Community Health Network 2900 N Saginaw St Flint, MI 48505 (810) 789-9141 Mon-Tue,Thu-Fri 8:00am - 5:30pm, Wed 8:00am - 8:00pm Tagalog Group(s): Hamilton Community Health Network Pc 1386624278

Mitchell, Michele, MDp Family Medicine License: 4301116042 NPI: 1174505325 Oak Street Health 102 W Pierson Rd Flint, MI 48505 (810) 222-3033 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Osh Mi Physicians Group Pc 1700236478
Optima Physical Therapy Pllc - 1972137156p Physical Therapy Clinic NPI: 1972137156 Optima Physical Therapy Pllc 4250 S Saginaw St Ste C Flint, MI 48505 (310) 391-4998 Mon-Fri 9:00am 5:00pm Group(s): Optima Physical Therapy Pllc 1972137156
Orr, Aleisha, NPp Family Nurse Practitioner License: 4704291061 NPI: 1700233889 Oak Street Health 102 W Pierson Rd Flint, MI 48505 (810) 222-3033 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478

Thomas, Shelia, NPp Adult Nurse Practitioner License: 4704194122 NPI: 1962747311 Hamilton Community Health Network 2900 N Saginaw St Flint, MI 48505 (810) 789-9141 Mon-Tue,Thu-Fri 8:00am - 5:30pm, Wed 8:00am - 8:00pm Group(s): Hamilton Community Health Network Pc 1386624278
Woodcock, Katherine, NPp Family Nurse Practitioner License: 4704304236 NPI: 1477106318 Oak Street Health 102 W Pierson Rd Flint, MI 48505 (810) 222-3033 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

48

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Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

- 48507
Chardoul, Eugene, MDp Internal Medicine License: 4301023744 NPI: 1154360378 Comprehensive Medical Group Pc 4040 S Linden Rd Flint, MI 48507 (810) 835-8700 Mon-Fri 8:00am 5:00pm Greek Group(s): Comprehensive Medical Group Pc - 1588945091
Hak, Kazem, MDp Internal Medicine License: 4301067151 NPI: 1083688725 Michigan Internal Medicine Pc 3400 Fleckenstein Rd Ste 3 Flint, MI 48507 (810) 230-9323 Mon-Fri 8:00am 5:00pm Arabic Group(s): Michigan Internal Medicine Pc

Hak, Kazem, MDp Internal Medicine License: 4301067151 NPI: 1083688725 Michigan Internal Medicine, Pc 3400 Fleckenstein Drive Suite 3 Flint, MI 48507 (810) 230-9323 Mon-Fri 9:00am 5:00pm Arabic Group(s): Michigan Internal Medicine Pc
Hammoud, Manar, MDp Pediatric License: 4301067983 NPI: 1730130279 Genesee Pediatrics Pc G5119 W Bristol Rd Ste A Flint, MI 48507 (810) 720-1510 Mon-Tue,Thu 8:30am 5:00pm, Wed 8:30am 1:00pm, Fri 8:30am 3:00pm Arabic Group(s): Genesee Pediatrics Pc 1447217732

Hardman, Donald, MDp Internal Medicine License: 4301062726 NPI: 1013906700 East Michigan Medical Associates Grand Blanc 3499 S Linden Rd Ste 2 Flint, MI 48507 (810) 820-8121 Mon-Fri 8:00am 6:00pm Certification: Am Bd Internal Med Group(s): East Michigan Medical Associates Pc 1639318892
- 48529
Sheikh, Shaheen, MDp Internal Medicine License: 4301104271 NPI: 1780014373 Hamilton Community Health Network G3375 S Saginaw St Flint, MI 48529 (810) 743-6830 Mon-Thu 8:00am 8:00pm, Fri 8:00am 5:30pm, Sat 8:00am 2:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Hamilton Community Health Network Pc 1386624278

- 48532
Abbud, Wafa, MDp Internal Medicine License: 4301084979 NPI: 1871581322 Mclaren Flint Pc 1314 S Linden Rd Ste A Flint, MI 48532 (810) 342-1700 Mon-Fri 8:00am 5:00pm Arabic, French Group(s): Mclaren Flint Pc - 1275807372
Abdelfattah, Nazem, MD p Family Medicine License: 4301062116 NPI: 1255374757 Mclaren Flint G-3230 Beecher Rd Ste 1 Flint, MI 48532 (810) 342-5620 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

49

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Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Abdelfattah, Nazem, MD p Family Medicine License: 4301062116 NPI: 1255374757 Mclaren Regional Medical Center G3230 Beecher Rd Ste 1 Flint, MI 48532 (810) 342-5656 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372
Abuharaz, Mohamed, MDp Internal Medicine License: 4301064228 NPI: 1427005123 Physicians Coverage Services Pc 1125 S Linden Rd Ste 900 Flint, MI 48532 (810) 733-5390 Mon 9:00am - 4:30pm, Tue-Thu 9:00am 5:00pm, Fri 9:00am 4:00pm Arabic Certification: Am Bd Internal Med Group(s): Physician Coverage Services Pc 1669567806

Ahmed, Khalid, MDp Internal Medicine License: 4301062460 NPI: 1619965175 Physician Coverage Service Pc 1125 S Linden Rd Ste 900 Flint, MI 48532 (810) 733-5390 Mon-Thu 9:00am 5:00pm, Fri 9:00am 4:00pm American Sign Language, Sudanese Certification: Am Bd Internal Med Group(s): Physician Coverage Services Pc 1669567806
Ahmed, Sana, MDp Family Medicine License: 4301108143 NPI: 1871974592 Mclaren Regional Medical Center G3230 Becher Rd Ste 1 Flint, MI 48532 (810) 342-5656 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint - 1154469229, Mclaren Regional Medical Center - 1962541318

Al Dabagh, Ahmad, MDp Internal Medicine License: 4301063880 NPI: 1104858794 Ahmad Aldabagh Md Pc 5031 Villa Linde Ste 34 Flint, MI 48532 (810) 733-8105 Mon-Tue,Thu 9:00am 5:00pm, Wed 9:00am 5:30pm, Fri 8:00am 1:00pm Arabic Certification: Am Bd Internal Med Group(s): Ahmad Al Dabagh Md Pc 1851314256
Ali, Haydar, MDp Internal Medicine License: 4301107572 NPI: 1164818506 Internal Medicine Faculty And Residency Group Practice G3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372

Ali, Nuzhat, MDp Pediatric License: 4301089199 NPI: 1295897841 Prime Pediatrics And Adolescents Pc 1063 W Hill Rd Ste A Flint, MI 48532 (810) 733-0010 Urdu Group(s): Prime Pediatrics And Adolescents Pc
Ali, Shagufta, MDp Internal Medicine License: 4301082394 NPI: 1437178753 Internal Medicine Faculty And Residency Group Practice G3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372
Ali, Shagufta, MDp Internal Medicine License: 4301082394 NPI: 1437178753 Mclaren Regional Medical Center 3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

50

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Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Cuccinelli, Kevin, MDp Family Medicine License: 4301111425 NPI: 1770553794 American Health Specialist G-3494 Beecher Rd Flint, MI 48532 (810) 309-9734 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): American Health Specialist 1104367242
Ghalib, May, MDp Internal Medicine License: 4301074635 NPI: 1679688550 May Ghalib Md Pc 1128 S Linden Rd Flint, MI 48532 (810) 515-1701 Mon-Thu 10:00am 4:00pm, Fri 10:00am 2:00pm Arabic Certification: Am Bd Internal Med Group(s): May Ghalib Md Pc

Hall, Rose, DOp Family Medicine License: 5101020344 NPI: 1417394230 Mclaren Regional Medical Center G3230 Beecher Rd Ste 1 Flint, MI 48532 (810) 342-5656 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Regional Medical Center - 1962541318
Hassan, Amani, MDp Internal Medicine License: 4301098349 NPI: 1265713234 Mclaren Flint Pc 1314 S Linden Rd Ste A Flint, MI 48532 (810) 342-1700 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372

Kakarala, Radhika, MDp Internal Medicine License: 4301059166 NPI: 1013987437 Internal Medicine Faculty And Residency Group Practice G3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372
Kalynych, Zirka, MDp Internal Medicine License: 4301406094 NPI: 1194893644 Internal Medicine Faculty And Residency Group Practice G3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372

Kennedy, Rachel, NPp Family Nurse Practitioner License: 4704285802 NPI: 1780078576 American Health Specialist G-3494 Beecher Rd Flint, MI 48532 (810) 309-9734 Mon-Fri 8:00am 5:00pm Group(s): American Health Specialist 1104367242
Kesari, Kavitha, MDp Internal Medicine License: 4301067874 NPI: 1134104540 Internal Medicine Faculty And Residency Group Practice G3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372
Khan, Uzma, MDp Family Medicine License: 4301094692 NPI: 1184959355 Mclaren Flint G-3230 Beecher Rd Ste 1 Flint, MI 48532 (810) 342-5620 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

51

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Korant, Alpesh, MDp Internal Medicine License: 4301097356 NPI: 1619281300 Wecare Villa Linde 1119 Villa Linde Ct Flint, MI 48532 (810) 732-7460 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Wecare Villa Linde - 1063014827
Kusz, Halina, MDp Internal Medicine License: 4301065881 NPI: 1720063977 Internal Medicine Faculty And Residency Group Practice G3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372
Max Well Therapy Llc
Pc - 1871544577 Physical Therapy Clinic NPI: 1871544577 Max Well Physical Therapy & Massage 1397 S Linden Rd Ste B Flint, MI 48532 (810) 230-9750 Mon-Thu 8:00am 7:00pm, Fri 7:30am 7:00pm Group(s): Max Well Therapy Llc Pc 1871544577

Mcdowell, Craig, PAp Physician Assistant License: 5601003444 NPI: 1487622171 Degara App Pllc 401 S Ballenger Hgwy Flint, MI 48532 (810) 342-2000 Mon-Fri 9:00am 5:00pm Group(s): Degara App Pllc Pc - 1265976971
Mcdowell, Craig, PAp Physician Assistant License: 5601003444 NPI: 1487622171 Degara App Pllc 401 S Ballenger Highway Flint, MI 48532 (810) 342-2000 Mon-Fri 9:00am 5:00pm Group(s): Degara App Pllc Pc - 1265976971
Naik, Purushottom, MDp Geriatric Medicine License: 4301058866 NPI: 1639189103 Purushottam Naik Md Pc 2425 Austins Pkwy Ste 1 Flint, MI 48532 (810) 238-8889 Mon-Fri 8:00am 5:00pm Hindi Certification: Am Bd Internal Med (Geriatric Medicine) Group(s): Purushottam Naik Md Pc

Neumann, Mark, MDp Family Medicine License: 5101008131 NPI: 1144211129 Mclaren Community Medical Center 1314 S Linden Rd Ste A Flint, MI 48532 (810) 342-1700 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine, Am Os Bd Family Physicians & Omt Group(s): Mclaren Flint Pc - 1275807372
Neumann, Mark, MDp Family Medicine License: 5101008131 NPI: 1144211129 Mclaren Flint Pc 1314 S Linden Rd Ste A Flint, MI 48532 (810) 342-1700 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine, Am Os Bd Family Physicians & Omt Group(s): Mclaren Flint Pc - 1275807372

Pokhrel, Prabhat, MDp Family Medicine License: 4301080535 NPI: 1871531848 Mclaren Flint G-3230 Beecher Rd Ste 1 Flint, MI 48532 (810) 342-5620 Mon-Fri 8:00am 5:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372
Pollard, Mischa, MDp Family Medicine License: 4301062422 NPI: 1154304798 Mclaren Flint G-3230 Beecher Rd Ste 1 Flint, MI 48532 (810) 342-5620 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372
Pratiti, Rebecca, MDp Internal Medicine License: 4301117362 NPI: 1912262874 Internal Medicine Faculty And Residency Group Practice G3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

52

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Rogers-Grays, Brenda, DOp Family Medicine License: 5101008664 NPI: 1902895170 Brenda Rogers Grays Do Pc 1134 S Linden Rd Ste 6 Flint, MI 48532 (810) 732-5555 Mon-Fri 8:00am 5:00pm Group(s): Brenda Rogers Grays Do Pc 1245269125
Sahouri, Saed, MDp Internal Medicine License: 4301056025 NPI: 1558451211 Saed Sahouri, Md Pllc 1020 Charter Dr Ste D Flint, MI 48532 (810) 720-4200 Certification: Am Bd Internal Med Group(s): Saed J Sahouri Md Pllc
Stafford, Tiffany, NPp Nurse Practitioner License: 4704295694 NPI: 1831739523 American Health Specialist G3494 Beecher Rd Flint, MI 48532 (810) 309-9734 Mon-Fri 9:00am 5:00pm Group(s): American Health Specialist 1104367242

Sturm, Randall, MDp Internal Medicine License: 4301043444 NPI: 1740235126 Randall H Sturm Md Pllc 1284 S Linden Rd Flint, MI 48532 (810) 733-8744 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Randall H Sturm Md Pllc
Sud, Parul, MDp Internal Medicine License: 4301046640 NPI: 1952385601 Internal Medicine Faculty And Residency Group Practice G3230 Beecher Rd Ste 2 Flint, MI 48532 (810) 342-5800 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372

Talevska, Veronica, NPp Family Nurse Practitioner License: 4704325973 NPI: 1801421953 American Health Specialist G-3494 Beecher Rd Flint, MI 48532 (810) 309-9734 Mon-Fri 8:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): American Health Specialist 1104367242
Talevska, Veronica, NPp Family Nurse Practitioner License: 4704325973 NPI: 1801421953 American Health Specialist G3494 Beecher Rd Flint, MI 48532 (810) 309-9734 Mon-Fri 9:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): American Health Specialist 1104367242

Thomas, Suma, DOp Family Medicine License: 5101022941 NPI: 1407272206 Mclaren Community Medical Center 1314 S Linden Rd Ste A Flint, MI 48532 (810) 342-1700 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372
Thomas, Suma, DOp Family Medicine License: 5101022941 NPI: 1407272206 Mclaren Flint Community Medical Center 1314 S Linden Rd Ste B Flint, MI 48532 (810) 342-1700 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

53

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Weber, Sheri, DOp Family Medicine License: 5101015146 NPI: 1255364196 Mclaren Flint Community Medical Ctr 1314 S Linden Rd Ste B Flint, MI 48532 (810) 342-1700 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Flint Pc - 1275807372
Weber, Sheri, DOp Family Medicine License: 5101015146 NPI: 1255364196 Mclaren Flint Pc 1314 S Linden Rd Ste A Flint, MI 48532 (810) 342-1700 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Flint Pc - 1275807372

FLUSHING - 48433
Abdulrazzak, Ameed, MDp Internal Medicine License: 4301091541 NPI: 1902069016 Convenient Urgent Care 6020 W Pierson Rd Flushing, MI 48433 (810) 720-1200 Mon-Sun 9:00am 9:00pm Arabic Certification: Am Bd Internal Med Group(s): Flushing Urgent Care Plc Pc 1780930016
Ahsan, Lubna, MDp Internal Medicine License: 4301064203 NPI: 1467448134 Mclaren Regional Medical Center Pc 2487 N Elms Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Flint Pc - 1275807372

Anderson, Audrey, NPp Family Nurse Practitioner License: 4704225111 NPI: 1376052902 Mclaren Medical Management Inc 2487 N Elms Rd Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): Mclaren Flint Pc - 1275807372
Anderson, Audrey, NPp Family Nurse Practitioner License: 4704225111 NPI: 1376052902 Mclaren Regional Medical Center Pc 2487 N Elms Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): Mclaren Flint Pc - 1275807372

Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 1429 Flushing Rd Ste A Flushing, MI 48433 (810) 487-9128 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Dotson, David, DOp Family Medicine License: 5101013307 NPI: 1437148798 Mclaren Medical Management Inc 2487 N Elms Rd Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

54

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Dotson, David, DOp Family Medicine License: 5101013307 NPI: 1437148798 Mclaren Regional Medical Center Pc 2487 N Elms Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Flint Pc - 1275807372
Hall, Georgia, MDp Family Medicine License: 4704240246 NPI: 1588238810 Convenient Urgent Care 6020 W Pierson Rd Flushing, MI 48433 (810) 720-1200 Mon-Sun 9:00am 9:00pm Group(s): Flushing Urgent Care Plc Pc 1780930016

Lecureux, Megan, PAp Physician Assistant License: 5601004929 NPI: 1568550713 Mclaren Medical Management Inc 2487 N Elms Rd Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Mclaren Flint Pc - 1275807372
Lecureux, Megan, PAp Physician Assistant License: 5601004929 NPI: 1568550713 Mclaren Regional Medical Center Pc 2487 N Elms Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Mclaren Flint - 1154469229, Mclaren Flint Pc - 1275807372

Levashkevich, Zhanna, MDp Pediatric License: 4301087842 NPI: 1770773244 Mclaren Community Medical Center 2487 N Elms Rd Flushing, MI 48433 (810) 658-6507 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Mclaren Flint Pc - 1275807372
Levashkevich, Zhanna, MDp Pediatric License: 4301087842 NPI: 1770773244 Mclaren Regional Medical Center Pc 2487 N Elms Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Mclaren Flint Pc - 1275807372

Lloyd, Dennis, DOp Family Medicine License: 5101007566 NPI: 1003806019 Mclaren Regional Medical Center Pc 2487 N Elms Flushing, MI 48433 (810) 487-3500 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Flint Pc - 1275807372
Mills, Kailey, NPp Family Nurse Practitioner License: 4704320852 NPI: 1508430083 Convenient Urgent Care 101 S Main St Unit 101B Flushing, MI 48433 (810) 969-4500 Mon-Fri 9:00am 7:00pm, Sat-Sun 11:00am - 5:00pm Group(s): Flushing Urgent Care Plc Pc 1780930016
GRAND BLANC - 48439
Arbogast, Laura, DOp Internal Medicine License: 5101015217 NPI: 1235209354 Mclaren Flint 2313 E Hill Grand Blanc, MI 48439 (810) 953-6460 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

Arbogast, Laura, DOp Internal Medicine License: 5101015217 NPI: 1235209354 Mclaren Regional Medical Center Pc 2313 E Hill Rd Grand Blanc, MI 48439 (810) 953-6400 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 12787 S Saginaw St Ste C4 Grand Blanc, MI 48439 (810) 771-7631 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Baker, Natalie, NPp Family Nurse Practitioner License: 4704288319 NPI: 1912402561 Mclaren Convenient Care 2313 E Hill Rd Grand Blanc, MI 48439 (810) 496-0900 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Flint Pc - 1275807372

Baker, Natalie, NPp Family Nurse Practitioner License: 4704288319 NPI: 1912402561 Mclaren Regional Medical Center Pc 2313 E Hill Rd Grand Blanc, MI 48439 (810) 953-6400 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Flint Pc - 1275807372
Dolson, Michelle, NPp Family Nurse Practitioner License: 4704186908 NPI: 1598048464 Avalon Consultants Pllc 12628 Pagels Dr Grand Blanc, MI 48439 (888) 882-3783 Mon-Fri 8:00am 5:00pm Group(s): Avalon Consultants Pllc 1265859920

Haddad, Fawaz, MDp Pediatric License: 4301063791 NPI: 1194819029 Grand Blanc Pediatrics Pllc 8273 S Saginaw St Ste C Grand Blanc, MI 48439 (810) 695-6565 Mon-Fri 9:00am 5:00pm Arabic Group(s): Grand Blanc Pediatrics Pllc 1962625947
Losiewski, Melissa, NPp Nurse Practitioner License: 4704288027 NPI: 1831561489 Mclaren Convenient Care 2313 E Hill Rd Grand Blanc, MI 48439 (810) 496-0900 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Flint Pc - 1275807372
Malayev, Alexander, MD p Family Medicine License: 4301082525 NPI: 1992757645 Complete Care Center 8401 Holly Rd Site 8401 Holly Rd Grand Blanc, MI 48439 (810) 221-1788 Mon-Tue,Thu-Fri 9:00am - 6:00pm Russian Certification: Am Board Family Medicine Group(s): Alexander Malayev Md Pc

Max Well Therapy Llc Pc - 1871544577 Physical Therapy Clinic NPI: 1871544577 Max Well Therapy Llc 8273 S Saginaw Rd Ste B Grand Blanc, MI 48439 (810) 579-7184 Mon-Fri 8:00am 7:00pm Group(s): Max Well Therapy Llc Pc 1871544577
Sarafa, Gary, MDp Family Medicine License: 4301075307 NPI: 1174697684 Avalon Consultants Pllc 12628 Pagels Dr Grand Blanc, MI 48439 (888) 882-3783 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Avalon Consultants Pllc 1265859920
MOUNT MORRIS - 48458
Alasbahi, Mohamad, MD p Internal Medicine License: 4301083199 NPI: 1437352994 Mt Morris Medical Group Pllc 8434 N Saginaw Rd Mount Morris, MI 48458 (810) 686-1997 Mon-Fri 8:00am 5:00pm Group(s): Mt Morris Medical Group Pllc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Genesee County continued

Proveedores de atención primaria (PCP)
Condado de Genesee continuación

OTISVILLE - 48463
Atkinson, Courtney, NPp Family Nurse Practitioner License: 4704282883 NPI: 1164990669 Columbiaville Family Clinic Llc 387 N State Rd Ste B Otisville, MI 48463 (810) 374-6334 Mon-Fri 8:00am 5:00pm Group(s): Columbiaville Family Clinic Llc 1457716102
Conway, April, NPp Nurse Practitioner License: 4704268627 NPI: 1861955932 Columbiaville Family Clinic Llc 387 N State Rd Ste B Otisville, MI 48463 (810) 374-6334 Mon-Fri 8:00am 5:00pm Group(s): Columbiaville Family Clinic Llc 1457716102

Mir, Imran, MDp Internal Medicine License: 4301092308 NPI: 1467628388 Columbiaville Family Clinic Llc 387 N State Rd Ste A Otisville, MI 48463 (810) 631-0355 Mon-Fri 8:30am 4:30pm Other (Non-English), Urdu Certification: Am Bd Internal Med Group(s): Columbiaville Family Clinic Llc 1457716102
Pilarski, Janelle, PAp Physician Assistant License: 5601007037 NPI: 1881002137 Columbiaville Family Clinic Llc 387 N State Rd Ste B Otisville, MI 48463 (810) 374-6334 Mon-Fri 8:00am 5:00pm Group(s): Columbiaville Family Clinic Llc 1457716102

Yeddi, Ahmed, MDp Internal Medicine License: 4301500955 NPI: 1104359926 Mohamed Ally Health Plaza Pllc 387 N State Rd Ste A Ste A Otisville, MI 48463 (810) 631-4060 Mon-Fri 8:30am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Mohamed Ally Health Plaza Pllc 1891103784
Gladwin
GLADWIN - 48624
Miller, April, NPp Family Nurse Practitioner License: 4704245464 NPI: 1336664028 Mclaren Bay Family Medicine Gladwin 2137 M61 Gladwin, MI 48624 (989) 426-0810 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Bay Region - Woodland Healthcare, Mclaren Medical Group 1346396066

Vanoosten, Michelle, NP p Nurse Practitioner License: 4704162137 NPI: 1659616613 Mclaren Bay Family Medicine Gladwin 2137 M61 Gladwin, MI 48624 (989) 426-0810 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Medical Group 1346396066
Grand Traverse
TRAVERSE CITY - 49684
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 5210 Highland Rd Traverse City, MI 49684 (248) 674-9560 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Grand Traverse County continued

Proveedores de atención primaria (PCP)
Condado de Grand Traverse continuación

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 5222 N Royal Dr Traverse City, MI 49684 (231) 929-0303 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 5246 N Royal Dr Ste B Ste B Traverse City, MI 49684 (231) 486-0552 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

- 49686
Rinker, Donna, NP Nurse Practitioner License: 4704161197 NPI: 1730153149 Traverse Health Clinic And Coalition 1719 S Garfield Ave Traverse City, MI 49686 (231) 935-0799 Mon,Wed 8:00am 8:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 4:00pm Group(s): Traverse Health Clinic And Coalition Pc 1407309685
Gratiot
ALMA - 48801
Hug, Kristina, NPp Family Nurse Practitioner License: 4704294533 NPI: 1609350438 Prism Medical Associates Pc 311 E Warwick Dr Alma, MI 48801 (989) 463-4976 Mon 8:00am - 8:00pm, Tue,Thu-Fri 8:00am 5:00pm, Wed 8:00am 7:00pm Group(s): Prism Medical Associates Pc 1407264237

Hunter, Abby, NPp Nurse Practitioner License: 4704292296 NPI: 1366077737 Prism Medical Associates Pc 311 E Warwick Dr Alma, MI 48801 (989) 463-4976 Mon 8:00am - 8:00pm, Tue,Thu-Fri 8:00am 5:00pm, Wed 8:00am 7:00pm Group(s): Prism Medical Associates Pc 1407264237
Mcmahon, Christopher, PAp Physician Assistant License: 5601006616 NPI: 1295075794 Prism Medical Associates Pc 313 E Warwick Dr Alma, MI 48801 (989) 463-4976 Mon-Fri 9:00am 5:00pm Group(s): Prism Medical Associates Pc 1407264237

Saxena, Rakesh, MDp Internal Medicine License: 4301032524 NPI: 1932302692 Prism Medical Associates Pc 313 E Warwick Dr Alma, MI 48801 (989) 463-4976 Mon-Fri 9:00am 5:00pm Hindi Group(s): Prism Medical Associates Pc 1407264237
Hillsdale
HILLSDALE - 49242
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 16 W Carleton Rd Ste 1 Hillsdale, MI 49242 (517) 439-2376 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Hillsdale County continued

Proveedores de atención primaria (PCP)
Condado de Hillsdale continuación

Parker, Amber, NPp Nurse Practitioner License: 4704321307 NPI: 1619573409 Hillsdale Pulm Crit Care And Sleep Med Pc 3271 W Carleton Rd Hillsdale, MI 49242 (517) 437-3879 Mon-Fri 8:00am 8:00pm, Sat-Sun 8:00am - 3:00pm Group(s): Hillsdale Pulm Crit Care And Sleep Med Pc - 1730361254
Votzke, Denton, PAp Physician Assistant License: 5601009860 NPI: 1952932147 Hillsdale Pulm Crit Care And Sleep Med Pc 3271 W Carleton Rd Hillsdale, MI 49242 (517) 437-3879 Mon-Fri 8:00am 8:00pm, Sat-Sun 8:00am - 3:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Hillsdale Pulm Crit Care And Sleep Med Pc - 1730361254

PITTSFORD - 49271
Parker, Amber, NPp Nurse Practitioner License: 4704321307 NPI: 1619573409 Hillsdale Pulmonary Critical Care 9078 Rail St Pittsford, MI 49271 (517) 523-2127 Group(s): Hillsdale Pulm Crit Care And Sleep Med Pc - 1730361254
Huron
BAD AXE - 48413
Babiker, Yasir, MDp Internal Medicine License: 4301089490 NPI: 1861685307 Huron Medical Center Pc 1040 S Van Dyke Bad Axe, MI 48413 (989) 269-5152 Mon-Fri 8:00am 9:00pm, Sat-Sun 2:00pm - 7:00pm Arabic Certification: Am Bd Internal Med Group(s): Huron Medical Center Pc 1245257880

Babiker, Yasir, MDp Internal Medicine License: 4301089490 NPI: 1861685307 Huron Medical Center Pc 1060 S Van Dyke Ste 300 Bad Axe, MI 48413 (989) 269-7775 Mon,Wed-Fri 8:00am 6:00pm, Tue 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Huron Medical Center Pc 1245257880
Babiker, Yasir, MDp Internal Medicine License: 4301089490 NPI: 1861685307 Mclaren Thumb Region 1060 S Van Dyke Ste 800 Bad Axe, MI 48413 (989) 269-7606 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Huron Medical Center Pc 1245257880

Christensen, Charles, DO p Pediatric License: 5101015749 NPI: 1518994011 Mclaren Thumb Region 1060 S Van Dyke Rd Ste 200 Bad Axe, MI 48413 (989) 269-6528 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Huron Medical Center Pc 1245257880
Dimock, Kimberly, PAp Physician Assistant License: 5601005549 NPI: 1760691026 Clarkston Allergy & Asthma Clinic Pc 1040 S Van Dyke Rd Ste 2 Bad Axe, MI 48413 (989) 269-5152 Mon-Fri 5:30pm 9:00pm, Sat-Sun 9:00am - 7:00pm Group(s): Huron Medical Center Pc 1245257880

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Huron County continued

Proveedores de atención primaria (PCP)
Condado de Huron continuación

Dimock, Kimberly, PAp Physician Assistant License: 5601005549 NPI: 1760691026 Mclaren Thumb Region After Hours 1040 S Van Dyke Rd Ste 2 Bad Axe, MI 48413 (989) 269-5152 Mon-Fri 9:00am 5:00pm Group(s): Huron Medical Center Pc 1245257880
Franzel, Carrie, NPp Nurse Practitioner License: 4704208018 NPI: 1871993147 Huron Medical Center Pc 1011 S Van Dyke Rd Ste C Ste C Bad Axe, MI 48413 (989) 269-5258 Mon-Fri 8:00am 5:00pm Group(s): Huron Medical Center Pc 1245257880

Gibson, Jessica, DOp Family Medicine License: 5101024880 NPI: 1992225478 Mclaren Thumb Region 1100 S Van Dyke Rd Bad Axe, MI 48413 (989) 269-6437 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Huron Medical Center Pc 1245257880
Hickey, Diana, NPp Family Nurse Practitioner License: 4704304099 NPI: 1184272528 Great Lakes Bay Health Centers Pc 876 N Van Dyke Rd Bad Axe, MI 48413 (989) 623-0137 Mon-Fri 8:00am 5:00pm Group(s): Great Lakes Bay Health Centers Pc 1386066959, Great Lakes Bay Health Centers Pc 1871684761

Iqbal, Rashid, MDp Internal Medicine License: 4301062180 NPI: 1982627469 Huron Health Care 669 S. Vandyke Bad Axe, MI 48413 (989) 269-9265 Mon-Fri 9:00am 5:00pm Hindi, Punjabi, Urdu Group(s): Huron Health Care Pc - 1639265390
Iqbal, Rashid, MDp Internal Medicine License: 4301062180 NPI: 1982627469 Huron Health Care Pc 669 S Van Dyke Rd Bad Axe, MI 48413 (989) 269-9265 Mon-Thu 9:00am 5:00pm, Fri 9:00am 12:00pm Hindi, Punjabi, Urdu Group(s): Huron Health Care Pc - 1639265390
Klosowski, John, DOp Family Medicine License: 5101019125 NPI: 1679868053 Mclaren Thumb Region 1080 Van Dyke Suite B Bad Axe, MI 48413 (989) 269-6048 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Huron Medical Center Pc 1245257880

Macdonnell, Marie, NPp Nurse Practitioner License: 4704325239 NPI: 1487125829 Mclaren Thumb Region 1060 S Van Dyke Suite 300 Bad Axe, MI 48413 (989) 269-7933 Mon-Fri 8:00am 5:00pm Group(s): Huron Medical Center Pc 1245257880
Mason, Scott, PAp Physician Assistant License: 5601002408 NPI: 1609916444 Mclaren Thumb Region 1117 S Van Dyke Ste 200 Bad Axe, MI 48413 (989) 269-2597 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Huron Medical Center Pc 1245257880, Mclaren Thumb Region 1154942662

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Huron County continued

Proveedores de atención primaria (PCP)
Condado de Huron continuación

Molla, Nashita, MD Family Medicine License: 4301503778 NPI: 1417449133 Great Lakes Bay Health Centers Pc 876 N Van Dyke Rd Bad Axe, MI 48413 (989) 623-0137 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1386066959
Molla, Nashita, MD Family Medicine License: 4301503778 NPI: 1417449133 Great Lakes Health Centers Pc 1375 R Dale Wertz Dr Bad Axe, MI 48413 (989) 623-0137 Tue 1:00pm - 5:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1922421387

Nweke, Onyinyechi, MD p Pediatric License: 4301500545 NPI: 1154876522 Great Lakes Bay Health Centers Pc 876 N Van Dyke Rd Bad Axe, MI 48413 (989) 623-0137 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Great Lakes Bay Health Centers Pc 1386066959, Great Lakes Bay Health Centers Pc 1871684761
Nweke, Onyinyechi, MD p Pediatric License: 4301500545 NPI: 1154876522 Great Lakes Bay Health Ctrs Integ Care Thumb 1375 R Dale Wertz Dr Bad Axe, MI 48413 (989) 623-0137 Tue 1:00pm - 5:00pm Certification: Am Board Pediatrics Group(s): Great Lakes Bay Health Centers Pc 1922421387

Putman, Blake, MDp Family Medicine License: 4301105933 NPI: 1659784338 Mclaren Thumb Region 1100 S Van Dyke Rd Bad Axe, MI 48413 (989) 269-6437 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Board Family Medicine Group(s): Huron Medical Center Pc 1245257880
Thiel, Olivia, MDp Family Medicine License: 4301503053 NPI: 1891228292 Huron Medical Center Pc 1117 S Van Dyke Rd Ste 200 Bad Axe, MI 48413 (989) 269-6048 Group(s): Huron Medical Center Pc 1245257880
Thiel, Olivia, MDp Family Medicine License: 4301503053 NPI: 1891228292 Mclaren Thumb Region 1117 S Van Dyke Ste 200 Bad Axe, MI 48413 (989) 269-2597 Mon-Fri 8:00am 5:00pm Group(s): Huron Medical Center Pc 1245257880, Mclaren Thumb Region 1154942662

Weeks, Craig, MD Family Medicine License: 4301500953 NPI: 1417338245 Great Lakes Bay Health Centers Pc 876 N Van Dyke Rd Bad Axe, MI 48413 (989) 623-0137 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1386066959, Great Lakes Bay Health Centers Pc 1871684761
Weeks, Craig, MD Family Medicine License: 4301500953 NPI: 1417338245 Great Lakes Bay Health Ctrs Integ Care Thumb 1375 R Dale Wertz Dr Bad Axe, MI 48413 (989) 623-0137 Tue 1:00pm - 5:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1922421387

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Huron County continued

Proveedores de atención primaria (PCP)
Condado de Huron continuación

CASEVILLE - 48725
Penfold, Paul, PAp Physician Assistant License: 5601003455 NPI: 1871537829 Scheurer Hospital Family 7000 Main St Caseville, MI 48725 (989) 856-3449 Mon-Fri 8:00am 5:00pm Group(s): Scheurer Hospital Family Pc 1104016849
Reiter, Scott, DOp Family Medicine License: 5101012828 NPI: 1316980543 Scheurer Hospital Family 7000 Main St Caseville, MI 48725 (989) 856-3449 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Scheurer Hospital Family Pc 1104016849

ELKTON - 48731
Jakubec, Shirley, MDp Internal Medicine License: 4301084596 NPI: 1750338000 Huron Medical Center Pc 6 N Main St Elkton, MI 48731 (989) 375-2273 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Huron Medical Center Pc 1245257880
Jakubec, Shirley, MDp Internal Medicine License: 4301084596 NPI: 1750338000 Mclaren Thumb Region 6 N Main St Elkton, MI 48731 (989) 269-2273 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Huron Medical Center Pc 1245257880

Lockard, Richard, MDp Family Medicine License: 4301040876 NPI: 1184713174 Huron Medical Center Pc 6 N Main St Elkton, MI 48731 (989) 375-2273 Mon-Fri 8:00am 5:00pm Group(s): Huron Medical Center Pc 1245257880
HARBOR BEACH - 48441
Tan, Jaime, MDp Family Medicine License: 4301042959 NPI: 1346235207 Mclaren Thumb Region 233 State St Harbor Beach, MI 48441 (989) 479-3111 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Huron Medical Center Pc 1245257880

PORT AUSTIN - 48467
Koglin, Martha, PAp Physician Assistant License: 5601005895 NPI: 1992014898 Mclaren Thumb Region 24 East E Spring St Port Austin, MI 48467 (989) 738-5222 Mon-Fri 9:00am 5:00pm Group(s): Huron Medical Center Pc 1245257880
UBLY - 48475
Himmel, Nick, PAp Physician Assistant License: 5601004119 NPI: 1558375824 Huron Medical Center Pc 2269 Main St Ubly, MI 48475 (989) 658-2159 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Huron Medical Center Pc 1245257880, Huron Medical Center Ubly Campus

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Huron County continued

Proveedores de atención primaria (PCP)
Condado de Huron continuación

Mukhtar, Osman, MDp Internal Medicine License: 4301084693 NPI: 1063597904 Huron Medical Center Pc 2269 Main St Ubly, MI 48475 (989) 658-2159 Mon-Fri 8:00am 5:00pm Arabic Group(s): Huron Medical Center Pc 1245257880, Huron Medical Center Ubly Campus
Ingham
EAST LANSING - 48823
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 1720 Abbey Rd Ste A East Lansing, MI 48823 (517) 333-6692 Mon-Thu 6:30am 8:00pm, Fri 6:30am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Hemming, Cori, MDp Pediatric License: 4301092466 NPI: 1649424318 Pediatric Care Of Lansing, Pc 307 W Lake Lansing Road East Lansing, MI 48823 (517) 487-4480 Group(s): Pediatric Care Of Lansing Pc
Lipsitz, David, MDp Pediatric License: 4301038195 NPI: 1083748354 Pediatric Care Of Lansing, Pc 307 W Lake Lansing Road East Lansing, MI 48823 (517) 487-4480 Certification: Am Board Pediatrics Group(s): Pediatric Care Of Lansing Pc
Pieroni-Long, Melissa, DOp Pediatric License: 5101013461 NPI: 1013001890 Pediatric Care Of Lansing, Pc 307 W Lake Lansing Road East Lansing, MI 48823 (517) 487-4480 Group(s): Pediatric Care Of Lansing Pc

Yian, Homing, MDp Pediatric License: 4301031794 NPI: 1295826782 Pediatric Care Of Lansing, Pc 307 W Lake Lansing Road East Lansing, MI 48823 (517) 487-4480 Certification: Am Board Pediatrics Group(s): Pediatric Care Of Lansing Pc
HASLETT - 48840
Eisenberg, Phillip, DOp Internal Medicine License: 5101010790 NPI: 1619075637 Progressive Care Medical Group Of Mi Pllc 5346 Marsh Road Haslett, MI 48840 (517) 803-2797 Mon-Sun 12:00am 11:59pm Certification: Am Os Bd Internal Medicine Group(s): Progressive Care Medical Group Of Mi Pllc

Kozlowski, Elizabeth, MDp Family Medicine License: 5101014400 NPI: 1104804285 Cima Primary Care 1650 Haslett Rd Haslett, MI 48840 (517) 339-3200 Mon-Tue,Thu-Fri 8:00am - 5:30pm, Wed 9:00am - 5:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Capital Internal Medicine Associates Pc 1780629832
Otlewski, Breyanna, PA Physician Assistant License: 5601010349 NPI: 1396339263 Haslett Primary Care 1650 Haslett Rd Haslett, MI 48840 (517) 339-3200 Mon-Thu 8:00am 5:00pm, Fri 8:00am 12:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Capital Internal Medicine Associates Pc 1780629832

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Ingham County continued

Proveedores de atención primaria (PCP)
Condado de Ingham continuación

LANSING - 48910
Janineh Eager, Jouliana, DOp Internal Medicine License: 5101018814 NPI: 1508186404 Forest Comm Health Center 2316 S Cedar St Lansing, MI 48910 (517) 887-4302 Mon-Fri 7:00am 7:00pm, Sat 8:00am 1:00pm Certification: Am Os Bd Internal Medicine Group(s): Ingham County Health Department Pc 1518339654
Schafer, Alexis, NP Nurse Practitioner License: 4704306240 NPI: 1538634175 Cima Primary Care 1003 Mt Hope Rd Lansing, MI 48910 (517) 853-3704 Mon-Wed 9:00am 5:30pm, Thu 9:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Capital Internal Medicine Associates Pc 1780629832

Valle, Luis, MDp Family Medicine License: 4301064984 NPI: 1790949667 Birch Community Health Center 812 E Jolly Rd Lansing, MI 48910 (517) 244-8030 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 8:00am - 7:00pm Spanish Certification: Am Board Family Medicine Group(s): County Of Ingham Pc - 1639422728
- 48911
Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 6304 S Cedar St Lansing, MI 48911 (517) 319-0002 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Cuison, Jeanjiko, MDp Pediatric License: 4301090956 NPI: 1003112517 Great Lakes Pediatric Associates 3400 Pine Tree Rd Ste 102 Lansing, MI 48911 (517) 887-3000 Mon,Fri 8:00am 5:00pm, Tue-Thu 8:00am - 6:30pm Tagalog Group(s): Great Lakes Pediatric Associates
Farnum, Adam, NPp Family Nurse Practitioner License: 4704314779 NPI: 1871175638 Capital Internal Med Assoc Pc 3955 Patient Care Dr Ste A Lansing, MI 48911 (517) 374-7600 Mon-Fri 8:00am 5:00pm Group(s): Capital Internal Medicine Associates Pc 1780629832

Fretwell, Barbara, MD Internal Medicine License: 4301048529 NPI: 1578561429 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste A Ste A Lansing, MI 48911 (517) 374-7600 Mon 8:00am - 7:00pm, Tue-Fri 8:00am - 5:00pm Certification: Am Bd Internal Med Group(s): Capital Internal Medicine Associates Pc 1780629832
Ghose, Amit, MD Internal Medicine License: 4301065780 NPI: 1639177686 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste A Ste A Lansing, MI 48911 (517) 374-7600 Mon 8:00am - 7:00pm, Tue-Fri 8:00am - 5:00pm Certification: Am Bd Internal Med Group(s): Capital Internal Medicine Associates Pc 1780629832

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Ingham County continued

Proveedores de atención primaria (PCP)
Condado de Ingham continuación

Hurt, Erika, NP Nurse Practitioner License: 4704305307 NPI: 1912529751 Capital Internal Medicine Assoc Pc 3960 Patient Care Dr Ste 109 Ste 109 Lansing, MI 48911 (517) 374-4202 Mon-Fri 8:00am 4:30pm Group(s): Capital Internal Medicine Associates Pc 1780629832
Kidwell, Mark, DO Family Medicine License: 5101024618 NPI: 1366892150 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste A Ste A Lansing, MI 48911 (517) 374-7600 Mon 8:00am - 7:00pm, Tue-Fri 8:00am - 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Capital Internal Medicine Associates Pc 1780629832

Kundi, Aruna, MD Internal Medicine License: 4301047874 NPI: 1497764963 Cima Primary Care 3960 Patient Care Dr Ste 109 Lansing, MI 48911 (517) 699-3820 Mon-Thu 8:00am 5:00pm, Fri 8:00am 4:00pm Hindi Certification: Am Bd Internal Med Group(s): Capital Internal Medicine Associates Pc 1780629832
Lewandowski, Eric, DO Family Medicine License: 5101014197 NPI: 1750362216 Cima Primary Care 3960 Patient Care Dr Ste 109 Lansing, MI 48911 (517) 699-3820 Mon-Thu 8:00am 5:00pm, Fri 8:00am 4:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Capital Internal Medicine Associates Pc 1780629832

Lewis, Jacquelyn, PAp Physician Assistant License: 5601008503 NPI: 1386150746 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste A Ste A Lansing, MI 48911 (517) 374-7600 Mon 8:00am - 7:00pm, Tue-Fri 8:00am - 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Capital Internal Medicine Associates Pc 1780629832
Meier, Anthony, MD Internal Medicine License: 4301049478 NPI: 1134236268 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste A Ste A Lansing, MI 48911 (517) 374-7600 Mon 8:00am - 7:00pm, Tue-Fri 8:00am - 5:00pm Certification: Am Bd Internal Med Group(s): Capital Internal Medicine Associates Pc 1780629832

Reynolds, Leslie, MDp Pediatric License: 4301049233 NPI: 1144338443 Great Lakes Pediatric Associates 3400 Pine Tree Rd Ste 102 Lansing, MI 48911 (517) 887-3000 Mon,Fri 8:00am 5:00pm, Tue-Thu 8:00am - 6:30pm Group(s): Great Lakes Pediatric Associates
Schaar, Mark, MD Family Medicine License: 4301050244 NPI: 1932180148 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste B Ste B Lansing, MI 48911 (517) 507-0676 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Capital Internal Medicine Associates Pc 1780629832

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Ingham County continued

Proveedores de atención primaria (PCP)
Condado de Ingham continuación

Still, Erica, DOp Pediatric License: 5101018590 NPI: 1205147451 Great Lakes Pediatric Associates 3400 Pine Tree Rd Ste 102 Lansing, MI 48911 (517) 887-3000 Mon,Fri 8:00am 5:00pm, Tue-Thu 8:00am - 6:30pm Group(s): Great Lakes Pediatric Associates
Werkman, Mary, DO Internal Medicine License: 5101008159 NPI: 1073511028 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste A Ste A Lansing, MI 48911 (517) 374-7600 Mon 8:00am - 7:00pm, Tue-Fri 8:00am - 5:00pm Spanish Certification: Am Os Bd Internal Medicine Group(s): Capital Internal Medicine Associates Pc 1780629832

Wert, Erik, DOp Internal Medicine License: 5101014657 NPI: 1881692739 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste A Ste A Lansing, MI 48911 (517) 374-7600 Mon 8:00am - 7:00pm, Tue-Fri 8:00am - 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Capital Internal Medicine Associates Pc 1780629832
Wert, Erik, DO Internal Medicine License: 5101014657 NPI: 1881692739 Cima Primary Care 3955 Patient Care Dr Ste A Lansing, MI 48911 (517) 374-7600 Mon 7:30am - 7:00pm, Tue-Thu 7:30am 5:00pm, Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Capital Internal Medicine Associates Pc 1780629832

Wheeler, Eileen, DO Internal Medicine License: 5101012368 NPI: 1881692945 Capital Internal Medicine Assoc Pc 3955 Patient Care Dr Ste A Ste A Lansing, MI 48911 (517) 374-7600 Mon 8:00am - 7:00pm, Tue-Fri 8:00am - 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Capital Internal Medicine Associates Pc 1780629832
- 48912
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 3415 E Saginaw St Ste B Lansing, MI 48912 (517) 657-4759 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Escamilla, Gracep Internal Medicine License: 4301116260 NPI: 1235525023 Mclaren Greater Lansing 1540 Lake Lansing Rd Ste 201 Lansing, MI 48912 (517) 913-3900 Group(s): Mclaren Greater Lansing Pc 1962808162

Moore, Daniel, MD Internal Medicine License: 4301087116 NPI: 1346265196 Henry Ford Health System Lansing Hfmg Transplant Clinic 1200 E Michigan Ave Ste 700 Lansing, MI 48912 (517) 364-5550 Mon-Fri 8:00am 5:00pm Certification: Am Board Radiology (Diagnostic Radiology) Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
OKEMOS - 48864
Al Sheikh, Maher, MDp Family Medicine License: 4301065921 NPI: 1467565440 Total Family Health Care Plus Pllc 4780 Okemos Rd Ste 4 Okemos, MI 48864 (517) 349-3210 Mon,Thu 9:00am 7:00pm, Tue 9:00am 5:00pm, Wed 9:00am 12:30pm, Fri 9:00am 3:00pm Group(s): Total Family Health Care Plus Pllc 1447614987

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Ingham County continued

Proveedores de atención primaria (PCP)
Condado de Ingham continuación

Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 2090 Grand River Ave Ste C Okemos, MI 48864 (517) 827-6550 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 3955 Okemos Rd Ste 32 Okemos, MI 48864 (517) 349-4030 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Boinepalli, Pratima, MD p Pediatric License: 4301085879 NPI: 1073794764 Pratima Boinepalli Md Pllc 3945 Okemos Rd Okemos, MI 48864 (517) 347-4660 Mon-Tue 9:00am 3:00pm, Wed,Fri 11:00am - 5:00pm Telugu Certification: Am Board Pediatrics Group(s): Pratima Boinepalli Md Pllc
Brannick, Elizabeth, PAp Physician Assistant License: 5601008002 NPI: 1073063392 Grand River Family Care Pc 1881 W Grand River Ave Okemos, MI 48864 (517) 339-2116 Mon-Fri 8:00am 5:00pm Group(s): Grand River Family Care Pc 1396301719
Hornung, Matthew, PTp Physical Therapist License: 5501019603 NPI: 1386234276 Ati Physical Therapy 3955 Okemos Rd Ste 32 Okemos, MI 48864 (517) 349-4030 Mon-Fri 9:00am 5:00pm Group(s): Ati Physical Therapy - 1669531166

Ronan, Arthur, DOp Family Medicine License: 5101013666 NPI: 1346283074 Grand River Family Care Pc 1881 W Grand River Ave Okemos, MI 48864 (517) 339-2116 Mon-Fri 8:00am 5:00pm Group(s): Grand River Family Care Pc 1396301719
WILLIAMSTON - 48895
Vanderjagt, Douglas, DO Internal Medicine License: 5101013545 NPI: 1730121880 Cima Primary Care 839 S Putnam St Williamston, MI 48895 (517) 655-3515 Mon 8:00am - 5:00pm, Tue-Thu 7:30am 5:00pm, Fri 8:00am 4:00pm Certification: Am Os Bd Internal Medicine Group(s): Capital Internal Medicine Associates Pc 1780629832

Vliet, Shelly, NP Family Nurse Practitioner License: 4704273069 NPI: 1992292353 Cima Primary Care 839 S Putnam St Williamston, MI 48895 (517) 655-3515 Mon 8:00am - 5:00pm, Tue-Thu 7:30am 5:00pm, Fri 8:00am 4:00pm Group(s): Capital Internal Medicine Associates Pc 1780629832
Ionia
BELDING - 48809
Molla, Nashita, MD Family Medicine License: 4301503778 NPI: 1417449133 Great Lakes Bay Health Centers Pc 318 S Bridge St Ste B Belding, MI 48809 (616) 794-5221 Tue,Thu 4:30pm 8:30pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1649474057

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Ionia County continued

Proveedores de atención primaria (PCP)
Condado de Ionia continuación

Nweke, Onyinyechi, MD p Pediatric License: 4301500545 NPI: 1154876522 Great Lakes Bay Health Centers 321 N Warren Ave Belding, MI 48809 (616) 794-5221 Tue,Thu 4:30pm 8:30pm Certification: Am Board Pediatrics Group(s): Great Lakes Bay Health Centers Pc 1649474057, Great Lakes Bay Health Centers Pc 1871684761, Great Lakes Bay Health Centers Pc 1801907654
Weeks, Craig, MD Family Medicine License: 4301500953 NPI: 1417338245 Great Lakes Bay Health Centers Pc 318 S Bridge St Ste B Belding, MI 48809 (616) 794-5221 Tue,Thu 4:30pm 8:30pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1649474057, Great Lakes Bay Health Centers Pc 1871684761, Great Lakes Bay Health Centers Pc 1801907654

IONIA - 48846
Gendich, Sheila, MDp Family Medicine License: 4301058189 NPI: 1124018536 A Doc Medical 910 E Lincoln Ave Ionia, MI 48846 (616) 527-2370 Mon-Tue,Thu-Fri 8:00am - 4:30pm Certification: General Practice Group(s): Places Llc 1538301643
Iosco
HALE - 48739
Chiluka, Sudhir Kumar, MDpq Family Medicine License: 4301111032 NPI: 1912452053 Sterling Area Health Center 436 W Main St Hale, MI 48739 (989) 728-2800 Mon 8:00am - 5:00pm, Tue 8:00am - 5:30pm, Wed 12:00pm - 5:00pm, Fri 8:00am - 4:30pm Hindi, Telugu Certification: Am Board Family Medicine Group(s): Sterling Area Health Center Pc 1255712873

Isabella
MOUNT PLEASANT - 48858
Drenth, Paul, NPp Family Nurse Practitioner License: 4704330961 NPI: 1497367205 Isabella Citizens For Health Inc 2790 Health Pkwy Mount Pleasant, MI 48858 (989) 779-5720 Mon,Wed 8:00am 6:00pm, Tue,Thu 7:30am - 6:00pm, Fri 8:00am 5:00pm Group(s): Isabella Citizens For Health Inc Pc - 1104177195
Gardner, Lacey, PAp Physician Assistant License: 5601005080 NPI: 1679758254 Isabella Citizens For Health Inc 2790 Health Pkwy Mount Pleasant, MI 48858 (989) 779-5720 Mon,Wed 8:00am 6:00pm, Tue,Thu 7:30am - 6:00pm, Fri 8:00am 5:00pm Group(s): Isabella Citizens For Health Inc Pc - 1104177195

Hammack, Onyekachi, MDp Pediatric License: 4301109582 NPI: 1720348287 Isabella Citizens For Health Inc 2790 Health Pkwy Mount Pleasant, MI 48858 (989) 779-5720 Mon,Wed 8:00am 6:00pm, Tue,Thu 7:30am - 6:00pm, Fri 8:00am 5:00pm French Certification: Am Board Pediatrics Group(s): Isabella Citizens For Health Inc Pc - 1942675525
Khabir, Jeffrey, MDp Internal Medicine License: 4301047556 NPI: 1790973188 Jeffrey A Khabir Md Pllc 411 W Broadway St Ste A Ste A Mount Pleasant, MI 48858 (989) 953-5330 Mon-Wed 8:00am 6:00pm, Thu 8:00am 3:00pm Certification: Am Bd Internal Med Group(s): Jeffrey A Khabir Md Pllc Pc 1790102697

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Isabella County continued

Proveedores de atención primaria (PCP)
Condado de Isabella continuación

Laynes, Maria Liza, MD p Internal Medicine License: 4301056805 NPI: 1649270299 Medpartners, Plc 2480 West Campus Drive Bldg B Ste 300 Mount Pleasant, MI 48858 (989) 779-7200 Certification: Am Bd Internal Med Group(s): Medpartners Plc
Mcconnon, Michael, MD p Family Medicine License: 4301104698 NPI: 1235336843 Isabella Citizens For Health Inc 2790 Health Pkwy Mount Pleasant, MI 48858 (989) 779-5720 Mon,Wed 8:00am 6:00pm, Tue,Thu 7:30am - 6:00pm, Fri 8:00am 5:00pm Group(s): Isabella Citizens For Health Inc Pc - 1104177195

Mink, Thomas, PAp Physician Assistant License: 5601003236 NPI: 1952339079 Mclaren Central Primary Care 5115 East Pickard Street Ste A Mount Pleasant, MI 48858 (989) 956-4100 Group(s): Mclaren Central Michigan Pc 1710235775
Smith, Jamie, PAp Physician Assistant License: 5601010344 NPI: 1033742457 Isabella Citizens For Health Inc 2790 Health Pkwy Mount Pleasant, MI 48858 (989) 779-5720 Mon,Wed 8:00am 6:00pm, Tue,Thu 7:30am - 6:00pm, Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Isabella Citizens For Health Inc 1104177195

Stevens, Julie, DOp Family Medicine License: 5101013404 NPI: 1346246337 Prism Medical Associates Pc 1750 E Bellows St Mount Pleasant, MI 48858 (989) 817-4600 Mon-Thu 8:00am 5:00pm, Fri 8:00am 2:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Prism Medical Associates Pc 1407264237
Vashishta, Nisha, MDp Family Medicine License: 4301075001 NPI: 1528008448 Mount Pleasant Medical Associates, Pllc 4639 E Pickard Street Ste B Mount Pleasant, MI 48858 (989) 817-4300 Group(s): Mount Pleasant Medical Associates Pllc

Vogel, Scott, DOp Family Medicine License: 5101012570 NPI: 1720035074 Isabella Citizens For Health Inc 2790 Health Pkwy Mount Pleasant, MI 48858 (989) 779-5720 Mon,Wed 8:00am 6:00pm, Tue,Thu 7:30am - 6:00pm, Fri 8:00am 5:00pm French, German Certification: Am Board Family Medicine Group(s): Isabella Citizens For Health Inc Pc - 1104177195
MT PLEASANT - 48858
Burnell, Mariah, DOp Family Medicine License: 5101023153 NPI: 1376084996 Mclaren Central Health Park 2940 Health Pkwy Mt Pleasant, MI 48858 (989) 773-1700 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Isabella County continued

Proveedores de atención primaria (PCP)
Condado de Isabella continuación

Carpenter, Megan, NPp Nurse Practitioner License: 4704300349 NPI: 1306401690 Isabella Citizens For Health Inc Pc 2790 Health Parkway Mt Pleasant, MI 48858 (989) 953-5320 Mon-Fri 9:00am 5:00pm Group(s): Isabella Citizens For Health Inc Pc - 1104177195
Moutsatson, Tamara, DOp Internal Medicine License: 5101014853 NPI: 1821031519 Mclaren Central Health Park 2940 Health Pkwy Mt Pleasant, MI 48858 (989) 773-1700 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Central Michigan Pc 1710235775

Tharumarajah, Malathy, MDp Internal Medicine License: 4301112966 NPI: 1982011615 Mclaren Central Health Park 2940 Health Pkwy Mt Pleasant, MI 48858 (989) 773-1700 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Central Michigan Pc 1710235775
SHEPHERD - 48883
Beeson, Sally, NPp Nurse Practitioner License: 4704112557 NPI: 1427093673 Sweetwater Medical Center 322 E Wright Ave Shepherd, MI 48883 (989) 828-4614 Mon-Fri 8:00am 5:00pm Group(s): Sweetwater Medical Center 1043720253

Blick, Matthew, PTp Physical Therapist License: 5501018295 NPI: 1750809455 Wright Avenue Rehab Llc 331 E Wright Ave Shepherd, MI 48883 (989) 567-1300 Mon-Fri 8:00am 5:00pm Group(s): Wright Avenue Rehab Llc 1013520576
Daniels, Jonathan, PAp Physician Assistant License: 5601005645 NPI: 1588998652 Sweetwater Medical Center 322 E Wright Ave Shepherd, MI 48883 (989) 828-4614 Mon-Fri 8:00am 5:00pm Group(s): Sweetwater Medical Center 1043720253
Janofski, Amy, NPp Nurse Practitioner License: 4704235227 NPI: 1427654516 Sweetwater Medical Center 322 E Wright Ave Shepherd, MI 48883 (989) 828-4614 Mon-Fri 8:00am 5:00pm Group(s): Sweetwater Medical Center 1043720253

Khabir, Jeffrey, MDp Internal Medicine License: 4301047556 NPI: 1790973188 Sweetwater Medical Center 322 E Wright Ave Shepherd, MI 48883 (989) 828-4614 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Sweetwater Medical Center 1043720253
WEIDMAN - 48893
Szelag, Henry, DOp Family Medicine License: 5101009907 NPI: 1316044613 Mdc Weidman Primary Care 3520 N Woodruff Road Weidman, MI 48893 (989) 644-3329 Group(s): Mclaren Central Michigan Pc 1710235775

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Jackson County

Jackson
BROOKLYN - 49230
Athletico Physical Therapy - 1821085028 Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 250 S Main St Ste 4 Brooklyn, MI 49230 (517) 592-8695 Mon,Wed-Thu 8:00am 6:00pm, Tue 7:00am 4:00pm, Fri 7:00am 3:00pm Group(s): Athletico Physical Therapy 1821085028
GRASS LAKE - 49240
Moore, Matthew, MDp Family Medicine License: 4301074528 NPI: 1437105640 Henry Ford Health System 12369 E Michigan Ave Grass Lake, MI 49240 (517) 205-2525 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

JACKSON - 49201
Abdullah, Muhammad, MDp Internal Medicine License: 4301104795 NPI: 1649371071 Center For Family Health 505 N Jackson St Jackson, MI 49201 (517) 748-5500 Mon-Fri 8:00am 5:00pm Arabic, Hindi, Punjabi, Urdu Certification: Am Bd Internal Med, Am Bd Internal Med (Sleep Medicine) Group(s): Center For Family Health Pc 1780784439
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 2973 Springport Rd Jackson, MI 49201 (517) 435-3461 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Proveedores de atención primaria (PCP)
Condado de Jackson

Elghawy, Karim, MDp Pediatric License: 4301108547 NPI: 1689052789 Center For Family Health 505 N Jackson St Jackson, MI 49201 (517) 748-5500 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine (Sports Medicine) Group(s): Center For Family Health Pc 1780784439
Kimble, Kelsey, PAp Physician Assistant License: 5601006175 NPI: 1558645291 Center For Family Health 505 N Jackson St Jackson, MI 49201 (517) 748-5500 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Center For Family Health Pc 1144634775, Center For Family Health Pc 1780784439

Moore, Matthew, MD Family Medicine License: 4301074528 NPI: 1437105640 Center For Family Health 505 N Jackson St Jackson, MI 49201 (517) 748-5500 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Center For Family Health Pc 1780784439
Munro, David, MDp Family Medicine License: 4301041794 NPI: 1124093430 Center For Family Health 505 N Jackson St Jackson, MI 49201 (517) 748-5500 Mon-Fri 8:00am 5:00pm Group(s): Center For Family Health Pc 1780784439

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Jackson County continued

Proveedores de atención primaria (PCP)
Condado de Jackson continuación

Plymouth Physical
Therapy Specialists Lp 1356368047p Physical Therapy Clinic NPI: 1356368047 Plymouth Physical Therapy Specialists Lp 200 Summit Ave Suite C Jackson, MI 49201 (517) 783-9834 Mon-Fri 6:00am 7:00pm Group(s): Plymouth Physical Therapy Specialists Lp 1356368047
Provencher, Denise, PAp Physician Assistant License: 5601003979 NPI: 1740299981 Center For Family Health 6700 Rives Junction Rd Jackson, MI 49201 (517) 569-3200 Mon-Fri 7:30am 4:30pm Group(s): Center For Family Health Pc 1679905376

Reyes Ganzon, Miraflor, MDp Pediatric License: 4301068653 NPI: 1457357055 Center For Family Health 505 N Jackson St Jackson, MI 49201 (517) 748-5500 Mon-Fri 8:00am 5:00pm Filipino Certification: Am Bd Physical Med & Rehab Group(s): Center For Family Health Pc 1780784439
- 49202
Eisenberg, Phillip, DOp Internal Medicine License: 5101010790 NPI: 1619075637 Progressive Care Medical Group Of Mi Pllc 434 W North St Jackson, MI 49202 (517) 787-3250 Mon-Sun 12:00am 11:59pm Certification: Am Os Bd Internal Medicine Group(s): Progressive Care Medical Group Of Mi Pllc

Moore, Daniel, MD Internal Medicine License: 4301087116 NPI: 1346265196 Henry Ford Health System 110 N Elm Str Jackson, MI 49202 (517) 205-4800 Mon-Fri 8:00am 5:00pm Certification: Am Board Radiology (Diagnostic Radiology) Group(s): Henry Ford Hospital Pc - 1891702833
- 49203
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 3510 Page Ave Jackson, MI 49203 (517) 781-5130 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Heiler, Shawn, PAp Physician Assistant License: 5601005761 NPI: 1437292513 Center For Family Health 2400 4th St Jackson, MI 49203 (517) 788-6812 Mon-Fri 7:30am 5:00pm Group(s): Center For Family Health Pc 1497825939
SPRING ARBOR - 49283
Theracare Rehab Llcp Rehabilitation Clinic NPI: 1295965911 7851 Spring Arbor Rd Ste 24 Spring Arbor, MI 49283 (517) 750-4360 Group(s): Theracare Rehab Llc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Kalamazoo County

Proveedores de atención primaria (PCP)
Condado de Kalamazoo

Kalamazoo
KALAMAZOO - 49001
Brar, Mandeep, NPp Family Nurse Practitioner License: 4704347087 NPI: 1457808644 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:30pm Hindi, Punjabi Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1790192946
Duffy, Mckenna, OTp Occupational Therapist License: 5201011218 NPI: 1821675414 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:30pm Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331

Ellwood, Stephanie, DO Family Medicine License: 5101025131 NPI: 1477934024 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:30pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1790192946
Ellwood, Stephanie, DO Family Medicine License: 5101025131 NPI: 1477934024 Family Health Center Inc 615 E Crosstown Pkwy Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1790192946

Harrington, Amanda, NP p Family Nurse Practitioner License: 4704235813 NPI: 1679175293 Family Health Center 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 5:30pm Group(s): Family Health Center Inc Pc 1023560331
Herron, Arianna, PAp Physician Assistant License: 5601010083 NPI: 1871197400 Family Health Center 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 5:30pm Certification: National Commission On Certification Of Physician Assistants Group(s): Family Health Center Inc Pc 1023560331

Luciano, Andrew, MD Family Medicine License: 4301105119 NPI: 1467766907 Family Health Center 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 5:30pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1659567956
Luciano, Andrew, MD Family Medicine License: 4301105119 NPI: 1467766907 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:30pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1790192946

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Kalamazoo County continued

Proveedores de atención primaria (PCP)
Condado de Kalamazoo continuación

Luciano, Andrew, MD Family Medicine License: 4301105119 NPI: 1467766907 Family Health Center Inc 615 E Crosstown Pkwy Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1790192946
Melendez Contreras, Cinthya, MDp Pediatric License: 4301501608 NPI: 1083134795 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Thu 8:00am 8:00pm, Fri 8:00am 6:00pm, Sat 8:30am 5:30pm Certification: Am Board Pediatrics Group(s): Family Health Center Inc Pc 1023560331

Mirvis, Bruce, MDp Pediatric License: 4301116689 NPI: 1568434835 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Thu 8:00am 8:00pm, Fri 8:00am 6:00pm, Sat 8:30am 5:30pm Certification: Am Board Pediatrics Group(s): Family Health Center Inc Pc 1023560331
Moinuddin, Imran, MDp Internal Medicine License: 4301092670 NPI: 1861649907 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Thu 8:00am 8:00pm, Fri 8:00am 6:00pm, Sat 8:30am 5:30pm Punjabi, Urdu Certification: Am Bd Internal Med Group(s): Family Health Center Inc Pc 1023560331

Moses, Juanita, MDp Pediatric License: 4301072595 NPI: 1225293905 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:30pm Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331
Ortega, Danielle, DOp Family Medicine License: 5101025568 NPI: 1619408051 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Thu 8:00am 8:00pm, Fri 8:00am 6:00pm, Sat 8:30am 5:30pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1023560331

Stolnicki, Tara, NPp Family Nurse Practitioner License: 4704276958 NPI: 1679039762 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:30pm Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1790192946
Stolnicki, Tara, NPp Family Nurse Practitioner License: 4704276958 NPI: 1679039762 Family Health Center Inc 615 E Crosstown Pkwy Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 5:00pm Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1790192946

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Kalamazoo County continued

Proveedores de atención primaria (PCP)
Condado de Kalamazoo continuación

Van Sweden, Sally, MDp Internal Medicine License: 4301069810 NPI: 1053394551 Family Health Center Inc 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:30pm Certification: Am Bd Internal Med Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331
Wilke, Allan, MDp Family Medicine License: 4301043497 NPI: 1366404097 Family Health Center 505 E Alcott St Kalamazoo, MI 49001 (269) 349-2641 Mon-Fri 8:00am 5:30pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1023560331, Family Health Center Inc Pc 1659567956

- 49007
Duffy, Mckenna, OTp Occupational Therapist License: 5201011218 NPI: 1821675414 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 5:30pm Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331
Eichorn, Wesley, DOp Family Medicine License: 5101021059 NPI: 1457762734 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Thu 8:00am 8:00pm, Fri 8:00am 6:00pm, Sat 8:30am 5:00pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1811065576

Ellwood, Stephanie, DOp Family Medicine License: 5101025131 NPI: 1477934024 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 5:30pm Certification: Am Board Family Medicine Group(s): Wmu School Of Medicine Pc 1316212343, Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331
Eriksen, Bethany, NPp Nurse Practitioner License: 4704272400 NPI: 1881108207 Family Health Center 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:00pm Group(s): Family Health Center Inc Pc 1659567956

Grewe, Elisia, NPp Family Nurse Practitioner License: 4704259990 NPI: 1679978431 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 5:30pm Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331
Kaur, Kawaljit, NPp Family Nurse Practitioner License: 4704246290 NPI: 1720629074 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 5:30pm Group(s): Family Health Center Inc Pc 1811065576, Family Health Center Inc Pc 1023560331

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Kalamazoo County continued

Proveedores de atención primaria (PCP)
Condado de Kalamazoo continuación

Melendez Contreras, Cinthya, MDp Pediatric License: 4301501608 NPI: 1083134795 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 1:00pm Certification: Am Board Pediatrics Group(s): Family Health Center Inc Pc 1811065576
Melendez Contreras, Cinthya, MDp Pediatric License: 4301501608 NPI: 1083134795 Family Health Center Inc Pc 615 E Crosstown Pkwy Kalamazoo, MI 49007 (269) 349-2641 Thu 1:00pm - 5:00pm Certification: Am Board Pediatrics Group(s): Family Health Center Inc Pc 1790192946

Mirvis, Bruce, MDp Pediatric License: 4301116689 NPI: 1568434835 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 1:00pm Certification: Am Board Pediatrics Group(s): Family Health Center Inc Pc 1811065576
Moinuddin, Imran, MDp Internal Medicine License: 4301092670 NPI: 1861649907 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 1:00pm Punjabi, Urdu Certification: Am Bd Internal Med Group(s): Family Health Center Inc Pc 1811065576

Moinuddin, Imran, MDp Internal Medicine License: 4301092670 NPI: 1861649907 Family Health Center Inc Pc 615 E Crosstown Pkwy Kalamazoo, MI 49007 (269) 349-2641 Thu 1:00pm - 5:00pm Punjabi, Urdu Certification: Am Bd Internal Med Group(s): Family Health Center Inc Pc 1790192946
Ortega, Danielle, DOp Family Medicine License: 5101025568 NPI: 1619408051 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Thu 8:00am 8:00pm, Fri 8:00am 6:00pm, Sat 8:30am 5:00pm Certification: Am Board Family Medicine Group(s): Family Health Center Inc Pc 1811065576

Stolnicki, Tara, NPp Family Nurse Practitioner License: 4704276958 NPI: 1679039762 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Fri 8:00am 8:00pm, Sat 8:00am 1:00pm Group(s): Family Health Center Inc Pc 1811065576
Van Sweden, Sally, MDp Internal Medicine License: 4301069810 NPI: 1053394551 Family Health Center Inc 117 W Paterson St Kalamazoo, MI 49007 (269) 349-2641 Mon-Thu 8:00am 8:00pm, Fri 8:00am 6:00pm, Sat 8:30am 5:00pm Certification: Am Bd Internal Med Group(s): Family Health Center Inc Pc 1811065576

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Kalamazoo County continued

Proveedores de atención primaria (PCP)
Condado de Kalamazoo continuación

- 49008
Baker, Joanne, MDp Internal Medicine License: 5101011283 NPI: 1851338610 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Wmu School Of Medicine Pc 1316212343
Bannon, Susan, MDp Internal Medicine License: 4301070395 NPI: 1356310411 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Group(s): Wmu School Of Medicine Pc 1316212343
Brown, Kelly, MDp Pediatric License: 4301110875 NPI: 1962614149 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Group(s): Wmu School Of Medicine Pc 1316212343

Cabral, Maria, MDp Pediatric License: 4301114241 NPI: 1467683706 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Wmu School Of Medicine Pc 1316212343
Driscoll, Ross, MDp Internal Medicine License: 4301079537 NPI: 1427027424 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Group(s): Wmu School Of Medicine Pc 1316212343
Gibson, Kristine, MDp Pediatric License: 4301063502 NPI: 1972573525 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Group(s): Wmu School Of Medicine Pc 1316212343

Kavanaugh, Kevin, MDp Internal Medicine License: 4301052270 NPI: 1841269198 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Group(s): Wmu School Of Medicine Pc 1316212343
Klopfenstein, Lori, NPp Family Nurse Practitioner License: 4704214201 NPI: 1467630145 Oak Street Health 1663 Westnedge Ave Kalamazoo, MI 49008 (269) 694-3001 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478
Loehrke, Mark, MDp Internal Medicine License: 4301401826 NPI: 1801865696 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Wmu School Of Medicine Pc 1316212343

Nuncio, Joseph, NPp Primary Care Nurse Practitioner License: 4704264632 NPI: 1316411333 Wmu School Of Medicine Pc 629 Pioneer St Ste 200 Kalamazoo, MI 49008 (269) 381-2437 Group(s): Wmu School Of Medicine Pc 1316212343
Patel, Prashant, DOp Internal Medicine License: 5101021832 NPI: 1396125449 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Wmu School Of Medicine Pc 1316212343
Peirce, Diane, MDp Internal Medicine License: 4301052692 NPI: 1265450290 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Wmu School Of Medicine Pc 1316212343

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

77

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Primary Care Providers
Kalamazoo County continued

Proveedores de atención primaria (PCP)
Condado de Kalamazoo continuación

Roach, Richard, MDp Internal Medicine License: 4301041003 NPI: 1073582524 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Wmu School Of Medicine Pc 1316212343
Schauer, Mark, MDp Internal Medicine License: 4301048102 NPI: 1609803378 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Wmu School Of Medicine Pc 1316212343

Vanderkooy, Erica, MDp Pediatric License: 4301096403 NPI: 1023339249 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Group(s): Wmu School Of Medicine Pc 1316212343
Woodhams, Priscilla, MDp Pediatric License: 4301072642 NPI: 1972512960 Wmu School Of Medicine Pc 1000 Oakland Dr Kalamazoo, MI 49008 (269) 337-6500 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Wmu School Of Medicine Pc 1316212343

Yanez, Jeffrey, MDp Internal Medicine License: 4301055460 NPI: 1851360739 Oak Street Health 1663 Westnedge Ave Kalamazoo, MI 49008 (269) 694-3001 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Osh Mi Physicians Group Pc 1700236478
- 49009
Bouchard, Donnie, DOp Pediatric License: 5101011443 NPI: 1306923313 Holy Family Healthcare Pc 1441 S Westnede Ave Kalamazoo, MI 49009 (269) 621-0011 Mon-Fri 9:00am 5:00pm Group(s): Holy Family Healthcare - 1154744597, Holy Family Healthcare Pc - 1841748688

PORTAGE - 49024
Barr, Jayne, MDp Internal Medicine License: 4301110891 NPI: 1053340810 Wmed Pediatric And Adolescent Medicine 670 Mall Dr Portage, MI 49024 (269) 327-1900 Mon-Fri 8:00am 5:00pm, Sat 8:00am 12:00pm Certification: Am Board Pediatrics Group(s): Wmu School Of Medicine Pc 1316212343
Brown, Kelly, MDp Pediatric License: 4301110875 NPI: 1962614149 Wmed Pediatric And Adolescent Medicine 670 Mall Dr Portage, MI 49024 (269) 327-1900 Mon-Fri 8:00am 5:00pm, Sat 8:00am 12:00pm Group(s): Wmu School Of Medicine Pc 1316212343

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Kalamazoo County continued

Proveedores de atención primaria (PCP)
Condado de Kalamazoo continuación

De Leon, Jocelyn, MDp Pediatric License: 4301094382 NPI: 1992934327 Wmed Pediatric And Adolescent Medicine 670 Mall Dr Portage, MI 49024 (269) 327-1900 Mon-Fri 8:00am 5:00pm, Sat 8:00am 12:00pm Certification: Am Board Pediatrics Group(s): Wmu School Of Medicine Pc 1316212343
Gibson, Kristine, MDp Pediatric License: 4301063502 NPI: 1972573525 Wmed Pediatric And Adolescent Medicine 670 Mall Dr Portage, MI 49024 (269) 327-1900 Mon-Fri 8:00am 5:00pm, Sat 8:00am 12:00pm Group(s): Wmu School Of Medicine Pc 1316212343

Shrestha, Mahesh, MDp Pediatric License: 4301116894 NPI: 1417334541 Wmed Pediatric And Adolescent Medicine 670 Mall Dr Portage, MI 49024 (269) 327-1900 Mon-Fri 8:00am 5:00pm, Sat 8:00am 12:00pm Group(s): Wmu School Of Medicine Pc 1316212343
Woodhams, Priscilla, MDp Pediatric License: 4301072642 NPI: 1972512960 Wmed Pediatric And Adolescent Medicine 670 Mall Dr Portage, MI 49024 (269) 327-1900 Mon-Fri 8:00am 5:00pm, Sat 8:00am 12:00pm Certification: Am Board Pediatrics Group(s): Wmu School Of Medicine Pc 1316212343

Kent
CEDAR SPRINGS - 49319
Rosel, Terri, NP Nurse Practitioner License: 4704266153 NPI: 1326270760 Cherry Health 204 E Muskegon St Cedar Springs, MI 49319 (616) 696-3470 Mon-Fri 8:00am 5:00pm Group(s): Cherry Street Health Services Pc 1558459164
COMSTOCK PARK - 49321
Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 4050 Alpine Ave Nw Comstock Park, MI 49321 (616) 885-1475 Mon-Sat 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

GRAND RAPIDS - 49503
Carson, Megan, PAp Physician Assistant License: 5601004086 NPI: 1679631816 Cherry Health 2135 Buchanan Grand Rapids, MI 49503 (616) 247-3638 Mon-Sun 24 HOURS 24 HOURS Spanish Group(s): Cherry Street Health Services Pc 1558459164
Chappell, Heather, NPp Family Nurse Practitioner License: 4704325294 NPI: 1023077005 Gvsu Family Health Center 72 Sheldon Blvd Se Grand Rapids, MI 49503 (616) 331-9830 Mon-Fri 8:00am 5:00pm Group(s): Grand Valley State University 1518019223

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Kent County continued

Proveedores de atención primaria (PCP)
Condado de Kent continuación

Hughes Carter, Della, NPp Nurse Practitioner License: 4704149209 NPI: 1700160306 Gvsu Family Health Center 72 Sheldon Blvd Se Grand Rapids, MI 49503 (616) 331-9830 Mon-Fri 8:00am 5:00pm Group(s): Grand Valley State University 1518019223
Kallio, Jerrica, NPp Family Nurse Practitioner License: 4704369106 NPI: 1821577479 Gvsu Family Health Center 72 Sheldon Blvd Se Grand Rapids, MI 49503 (616) 331-9830 Mon-Fri 8:00am 5:00pm Group(s): Grand Valley State University 1518019223

Mashni, Melissa, MDp Family Medicine License: 4301108411 NPI: 1720346695 Cherry Health 100 Cherry St Se Grand Rapids, MI 49503 (616) 965-8200 Mon-Thu 7:30am 8:00pm, Fri 7:30am 5:00pm, Sat 9:00am 12:00pm Certification: Am Board Family Medicine Group(s): Cherry Street Health Services Pc 1558459164
Musson, Paul, MDp Internal Medicine License: 4301045140 NPI: 1730157173 Flint Odyssey House Inc 1108 Lapeer Rd Grand Rapids, MI 49503 (810) 238-5888 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Flint Odyssey House Inc

- 49504
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 2807 Lake Michigan Dr Nw Ste 1 Grand Rapids, MI 49504 (616) 828-1326 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Carson, Megan, PAp Physician Assistant License: 5601004086 NPI: 1679631816 Cherry Health 669 Stocking Ave Nw Grand Rapids, MI 49504 (616) 235-1480 Mon-Sun 12:00am 11:59pm Spanish Group(s): Cherry Street Health Services Pc 1558459164

- 49505
Osman, Eli, MDp Internal Medicine License: 4301101593 NPI: 1912269663 Detroit Medical Consultants Pc 100 Michigan St Ne Grand Rapids, MI 49505 (313) 974-7651 Mon-Fri 8:00am 11:30pm, Sat-Sun 8:00am - 5:00pm Group(s): Detroit Medical Consultants Pc 1609229848
- 49508
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 6333 Kalamazoo Ave Se Ste 600 Grand Rapids, MI 49508 (616) 649-1577 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Kent County continued

Proveedores de atención primaria (PCP)
Condado de Kent continuación

Suhajda, Janice, MDp Family Medicine License: 4301058524 NPI: 1477611218 Patient One Care Pllc 1740 28th St Se Grand Rapids, MI 49508 (616) 288-2980 Mon-Sun 8:00am 8:00pm Certification: Am Board Family Medicine Group(s): Patient One Care Pllc -1770934325
- 49512
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 3854 28th St Se Grand Rapids, MI 49512 (616) 940-4520 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

- 49525
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 1600 E Beltline Ave Ne Ste 301 Grand Rapids, MI 49525 (616) 818-0586 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 2036 A East Beltline Ave Ne Grand Rapids, MI 49525 (616) 885-1194 Mon-Sat 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

- 49546
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 5925 28th St Se Grand Rapids, MI 49546 (616) 977-5700 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
GRANDVILLE - 49418
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 3819 Rivertown Pkwy Sw Ste 100 Grandville, MI 49418 (616) 818-0018 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 4520 Ivanrest Ave Grandville, MI 49418 (616) 710-5806 Mon-Sat 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
WYOMING - 49509
Liao, Theodore, MDp Family Medicine License: 4301096891 NPI: 1184937013 Cherry Health 2929 Burlingame Ave Sw Wyoming, MI 49509 (616) 965-8333 Mon-Fri 8:00am 5:00pm Group(s): Cherry Street Health Services Pc 1558459164
Machireddy, Seenamma, MD Family Medicine License: 4301102242 NPI: 1881901916 Cherry Health 2929 Burlingame Ave Sw Wyoming, MI 49509 (616) 965-8333 Mon-Fri 8:00am 5:00pm Telugu Group(s): Cherry Street Service Inc Pc 1184974263

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Lake County

Proveedores de atención primaria (PCP)
Condado de Lake

Lake
BALDWIN - 49304
Cvetich, Anna, NPp Family Nurse Practitioner License: 4704287228 NPI: 1164086526 Baldwin Family Health Care 1615 Michigan Ave Baldwin, MI 49304 (231) 745-4624 Mon-Fri 7:30am 8:00pm, Sat 9:00am 1:00pm Group(s): Baldwin Family Health Care Pc 1689783698
Lapeer
IMLAY CITY - 48444
Ebert, Galen, DOpq Family Medicine License: 5101009029 NPI: 1922159722 Ebert Medical Pc 6800 Newark Rd Imlay City, MI 48444 (810) 724-1600 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ebert Medical Pc

Molla, Nashita, MD Family Medicine License: 4301503778 NPI: 1417449133 Great Lakes Bay Health Centers 6800 Newark Rd Ste 200 Imlay City, MI 48444 (810) 724-3201 Mon-Thu 8:30am 5:00pm, Fri 8:30am 12:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1710181128
Nolan, Jessica, NPp Family Nurse Practitioner License: 4704311826 NPI: 1043785165 Zachary Hillman Do Pllc 814 S Cedar St Imlay City, MI 48444 (810) 721-7476 Mon-Fri 9:00am 5:00pm Group(s): Zachary Hillman Do Pllc 1194342808

Nweke, Onyinyechi, MD p Pediatric License: 4301500545 NPI: 1154876522 Great Lakes Bay Health Centers 6800 Newark Rd Ste 200 Imlay City, MI 48444 (810) 724-3201 Mon-Thu 8:30am 5:00pm, Fri 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Great Lakes Bay Health Centers Pc 1710181128, Great Lakes Bay Health Centers Pc 1871684761
Weeks, Craig, MD Family Medicine License: 4301500953 NPI: 1417338245 Great Lakes Bay Health Centers 6800 Newark Rd Ste 200 Imlay City, MI 48444 (810) 724-3201 Mon-Thu 8:30am 5:00pm, Fri 8:30am 12:00pm Certification: Am Board Family Medicine Group(s): Great Lakes Bay Health Centers Pc 1710181128, Great Lakes Bay Health Centers Pc 1871684761

Wittgens, David, MDp Family Medicine License: 4301094800 NPI: 1801025432 Great Lakes Bay Health Centers 6800 Newark Rd Ste 200 Imlay City, MI 48444 (810) 724-3201 Mon-Thu 8:30am 5:00pm, Fri 8:30am 12:00pm Spanish Group(s): Great Lakes Bay Health Centers Pc 1710181128
LAPEER - 48446
Al Harastani, Mohammed, MDp Pediatric License: 4301067273 NPI: 1619968922 Lapeer Pediatrics Pc 1083 Suncrest Dr Ste A Lapeer, MI 48446 (810) 245-9700 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Arabic Certification: Am Board Pediatrics Group(s): Lapeer Pediatrics Pc 1265623276

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Lapeer County continued

Al Harastani, Sami, MD p Pediatric License: 4301108027 NPI: 1922495043 Lapeer Pediatrics Pc 1083 Suncrest Dr Ste A Lapeer, MI 48446 (810) 245-9700 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Board Pediatrics Group(s): Lapeer Pediatrics Pc 1265623276
Arja, Mohamad, MDp Internal Medicine License: 4301089537 NPI: 1548299464 Arja Md Pc 1739 N Saginaw Lapeer, MI 48446 (810) 305-0061 Mon-Fri 9:00am 5:00pm Arabic, French, Italian Certification: Am Bd Internal Med Group(s): Arja Md Pc
Bajjuri, Sriranjani, MDp Internal Medicine License: 4301098059 NPI: 1811275209 Mclaren Lapeer Region 1254 N Main St Lapeer, MI 48446 (810) 664-4531 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 2:00pm Group(s): Mclaren Lapeer Region 1184998288

Bhalla, Anshum, MD Internal Medicine License: 4301108398 NPI: 1154737609 Degara App, Pllc 1375 N. Main Lapeer, MI 48446 (810) 667-5204 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Port Huron Internal Medicine 1528252251
Boyle, Elaine, PAp Physician Assistant License: 5601004618 NPI: 1669499281 Hamilton Community Health Network 1570 Suncrest Dr Lapeer, MI 48446 (810) 410-2832 Mon-Fri 8:30am 5:30pm Certification: National Commission On Certification Of Physician Assistants Group(s): Hamilton Community Health Network Pc 1386624278

Proveedores de atención primaria (PCP)
Condado de Lapeer continuación

Dharamraj, Keith, MDp Pediatric License: 4301042554 NPI: 1962484139 Mclaren Reg Med Ctr 1254 N Main St Lapeer, MI 48446 (810) 664-4531 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 2:00pm Group(s): Mclaren Lapeer Region 1184998288
Glenn, Brian, MDp Family Medicine License: 4301095778 NPI: 1841290970 Mclaren Lapeer Region 1254 N Main St Lapeer, MI 48446 (810) 664-4531 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 2:00pm Group(s): Mclaren Lapeer Region 1184998288
Mann, Jaspreet, MDp Family Medicine License: 4301107173 NPI: 1184006280 Hamilton Community Health Network 1570 Suncrest Dr Lapeer, MI 48446 (810) 410-2832 Mon-Fri 8:30am 5:30pm Certification: Am Board Family Medicine Group(s): Hamilton Community Health Network Pc 1386624278

Mcrorie, Sharon, NPp Gerontologist Nurse Practitioner License: 4704248029 NPI: 1508396235 Arja Md Pc 1739 N Saginaw Lapeer, MI 48446 (810) 305-0061 Mon-Fri 9:00am 5:00pm Group(s): Arja Md Pc
Mills, Kailey, NPp Family Nurse Practitioner License: 4704320852 NPI: 1508430083 Convenient Urgent Care 700 S Main St Unit 101B Lapeer, MI 48446 (810) 969-4500 Mon-Fri 9:00am 7:00pm, Sat-Sun 9:00am - 5:00pm Group(s): Flushing Urgent Care Plc Pc 1780930016
Nolan, Jessica, NPp Family Nurse Practitioner License: 4704311826 NPI: 1043785165 Zachary Hillman Do Pllc 1794 N Lapeer Rd Ste A Lapeer, MI 48446 (810) 721-7476 Mon-Fri 9:00am 5:00pm Group(s): Zachary Hillman Do Pllc 1194342808

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Lapeer County continued

Proveedores de atención primaria (PCP)
Condado de Lapeer continuación

Paragon Rehabilitation Physical Therapy Clinic NPI: 1871867325 1739 N Saginaw Rd Ste 103 Lapeer, MI 48446 (810) 660-7754 Mon-Thu 7:00am 5:00pm, Fri 7:00am 12:00pm Group(s): Paragon Rehabilitation
Sharma, Neena, MDp Internal Medicine License: 4301098944 NPI: 1104111533 The Sharma Clinic Pllc 3257 Davison Rd Lapeer, MI 48446 (810) 664-4713 Mon-Wed,Fri 9:00am 5:00pm, Thu 9:00am 7:00pm Spanish Group(s): The Sharma Clinic Pllc
Sharma, Vishnu, MDp Internal Medicine License: 4301036505 NPI: 1407958440 The Sharma Clinic Pllc 3257 Davison Rd Lapeer, MI 48446 (810) 664-4713 Mon-Wed,Fri 9:00am 5:00pm, Thu 9:00am 7:00pm Hindi Certification: Am Bd Internal Med Group(s): The Sharma Clinic Pllc

Williams, Tetyana, NPp Nurse Practitioner License: 4704290197 NPI: 1174157556 Convenient Urgent Care 700 S Main St Unit 101B Lapeer, MI 48446 (810) 969-4500 Mon-Fri 9:00am 7:00pm, Sat-Sun 9:00am - 5:00pm Group(s): Flushing Urgent Care Plc Pc 1780930016
NORTH BRANCH - 48461
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 5832 N Lapeer Rd Ste A, B, C North Branch, MI 48461 (810) 793-5282 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Mclean, Nikole, NPp Family Nurse Practitioner License: 4704246079 NPI: 1083153332 Deerfield Compassionate Care Family Practice 5830 N Lapeer Rd North Branch, MI 48461 (810) 270-9301 Mon-Wed 7:00am 6:00pm, Thu 9:00am 8:00pm Group(s): Columbiaville Family Clinic Llc 1457716102
Tackabury, Daniel, MDp Family Medicine License: 4301070116 NPI: 1104807973 Mclaren Lapeer Region 4482 Huron St North Branch, MI 48461 (810) 688-3093 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Lapeer Region 1184998288

Leelanau
SUTTONS BAY - 49682
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 71 Fourth St Suttons Bay, MI 49682 (231) 271-3939 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Lenawee
ADRIAN - 49221
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 1801 W Maumee St Ste 125 Adrian, MI 49221 (517) 264-6141 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Lenawee County continued

Proveedores de atención primaria (PCP)
Condado de Lenawee continuación

Collins, Sarah, NPp Nurse Practitioner License: 4704213560 NPI: 1548514177 Family Medical Center Of Michigan Inc 1200 N Main St Adrian, MI 49221 (517) 263-1800 Mon-Fri 8:00am 6:00pm Group(s): Family Medical Center Of Michigan Inc Pc 1265591812
Demots, William, MDp Family Medicine License: 4301035215 NPI: 1992791453 Family Medical Center Of Michigan Inc 1200 N Main St Adrian, MI 49221 (517) 263-1800 Mon-Fri 8:00am 6:00pm Group(s): Family Medical Center Of Michigan Inc Pc 1265591812

CEMENT CITY - 49233
Gantt, Charlie, NPp Primary Care Nurse Practitioner License: 4704317868 NPI: 1346861440 Hillsdale Pulm Crit Care And Sleep Med 18297 Us Highway 127 Cement City, MI 49233 (517) 547-4845 Mon-Fri 8:00am 8:00pm Group(s): Hillsdale Pulm Crit Care And Sleep Med Pc - 1730361254
Votzke, Denton, PAp Physician Assistant License: 5601009860 NPI: 1952932147 Hillsdale Pulm Crit Care And Sleep Med 18297 Us Highway 127 Cement City, MI 49233 (517) 547-4845 Mon-Fri 8:00am 8:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Hillsdale Pulm Crit Care And Sleep Med Pc - 1730361254

CLINTON - 49236
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 1671 W Michigan Ave Clinton, MI 49236 (517) 456-7923 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
HUDSON - 49247
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 325 Railroad St Ste B Hudson, MI 49247 (517) 448-2035 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Schmidt, Jonna, MDxp Internal Medicine License: 4301406858 NPI: 1841295698 Jonna L Schmidt M D Pc 456 Cross St Hudson, MI 49247 (517) 448-8918 Mon-Thu 9:00am 5:00pm, Fri 9:00am 12:00pm Group(s): Jonna L Schmidt M D Pc 1568630804 PEIRXT
Livingston
BRIGHTON - 48116
Akhtar, Jabir, MD Family Medicine License: 4301099883 NPI: 1932468881 American Ambulatory Physicians Pllc 1021 Karl Griemel Dr Ste 102 Brighton, MI 48116 (810) 225-0086 Mon-Sun 9:00am 9:00pm Group(s): American Ambulatory Physicians Pllc - 1437407483

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Livingston County continued

Proveedores de atención primaria (PCP)
Condado de Livingston continuación

Ali, Nasir, MD Internal Medicine License: 4301069965 NPI: 1881629723 American Ambulatory Physicians Pllc 1021 Karl Griemel Dr Ste 102 Brighton, MI 48116 (810) 225-0086 Mon-Sun 9:00am 9:00pm Certification: Am Bd Internal Med Group(s): American Ambulatory Physicians Pllc - 1437407483
Alperin, Tracey, MDp Internal Medicine License: 4301502233 NPI: 1609227958 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1013935733, Regents Of The University Of Michigan 1275565657

Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 8491 W Grand River Ave Ste 600 Brighton, MI 48116 (810) 225-1187 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 10415 E Grand River Ste 300 Brighton, MI 48116 (810) 229-6140 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Borgeson, Jeffrey, MDp Internal Medicine License: 4301104735 NPI: 1699092072 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Regents Of The University Of Michigan - 1366472326, Regents Of The University Of Michigan 1275565657
Chua, Kao Ping, MD Pediatric License: 4301113525 NPI: 1093973521 Regents Of The University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1013935733

Cox, Amanda, MDp Internal Medicine License: 4301078101 NPI: 1083703946 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Regents Of The University Of Michigan - 1275565657
Ealovega, Mark, MDp Internal Medicine License: 4301076222 NPI: 1134218001 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Regents Of The University Of Michigan - 1275565657

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Livingston County continued

Proveedores de atención primaria (PCP)
Condado de Livingston continuación

Ezzat, Samir, MD Family Medicine License: 4301079804 NPI: 1649285131 American Ambulatory Physicians Pllc 1021 Karl Griemel Dr Ste 102 Brighton, MI 48116 (810) 225-0086 Mon-Sun 9:00am 9:00pm Arabic Certification: Am Board Family Medicine Group(s): American Ambulatory Physicians Pllc - 1437407483
Gessner, Lynn, MDp Pediatric License: 4301063843 NPI: 1780608943 Regents Of The University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Group(s): Regents Of The University Of Michigan - 1013935733

Goodson, Stephanie, MD p Pediatric License: 4301076764 NPI: 1639188642 Regents Of The University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1013935733
Hammoud, Annissa, MD p Internal Medicine License: 4301075812 NPI: 1922197151 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1275565657, Regents Of The University Of Michigan 1851682504

Helmle, Anita, MDp Internal Medicine License: 4301053238 NPI: 1447332218 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Bd Internal Med (Rheumatology) Group(s): Regents Of The University Of Michigan - 1174555221, Regents Of The University Of Michigan 1275565657
Hendricks Sparrow, La
Donna, MD Pediatric License: 4301088258 NPI: 1952509838 Regents Of The University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Group(s): Regents Of The University Of Michigan - 1013935733

Kalwani, Shubham, DOp Family Medicine License: 5101025411 NPI: 1811485485 Pediatrics Nephrology 7500 Challis Rd Brighton, MI 48116 (810) 263-4000 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Regents Of The University Of Michigan - 1669402848
Madison, Julia, MDp Pediatric License: 4301076084 NPI: 1033125208 Regents Of The University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1013935733

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Livingston County continued

Nzoma, Alanna, MDp Pediatric License: 4301103014 NPI: 1730346495 Regents Of The University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1013935733
Patel, Neesha, MDp Pediatric License: 4301118971 NPI: 1356792121 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1033143623, Regents Of The University Of Michigan 1013935733

Patel, Neetaben, MD Family Medicine License: 4301083183 NPI: 1174616197 American Ambulatory Physicians Pllc 1021 Karl Griemel Dr Ste 102 Brighton, MI 48116 (810) 225-0086 Mon-Sun 9:00am 9:00pm Group(s): American Ambulatory Physicians Pllc - 1437407483
Peirce, Caitlin, MDp Internal Medicine License: 4301502594 NPI: 1801250998 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Group(s): Regents Of The University Of Michigan - 1275565657

Proveedores de atención primaria (PCP)
Condado de Livingston continuación

Rao, Shanti, MDp Pediatric License: 4301068923 NPI: 1326054594 Regents Of The University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Hindi, Kannada, Telugu Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1013935733
Scott-Craig, Thomas, MDp Internal Medicine License: 4301094165 NPI: 1043449929 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Regents Of The University Of Michigan - 1275565657

Scowden, Vanessa, MDp Internal Medicine License: 4301107192 NPI: 1386902948 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Regents Of The University Of Michigan - 1275565657
Sylvestre, Nastassia, MD p Internal Medicine License: 4301107039 NPI: 1649658659 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Regents Of The University Of Michigan - 1275565657

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Livingston County continued

Wallace, David, MDp Internal Medicine License: 4301096113 NPI: 1437478385 Regents University Of Michigan 8001 Challis Rd Brighton, MI 48116 (810) 227-9510 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1033143623, Regents Of The University Of Michigan 1013935733, Regents Of The University Of Michigan - 1275565657
FOWLERVILLE - 48836
Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 202 E Van Riper Rd Ste 200 Fowlerville, MI 48836 (517) 223-2100 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

HAMBURG - 48139
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 10020 Professional Center Dr Ste 100 Hamburg, MI 48139 (810) 893-7623 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
HARTLAND - 48353
Akhtar, Jabir, MD Family Medicine License: 4301099883 NPI: 1932468881 American Ambulatory Physicians Pllc 11554 Highland Rd Hartland, MI 48353 (810) 632-0086 Mon-Sun 9:00am 9:00pm Group(s): American Ambulatory Physicians Pllc - 1437407483

Proveedores de atención primaria (PCP)
Condado de Livingston continuación

Ali, Nasir, MD Internal Medicine License: 4301069965 NPI: 1881629723 American Ambulatory Physicians Pllc 11554 Highland Rd Hartland, MI 48353 (810) 632-0086 Mon-Sun 9:00am 9:00pm Certification: Am Bd Internal Med Group(s): American Ambulatory Physicians Pllc - 1437407483
Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 10860 Highland Rd Hartland, MI 48353 (810) 632-1000 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Ezzat, Samir, MD Family Medicine License: 4301079804 NPI: 1649285131 American Ambulatory Physicians Pllc 11554 Highland Rd Hartland, MI 48353 (810) 632-0086 Mon-Sun 9:00am 9:00pm Arabic Certification: Am Board Family Medicine Group(s): American Ambulatory Physicians Pllc - 1437407483
Kopel, Mark, DOp Family Medicine License: 5101008618 NPI: 1437264645 Hartland Family Physicians Pc 11150 Highland Rd Hartland, MI 48353 (810) 632-6380 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Hartland Family Physicians Pc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Livingston County continued

Proveedores de atención primaria (PCP)
Condado de Livingston continuación

Mckenna, Matthew, MD p Family Medicine License: 4301501546 NPI: 1992225882 Vhs Physicians Of Michigan 11166 Highland Rd Ste A Hartland, MI 48353 (248) 717-0585 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Patel, Neetaben, MD Family Medicine License: 4301083183 NPI: 1174616197 American Ambulatory Physicians Pllc 11554 Highland Rd Hartland, MI 48353 (810) 632-0086 Mon-Sun 9:00am 9:00pm Group(s): American Ambulatory Physicians Pllc - 1437407483

HOWELL - 48843
Akers, Danielle, MDp Pediatric License: 4301099167 NPI: 1932496676 Regents Of The University Of Michigan 3399 E Grand River Ave Howell, MI 48843 (517) 548-1020 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1033143623, Regents Of The University Of Michigan 1013935733
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 1485 N Michigan Ave Ste 100 Howell, MI 48843 (517) 545-5880 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 4379 E Grand River Ave Ste 12 Howell, MI 48843 (517) 586-0008 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Camara, Robert, DOp Family Medicine License: 5101013444 NPI: 1942207931 Providence Hospital Med Center Pc 1225 S Latson Rd Ste 350 Howell, MI 48843 (517) 546-0200 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Providence Hospital Med Center Pc - 1538123963

Chytry, Meghan, NPpq Nurse Practitioner License: 4704285504 NPI: 1972062776 Providence Hospital Med Center Pc 1225 S Latson Rd Ste 350 Howell, MI 48843 (517) 546-0200 Mon-Fri 9:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Providence Hospital Med Center Pc - 1538123963
Hunter, Christopher, NP p Nurse Practitioner License: 4704209219 NPI: 1871084525 Howell Family Care Pllc 1225 W Grand River Ste 300 Howell, MI 48843 (517) 548-0010 Group(s): Howell Family Care Pllc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Livingston County continued

Proveedores de atención primaria (PCP)
Condado de Livingston continuación

Knapp, David, PAp Physician Assistant License: 5601002533 NPI: 1700800422 Ascension Medical Group Michigan 1225 S Latson Rd Ste 340 Howell, MI 48843 (810) 225-4589 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Ascension Medical Group Michigan Pc 1376644922
Korzym, Derek, MDpq Family Medicine License: 4301117175 NPI: 1730542275 Ascension Medical Group Michigan 1225 S Latson Rd Ste 340 Howell, MI 48843 (810) 225-4589 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1376644922

Maddock, Benjamin, MD p Pediatric License: 4301504624 NPI: 1679004204 Regents Of The University Of Michigan 3399 E Grand River Ave Howell, MI 48843 (517) 548-1020 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1013935733
Michals, Eva, PAp Physician Assistant License: 5601003055 NPI: 1326349655 Medical Resources Group 1225 S Latson Rd Ste 260 Howell, MI 48843 (810) 227-2767 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Ascension Medical Group Michigan Pc 1376644922

Reed, Lauren, MDp Pediatric License: 4301092165 NPI: 1144480872 Regents Of The University Of Michigan 3399 E Grand River Ave Howell, MI 48843 (517) 548-1020 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1033143623, Regents Of The University Of Michigan 1013935733
Ruiz, Cynthia, MDp Pediatric License: 4301068518 NPI: 1831105006 Regents Of The University Of Michigan 3399 E Grand River Ave Howell, MI 48843 (517) 548-1020 Mon-Fri 9:00am 5:00pm Group(s): Regents Of The University Of Michigan - 1033143623, Regents Of The University Of Michigan 1013935733

Simpson, Sheryl, DOp Family Medicine License: 5101014703 NPI: 1063414076 Howell Family Care Pllc 1221 Byron Rd Ste 5 Howell, MI 48843 (517) 548-0010 Mon-Wed 7:30am 4:00pm, Thu 7:30am 5:00pm, Fri 7:30am 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Howell Family Care Pllc
Wallace, David, MDp Internal Medicine License: 4301096113 NPI: 1437478385 Regents Of The University Of Michigan 3399 E Grand River Ave Howell, MI 48843 (517) 548-1020 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1033143623, Regents Of The University Of Michigan 1013935733, Regents Of The University Of Michigan - 1275565657

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Livingston County continued

Proveedores de atención primaria (PCP)
Condado de Livingston continuación

Wickham, Cheryl, MDp Pediatric License: 4301047502 NPI: 1285687939 Regents Of The University Of Michigan 3399 E Grand River Ave Howell, MI 48843 (517) 548-1020 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1033143623, Regents Of The University Of Michigan 1013935733
Wilson, Katherine, MDp Pediatric License: 4301111331 NPI: 1942620059 Regents Of The University Of Michigan 3399 E Grand River Ave Howell, MI 48843 (517) 548-1020 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Regents Of The University Of Michigan - 1033143623, Regents Of The University Of Michigan 1013935733

Yalldo, Bashar, MDpq Family Medicine License: 4301102834 NPI: 1891133575 Providence Hospital Med Center Pc 1225 S Latson Rd Ste 350 Howell, MI 48843 (517) 546-0200 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital Med Center Pc - 1538123963
PERRY - 48872
Larkin, Jill, MDp Family Medicine License: 4301061402 NPI: 1942294830 Larkin Family Medicine, Plc 3737 West Lansing Road Perry, MI 48872 (517) 975-2300 Group(s): Larkin Family Medicine Plc
PINCKNEY - 48169
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 1201 E M - 36 Ste A Pinckney, MI 48169 (734) 648-0138 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Macomb
ARMADA - 48005
Plymouth Physical Therapy Specialists Limited Partnershipp Physical Therapy Clinic NPI: 1346609542 Plymouth Physical Therapy Specialists Lp 72980 Fulton St Ste B Armada, MI 48005 (586) 784-6004 Mon-Fri 9:00am 5:00pm Group(s): Plymouth Physical Therapy Specialists Limited Partnership
Plymouth Physical Therapy Specialists Lp 1356368047p Physical Therapy Clinic NPI: 1356368047 Plymouth Physical Therapy Specialists Lp 23091 E Main St Armada, MI 48005 (586) 784-6004 Mon-Fri 6:00am 7:00pm Group(s): Plymouth Physical Therapy Specialists Lp 1356368047

BRUCE TOWNSHIP
- 48065
Hafeez, Farrah, DOp Family Medicine License: 5101019545 NPI: 1154610335 Henry Ford Health System 80600 Van Dyke Rd Bruce Township, MI 48065 (810) 798-6560 Mon 8:00am - 7:00pm, Tue,Fri 7:00am - 5:00pm, Wed-Thu 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Haq, Junaed, MDp Family Medicine License: 4301086147 NPI: 1730341868 Henry Ford Health System 80600 Van Dyke Rd Bruce Township, MI 48065 (810) 798-6560 Mon 8:00am - 7:00pm, Tue,Fri 7:00am - 5:00pm, Wed-Thu 8:00am 5:00pm Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Khan, Mubina, MDp Family Medicine License: 4301072412 NPI: 1053336271 Henry Ford Health System 80600 Van Dyke Rd Bruce Township, MI 48065 (810) 798-6560 Mon 8:00am - 7:00pm, Tue,Fri 7:00am - 5:00pm, Wed-Thu 8:00am 5:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986

Ochani, Monika, MDp Family Medicine License: 4301085831 NPI: 1851509293 Henry Ford Health System 80600 Van Dyke Rd Bruce Township, MI 48065 (810) 798-6560 Mon 8:00am - 7:00pm, Tue,Fri 7:00am - 5:00pm, Wed-Thu 8:00am 5:00pm Gujarati, Hindi, Marathi, Sindhi Group(s): Henry Ford Macomb Family Medicine - 1134265986
BRUCE TWP - 48065
Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Barker, William, MDp Family Medicine License: 5101013935 NPI: 1275554073 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986

Ferrarer-Blair, Hilda, MDp Family Medicine License: 4301085592 NPI: 1487868121 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Medical Center Fairlane - 1952485351
Gadzinski, Nicholas, DO p Family Medicine License: 5101019544 NPI: 1013216068 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

93

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Haq, Junaed, MDp Family Medicine License: 4301086147 NPI: 1730341868 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Khan, Mubina, MDp Family Medicine License: 4301072412 NPI: 1053336271 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986

Mazhar, Danish, MDp Family Medicine License: 4301086417 NPI: 1003022641 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Urdu Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986
Ochani, Monika, MDp Family Medicine License: 4301085831 NPI: 1851509293 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Gujarati, Hindi, Marathi, Sindhi Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986

Packey, Nicholas, DOp Family Medicine License: 5101018950 NPI: 1104130558 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Terry Hassel, Norene, MDp Family Medicine License: 4301049445 NPI: 1982778494 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351

Webster, Mercedes, DOp Family Medicine License: 5101012136 NPI: 1093734980 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986
Yahampath, Chadmika, MDp Family Medicine License: 4301082926 NPI: 1508072133 Henry Ford Macomb Hospital Clinton Twp Pc 80650 Van Dyke Rd Bruce Twp, MI 48065 (586) 263-2300 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:30pm Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

CENTER LINE - 48015
Adair, Andrew, DOp Family Medicine License: 5101013932 NPI: 1164541702 Total Health Systems Inc 26672 Van Dyke Rd Center Line, MI 48015 (586) 756-7670 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Total Health Systems Inc 1265564900
Caldwell, Samantha, PTp Physical Therapist License: 5501016961 NPI: 1649673294 Total Health Systems Inc 26672 Van Dyke Rd Center Line, MI 48015 (586) 756-7670 Mon,Wed,Fri 8:00am 6:00pm, Tue 8:00am 7:30pm, Thu 8:00am 7:00pm, Sat 8:00am 1:30pm Group(s): Total Health Systems Inc 1265564900

Cuda, Shawna, NPp Family Nurse Practitioner License: 4704293145 NPI: 1487136552 Mycare Health Center Pc 6900 E 10 Mile Rd Center Line, MI 48015 (586) 756-7777 Mon,Thu 8:00am 7:00pm, Tue-Wed,Fri 8:00am - 5:00pm, Sat 8:00am - 2:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mycare Health Center Pc 1265749683
Forton, Jessica, PTp Physical Therapist License: 5501019502 NPI: 1275167140 Total Health Systems Inc 26672 Van Dyke Rd Center Line, MI 48015 (586) 756-7670 Mon,Wed,Fri 8:00am 6:00pm, Tue 8:00am 7:30pm, Thu 8:00am 7:00pm, Sat 8:00am 1:30pm Group(s): Total Health Systems Inc 1265564900

Gillett Elrington, Ann, MDp Obstetrics & Gynecology License: 4301072747 NPI: 1104856897 Mycare Health Center Pc 6900 E 10 Mile Rd Center Line, MI 48015 (586) 756-7777 Mon-Fri 9:00am 5:00pm Spanish Group(s): Mycare Health Center Pc 1265749683, Mycare Health Center 1811391212
Jones, Adrianne, NPp Adult Nurse Practitioner License: 4704266425 NPI: 1932534674 Mycare Health Center Pc 6900 E 10 Mile Rd Center Line, MI 48015 (586) 756-7777 Mon-Fri 9:00am 5:00pm Group(s): Mycare Health Center 1811391212
Kanta, Chander, MDp Internal Medicine License: 4301065807 NPI: 1558467373 Chander Kanta Md 26328 Vandyke Center Line, MI 48015 (586) 758-3210 Mon-Thu 10:00am 5:00pm Hindi, Punjabi, Urdu Group(s): Chander Kanta Md

Mackey, Jon, MDp Internal Medicine License: 5101021177 NPI: 1043621451 Medical Resources Group 25509 Van Dyke Ave Center Line, MI 48015 (586) 751-8844 Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500
Shah, Jinit, NPp Family Nurse Practitioner License: 4704278297 NPI: 1548792534 Vps Of Mi Pllc 8033 E Ten Mile Rd Ste 105 Center Line, MI 48015 (586) 439-1330 Mon-Fri 9:00am 5:00pm Hindi Group(s): Vps Of Mi Pllc - 1164873691

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Stachowiak, Katrina, PA p Physician Assistant License: 5601003460 NPI: 1801862842 Total Health Systems Inc 26672 Van Dyke Rd Center Line, MI 48015 (586) 756-7670 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900
Syska Jr, Michael, PTp Physical Therapist License: 5501011361 NPI: 1649497876 Total Health Systems Inc 26672 Van Dyke Rd Center Line, MI 48015 (586) 756-7670 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900
Zelch, James, MDp Family Medicine License: 4301058783 NPI: 1457487472 Clawson Medical Ctr Pllc 25429 Van Dyke Ave Center Line, MI 48015 (586) 759-1100 Mon-Fri 8:00am 6:00pm Group(s): Clawson Medical Ctr Pllc

CHESTERFIELD - 48047
Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Alfares, Soha, MD Internal Medicine License: 4301094675 NPI: 1922339977 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Bajpai, Arti, MDp Family Medicine License: 4301060893 NPI: 1184696700 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

Barker, William, MDp Family Medicine License: 5101013935 NPI: 1275554073 Henry Ford Health System 30795 23 Mile Rd Chesterfield, MI 48047 (586) 421-3150 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Barker, William, MDp Family Medicine License: 5101013935 NPI: 1275554073 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Cardellio, Anthony, MDp Family Medicine License: 5101014635 NPI: 1306865910 Henry Ford Health System 30795 23 Mile Rd Chesterfield, MI 48047 (586) 421-3150 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Ferrarer-Blair, Hilda, MDp Family Medicine License: 4301085592 NPI: 1487868121 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Gupta, Badri, MDp Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Hospital Pc - 1891702833
Haq, Junaed, MDp Family Medicine License: 4301086147 NPI: 1730341868 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Khan, Mubina, MDp Family Medicine License: 4301072412 NPI: 1053336271 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986
Lao, Ernesto, MDp Family Medicine License: 4301065252 NPI: 1235158528 Henry Ford Health System 30795 23 Mile Rd Chesterfield, MI 48047 (586) 421-3150 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Tagalog Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986

Marsheh, Nicholas, MD Internal Medicine License: 4301069838 NPI: 1962423657 Silver Pine Medical Group Plc 31225 23 Mile Rd Chesterfield, MI 48047 (586) 726-4823 Mon 8:00am - 6:00pm, Tue 7:00am - 5:00pm, Wed 7:00am - 7:00pm, Thu 8:30am - 5:00pm, Fri 8:00am - 5:00pm Arabic, French Certification: Am Bd Internal Med Group(s): Silver Pine Medical Group Plc 1639105695
Mazhar, Danish, MDp Family Medicine License: 4301086417 NPI: 1003022641 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Urdu Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Natwa, Nithin, MD Family Medicine License: 4301108007 NPI: 1932580230 Henry Ford Health System 30795 23 Mile Rd Ste 209 Ste 209 Chesterfield, MI 48047 (586) 228-6200 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine, Am Board Family Medicine (Sports Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Ochani, Monika, MDp Family Medicine License: 4301085831 NPI: 1851509293 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Gujarati, Hindi, Marathi, Sindhi Group(s): Henry Ford Macomb Family Medicine - 1134265986

Packey, Nicholas, DOp Family Medicine License: 5101018950 NPI: 1104130558 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Palaniswamy, Sujini, MD p Family Medicine License: 4301077107 NPI: 1093796278 Henry Ford Health System 30795 23 Mile Rd Chesterfield, MI 48047 (586) 421-3150 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986

Philip, Sathish, MDp Family Medicine License: 4301096861 NPI: 1194040626 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Hindi, Malayalam, Russian, Tamil Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986
Prasad, Sujatha, MDp Family Medicine License: 4301060650 NPI: 1942206545 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Rahman, Rizwana, DOp Family Medicine License: 5101020398 NPI: 1457693327 Henry Ford Health System 30795 23 Mile Rd Chesterfield, MI 48047 (586) 421-3150 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986
Terry Hassel, Norene, MDp Family Medicine License: 4301049445 NPI: 1982778494 Henry Ford Health System 30795 23 Mile Rd Ste 209 Ste 209 Chesterfield, MI 48047 (586) 228-6200 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Webster, Mercedes, DOp Family Medicine License: 5101012136 NPI: 1093734980 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986
Yahampath, Chadmika, MDp Family Medicine License: 4301082926 NPI: 1508072133 Henry Ford Med Ctr 30795 23 Mile Chesterfield, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

- 48051
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 50912 Gratiot Ave Chesterfield, MI 48051 (586) 200-6603 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Bustamante, Cristina, PA p Physician Assistant License: 5601009585 NPI: 1487287991 Total Health Systems Inc 28098 23 Mile Rd Chesterfield, MI 48051 (586) 949-0123 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Total Health Systems Inc 1265564900

Caldwell, Samantha, PTp Physical Therapist License: 5501016961 NPI: 1649673294 Total Health Systems Inc 28098 23 Mile Rd Chesterfield, MI 48051 (586) 949-0123 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:00pm Group(s): Total Health Systems Inc 1265564900
Elder, Badrea, MDp Family Medicine License: 4301500859 NPI: 1922457324 Beaumont Family Medicine 50630 Chesterfield Rd Chesterfield, MI 48051 (947) 523-3000 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Stachowiak, Katrina, PA p Physician Assistant License: 5601003460 NPI: 1801862842 Total Health Systems Inc 28098 23 Mile Rd Chesterfield, MI 48051 (586) 949-0123 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:00pm Group(s): Total Health Systems Inc 1265564900
Syska Jr, Michael, PTp Physical Therapist License: 5501011361 NPI: 1649497876 Total Health Systems Inc 28098 23 Mile Rd Chesterfield, MI 48051 (586) 949-0123 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:00pm Group(s): Total Health Systems Inc 1265564900

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Wiggins, Derek, PAp Physician Assistant License: 5601009759 NPI: 1538789383 Total Health Systems Inc 28098 23 Mile Rd Chesterfield, MI 48051 (586) 949-0123 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Total Health Systems Inc 1265564900

CLINTON
TOWNSHIP
- 48035
Abbas, Saadia, MDxp Family Medicine License: 4301092191 NPI: 1619136868 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351

Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Alla, Ylli, DOp Family Medicine License: 5101019023 NPI: 1871809996 Mclaren Macomb Pc 35103 Silvano Dr Clinton Township, MI 48035 (586) 791-5250 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

Alla, Ylli, DOp Family Medicine License: 5101019023 NPI: 1871809996 Mclaren Medical Management Inc 35103 Silvano Dr Clinton Township, MI 48035 (586) 791-5250 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601
Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Bajpai, Arti, MDp Family Medicine License: 4301060893 NPI: 1184696700 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986
Barker, William, MDp Family Medicine License: 5101013935 NPI: 1275554073 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

Blake, Christina, DOp Family Medicine License: 5101018278 NPI: 1902134794 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Blake, Christina, DOp Family Medicine License: 5101018278 NPI: 1902134794 Henry Ford Macomb Hospital Clinton Twp Pc 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986

Bloom, Alexandra, NPp Nurse Practitioner License: 4704293192 NPI: 1497215107 Mclaren Macomb Lakeshore Med Cent 33720 Harper Ave Clinton Township, MI 48035 (586) 294-5210 Mon-Fri 8:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): Mclaren Macomb Pc 1316938327
Chalmers, Richard, DOp Family Medicine License: 5101017320 NPI: 1619174505 Mclaren Macomb Family First 36500 S Gratiot Ave Ste 202 Clinton Township, MI 48035 (586) 493-3727 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601, Mclaren Macomb - 1528002532

Chalmers, Richard, DOp Family Medicine License: 5101017320 NPI: 1619174505 Mt Clemens General Hospital Pc 36500 Gratiot Ste 202 Clinton Township, MI 48035 (586) 493-3727 Mon-Thu 8:30am 5:00pm, Fri 1:00pm 8:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601
East Metro Physical Therapyp Physical Therapy Clinic NPI: 1164433223 36341 Harper Clinton Township, MI 48035 (586) 792-9190 Mon-Fri 9:00am 5:00pm Group(s): East Metro Physical Therapy

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Eastin, Tara, DOp Internal Medicine License: 5101017326 NPI: 1558568931 Mclaren Macomb Lakeshore Med Cent 33720 Harper Ave Clinton Township, MI 48035 (586) 294-5210 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med (Hospice & Palliative Medicine) Group(s): Mclaren Macomb Pc 1396014601, Mclaren Macomb Pc 1316938327
Ferrarer-Blair, Hilda, MDp Family Medicine License: 4301085592 NPI: 1487868121 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Florence, Patricia, DOp Family Medicine License: 5101015711 NPI: 1649220286 Mclaren Macomb Family First 36500 S Gratiot Ave Ste 202 Clinton Township, MI 48035 (586) 493-3727 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601
Gadzinski, Nicholas, DO p Family Medicine License: 5101019544 NPI: 1013216068 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Gibson, Joshua, MDp Family Medicine License: 4301098994 NPI: 1194791889 Mclaren Macomb Family First 36500 S Gratiot Ave Ste 202 Clinton Township, MI 48035 (586) 493-3727 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601
Gibson, Joshua, MDp Family Medicine License: 4301098994 NPI: 1194791889 Mclaren Macomb Lakeshore Med Cent 33720 Harper Ave Clinton Township, MI 48035 (586) 294-5210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601, Mclaren Macomb Pc 1316938327

Gibson, Joshua, MDp Family Medicine License: 4301098994 NPI: 1194791889 Mclaren Macomb Pc 36500 Gratiot Ste 102 Clinton Township, MI 48035 (586) 790-9003 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601, Mclaren Macomb Pc 1316938327
Haq, Junaed, MDp Family Medicine License: 4301086147 NPI: 1730341868 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Hasan, Tahir, MDp Family Medicine License: 4301059956 NPI: 1003987694 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351
Heitmann, Ronald, MDp Family Medicine License: 5101007906 NPI: 1588767933 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

Khan, Mubina, MDp Family Medicine License: 4301072412 NPI: 1053336271 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986
Khan, Mubina, MDp Family Medicine License: 4301072412 NPI: 1053336271 Henry Ford Macomb Hospital Clinton Twp Pc 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986

Kohler, Aliya, MDp Family Medicine License: 4301072057 NPI: 1811099559 Henry Ford Hospital Pc 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3952 Mon-Fri 9:00am 5:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351
Kreit, Rim, MDp Family Medicine License: 4301082989 NPI: 1184674939 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986

Manney, Ramya, MDp Internal Medicine License: 4301103607 NPI: 1548603863 Mclaren Macomb Clinton Twp Internal Med 36539 Harper Ave Clinton Township, MI 48035 (586) 792-8877 Mon-Fri 8:00am 5:00pm Telugu Certification: Am Bd Internal Med Group(s): Mclaren Macomb Pc 1396014601
Mazhar, Danish, MDp Family Medicine License: 4301086417 NPI: 1003022641 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Urdu Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Mcmann, Shannon, DOp Internal Medicine License: 5101014297 NPI: 1376692855 Mcg Multi Specialty 36500 Gratiot Ste 102 Clinton Township, MI 48035 (586) 790-9003 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601
Mcmann, Shannon, DOp Internal Medicine License: 5101014297 NPI: 1376692855 Mclaren Macomb Pc 36500 Gratiot Ste 102 Clinton Township, MI 48035 (586) 790-9003 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601
Naik, Nimisha, MDp Family Medicine License: 4301058906 NPI: 1407875792 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Gujarati, Hindi Group(s): Henry Ford Macomb Family Medicine - 1134265986

Naik, Nimisha, MDp Family Medicine License: 4301058906 NPI: 1407875792 Henry Ford Macomb Hospital Clinton Twp Pc 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Gujarati, Hindi Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986
Ochani, Monika, MDp Family Medicine License: 4301085831 NPI: 1851509293 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Gujarati, Hindi, Marathi, Sindhi Group(s): Henry Ford Macomb Family Medicine - 1134265986

Packey, Nicholas, DOp Family Medicine License: 5101018950 NPI: 1104130558 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Parrish, Elenn, MDp Family Medicine License: 4301093881 NPI: 1831422286 Henry Ford Macomb Hospital Clinton Twp Pc 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

Philip, Sathish, MDp Family Medicine License: 4301096861 NPI: 1194040626 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Hindi, Malayalam, Russian, Tamil Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986
Pradko, John, DOp Family Medicine License: 5101010124 NPI: 1619956497 Mclaren Macomb Lakeshore Med Cent 33720 Harper Ave Clinton Township, MI 48035 (586) 294-5210 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1316938327

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

104

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Prasad, Sujatha, MDp Family Medicine License: 4301060650 NPI: 1942206545 Henry Ford Hospital Pc 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3952 Mon-Fri 9:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Puls, Mary, DOp Internal Medicine License: 5101008465 NPI: 1427009166 Mclaren Macomb Clinton Twp Internal Med 36539 Harper Ave Clinton Township, MI 48035 (586) 792-8877 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Macomb Pc 1396014601

Puls, Mary, DOp Internal Medicine License: 5101008465 NPI: 1427009166 Mount Clemens General Hospital Pc 36539 Harper Ave Clinton Township, MI 48035 (586) 792-8877 Certification: Am Os Bd Internal Medicine Group(s): Mclaren Macomb - 1528258654
Radzioch, Angelica, DOp Family Medicine License: 5101021571 NPI: 1306229018 Mclaren Medical Management Inc 35103 Silvano Dr Clinton Township, MI 48035 (586) 791-5250 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

Roach, Taylor, DOp Family Medicine License: 5101024854 NPI: 1265928113 Mclaren Macomb Lakeshore Med Cent 33720 Harper Ave Clinton Township, MI 48035 (586) 294-5210 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1316938327
Saif Kosho, Belsam, DOp Family Medicine License: 5101019273 NPI: 1255620571 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

Saif Kosho, Belsam, DOp Family Medicine License: 5101019273 NPI: 1255620571 Henry Ford Macomb Hospital Clinton Twp Pc 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986
Schnurer, Christopher, DOp General Practice License: 5101009745 NPI: 1306895180 Mclaren Macomb Lakeshore Med Cent 33720 Harper Ave Clinton Township, MI 48035 (586) 294-5210 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Siddiqui, Afaaq, MDp Family Medicine License: 4301100953 NPI: 1215203237 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine (Hospice & Palliative Medicine) Group(s): Henry Ford Medical Center Fairlane - 1952485351
Takov, Veronica, DOp Family Medicine License: 5101020642 NPI: 1316387533 Mclaren Macomb Family First 36500 S Gratiot Ave Ste 202 Clinton Township, MI 48035 (586) 493-3727 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601, Mclaren Macomb - 1528002532

Terry Hassel, Norene, MDp Family Medicine License: 4301049445 NPI: 1982778494 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351

Terry Hassel, Norene, MDp Family Medicine License: 4301049445 NPI: 1982778494 Henry Ford Macomb Hospital Clinton Twp Pc 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351
Trosin, Cynthia, DOp General Practice License: 5101007353 NPI: 1346240124 Mclaren Macomb Pc 35103 Silvano Dr Clinton Township, MI 48035 (586) 791-5250 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

Trosin, Cynthia, DOp General Practice License: 5101007353 NPI: 1346240124 Mclaren Medical Management Inc 35103 Silvano Dr Clinton Township, MI 48035 (586) 791-5250 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601
Wendt, Beth, DOp Internal Medicine License: 5101011423 NPI: 1972505501 Mcg Multi Specialty 36500 Gratiot Ste 102 Clinton Township, MI 48035 (586) 790-9003 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Macomb Pc 1396014601

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Wendt, Beth, DOp Internal Medicine License: 5101011423 NPI: 1972505501 Mclaren Macomb Pc 36500 Gratiot Ste 102 Clinton Township, MI 48035 (586) 790-9003 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Macomb Pc 1396014601
Yahampath, Chadmika, MDp Family Medicine License: 4301082926 NPI: 1508072133 Henry Ford Health System 15717 15 Mile Rd Clinton Township, MI 48035 (586) 285-3800 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

Zrull, Mary, MDp Family Medicine License: 4301502823 NPI: 1609305846 Mclaren Macomb Pc 35103 Silvano Dr Clinton Township, MI 48035 (586) 791-5250 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601
- 48036
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 40097 S Groesbeck Hwy Clinton Township, MI 48036 (586) 738-6527 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Babiker, Yasir, MDp Internal Medicine License: 4301089490 NPI: 1861685307 Mclaren Macomb 37399 Garfield Rd Ste 203 Clinton Township, MI 48036 (586) 228-2911 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Huron Medical Center Pc 1245257880
Baker, Natalie, NPp Family Nurse Practitioner License: 4704288319 NPI: 1912402561 Mclaren Macomb 37399 Garfield Rd Ste 203 Clinton Township, MI 48036 (586) 228-2911 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Flint Pc - 1275807372

Center For Therapeutic
Learning And Communication Pllcp Rehabilitation NPI: 1699966341 Center For Therapeutic Learning And Comm Pllc 44738 Morley Dr Clinton Township, MI 48036 (586) 421-4062 Group(s): Center For Therapeutic Learning And Communication Pllc
Cuda, Shawna, NPp Family Nurse Practitioner License: 4704293145 NPI: 1487136552 Mycare Health Center Pc 43740 N Groesbeck Hwy Clinton Township, MI 48036 (586) 493-0961 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mycare Health Center Pc 1639573033

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

107

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Jagadeesh, Kavyashri, MDp Internal Medicine License: 4301099026 NPI: 1013296771 Mclaren Macomb 37399 Garfield Rd Ste 203 Clinton Township, MI 48036 (586) 228-2911 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Mclaren Macomb Pc 1396014601
Langenburg, Lisa, MDp Family Medicine License: 4301070895 NPI: 1265430391 Mclaren Macomb 37399 Garfield Rd Ste 203 Clinton Township, MI 48036 (586) 228-2911 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601

Langenburg, Lisa, MDp Family Medicine License: 4301070895 NPI: 1265430391 Mount Clemens Regional Medical Center Pc 37399 Garfield Ste 203 Clinton Township, MI 48036 (586) 228-2911 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601
Macintyre, Gail, DOp Family Medicine License: 5101012124 NPI: 1508933839 Mclaren Macomb 37399 Garfield Rd Ste 203 Clinton Township, MI 48036 (586) 228-2911 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

Macintyre, Gail, DOp Family Medicine License: 5101012124 NPI: 1508933839 Mount Clemens Regional Medical Center Pc 37399 Garfield Ste 203 Clinton Township, MI 48036 (586) 228-2911 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601
Rise, Jennifer, DOp Internal Medicine License: 5101011870 NPI: 1114947959 Mclaren Macomb 37399 Garfield Rd Ste 203 Clinton Township, MI 48036 (586) 228-2911 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Macomb Pc 1396014601

Young, Brian, DOp Internal Medicine License: 5101013152 NPI: 1093769192 Mclaren Medical Management Inc 37399 Garfield Ste 106 Clinton Township, MI 48036 (586) 226-3500 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Macomb Pc 1396014601
- 48038
Adair, Andrew, DOp Family Medicine License: 5101013932 NPI: 1164541702 Henry Ford Health System 15420 19 Mile Rd Ste 200 Ste 200 Clinton Township, MI 48038 (586) 286-4490 Mon,Thu-Fri 8:00am 5:00pm, Tue-Wed 8:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

108

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Adair, Andrew, DOp Family Medicine License: 5101013932 NPI: 1164541702 Hfh Macomb Hosp Clinton Twp Pc 15420 19 Mile Rd Ste 200 Clinton Township, MI 48038 (586) 286-4490 Mon,Thu-Fri 8:00am 5:00pm, Tue-Wed 8:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634
Adair, Andrew, DOp Family Medicine License: 5101013932 NPI: 1164541702 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Total Health Systems Inc 1265564900

Alderman, Holly, PAp Physician Assistant License: 5601007207 NPI: 1093112542 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Total Health Systems Inc 1265564900
Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Macomb Hosp Clinton Twp Pc 15855 19 Mile Rd Clinton Township, MI 48038 (586) 263-2230 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 42615 Garfield Rd Clinton Township, MI 48038 (586) 286-8280 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 43475 Dalcoma Dr Clinton Township, MI 48038 (586) 421-7461 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Bustamante, Cristina, PA p Physician Assistant License: 5601009585 NPI: 1487287991 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Total Health Systems Inc 1265564900
Caldwell, Samantha, PTp Physical Therapist License: 5501016961 NPI: 1649673294 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:30pm Group(s): Total Health Systems Inc 1265564900

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

109

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Champine, Jason, PAp Physician Assistant License: 5601002948 NPI: 1902134430 Henry Ford Macomb Hospital Clinton Twp Pc 15855 19 Mile Rd Clinton Township, MI 48038 (586) 263-2790 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634
Darwish, Darwish, MDp Internal Medicine License: 4301059173 NPI: 1194713875 Pioneer Medical Associates Pc 15945 19 Mile Rd Ste 206 Clinton Township, MI 48038 (586) 757-6400 Mon 8:00am - 5:00pm, Tue-Fri 8:30am - 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Pioneer Medical Associates Pc 1093296592

Dawood, Luay, MDp Internal Medicine License: 4301107895 NPI: 1740663871 Lakeshore Ent Center Pc 43750 Garfield Rd Ste 101 Clinton Township, MI 48038 (586) 263-7400 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension St John Hospital Pc 1912965088
Debabneh, Danielle, NPp Family Nurse Practitioner License: 4704309483 NPI: 1285220095 Stephen M Swetech Do Medical Center Pc 43600 Garfield Rd Clinton Township, MI 48038 (586) 228-0400 Mon-Wed,Fri 8:00am 5:00pm, Thu 11:00am 7:00pm Certification: American Academy Of Nurse Practitioners Group(s): Stephen M Swetech Do Medical Center Pc - 1255427209

Dilegge, Pasqualina, NP Family Nurse Practitioner License: 4704207362 NPI: 1700114683 Pioneer Medical Associates Pc 15945 19 Mile Rd Ste 206 Clinton Township, MI 48038 (586) 757-6400 Mon 8:00am - 5:00pm, Tue-Fri 8:30am - 5:00pm Group(s): Pioneer Medical Associates Pc 1093296592
Duvoor, Anu, MDp Internal Medicine License: 4301091421 NPI: 1528089497 Macomb Internal Medicine Associates Pc 15520 19 Mile Rd Ste 480 Clinton Township, MI 48038 (586) 228-1010 Mon-Fri 8:00am 5:00pm Tamil Certification: Am Bd Internal Med Group(s): Macomb Internal Medicine Associates Pc1639266885

Fischer, Jeremy, DOp Family Medicine License: 5101015337 NPI: 1962421883 Henry Ford Health System 15400 19 Mile Rd Ste 145A Clinton Township, MI 48038 (586) 412-6660 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Fischer, Jeremy, DOp Family Medicine License: 5101015337 NPI: 1962421883 Henry Ford Macomb Family Medicine 15400 19 Mile Rd Ste 150 Clinton Township, MI 48038 (586) 263-3400 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Forton, Jessica, PTp Physical Therapist License: 5501019502 NPI: 1275167140 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900
Gasso, Juana, PAp Physician Assistant License: 5601008883 NPI: 1083184816 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900

Hafeez, Farrah, DOp Family Medicine License: 5101019545 NPI: 1154610335 Henry Ford Health System 16151 19 Mile Rd Ste 215 Clinton Township, MI 48038 (586) 263-2308 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Issa, Raafat, MDp Internal Medicine License: 4301057892 NPI: 1750497483 Pioneer Medical Associates Pc 15945 19 Mile Rd Ste 206 Clinton Township, MI 48038 (586) 757-6400 Mon 8:00am - 5:00pm, Tue-Fri 8:30am - 5:00pm Group(s): Pioneer Medical Associates Pc 1093296592

Jarvis, Stephen, PAp Physician Assistant License: 5601003855 NPI: 1265537245 Henry Ford Macomb Hospital Clinton Twp Pc 15855 19 Mile Road Clinton Township, MI 48038 (586) 263-2300 Mon 9:00am - 5:00pm, Tue-Fri 6:30am - 5:00pm Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634
Kerwin, Howard, DOp Internal Medicine License: 5101008611 NPI: 1134124209 Macomb Internal Medicine Associates Pc 15520 19 Mile Rd Ste 480 Clinton Township, MI 48038 (586) 228-1010 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Macomb Internal Medicine Associates Pc1639266885

Kerwin, Howard, DOp Internal Medicine License: 5101008611 NPI: 1134124209 Macomb Nephrology Associates 15520 19 Mile Rd Ste 480 Clinton Township, MI 48038 (586) 228-1010 Mon-Thu 8:00am 5:00pm, Fri 8:00am 12:00pm Certification: Am Os Bd Internal Medicine Group(s): Macomb Internal Medicine Associates Pc1639266885
Kosal, Linda, DOp Internal Medicine License: 5101016203 NPI: 1477765832 Macomb Internal Medicine Associates Pc 15520 19 Mile Rd Ste 480 Clinton Township, MI 48038 (586) 228-1010 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Macomb Internal Medicine Associates Pc1639266885

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Martens, Karen, PAp Physician Assistant License: 5601002939 NPI: 1326016015 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Total Health Systems Inc 1265564900
Nassif, George, MDp Internal Medicine License: 4301085498 NPI: 1225209075 George Nassif Md Pllc 42621 Garfield Rd Ste 108 Clinton Township, MI 48038 (586) 263-3312 Mon,Wed,Fri 9:00am 2:00pm, Tue,Thu 2:00pm - 7:00pm Arabic Group(s): George Nassif Md Pllc

Natwa, Nithin, MD Family Medicine License: 4301108007 NPI: 1932580230 Henry Ford Health System Seville Ii Orthopaedics 15520 19 Mile Road Ste 430 Clinton Township, MI 48038 (586) 228-6200 Mon-Thu 8:00am 6:30pm, Fri 8:00am 5:00pm Certification: Am Board Family Medicine, Am Board Family Medicine (Sports Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Ochani, Monika, MDp Family Medicine License: 4301085831 NPI: 1851509293 Henry Ford Health System 15420 19 Mile Rd Ste 200 Ste 200 Clinton Township, MI 48038 (586) 286-4490 Mon,Thu-Fri 8:00am 5:00pm, Tue-Wed 8:00am - 6:00pm Gujarati, Hindi, Marathi, Sindhi Group(s): Henry Ford Macomb Family Medicine - 1134265986

Ochani, Monika, MDp Family Medicine License: 4301085831 NPI: 1851509293 Henry Ford Macomb Family Medicine 15420 19 Mile Rd Ste 200 Clinton Township, MI 48038 (586) 286-4490 Mon-Fri 9:00am 5:00pm Gujarati, Hindi, Marathi, Sindhi Group(s): Henry Ford Macomb Family Medicine - 1134265986
Rehman, Nina, DOp Internal Medicine License: 5101013168 NPI: 1417968827 Macomb Internal Medicine Associates Pc 15520 19 Mile Rd Ste 480 Clinton Township, MI 48038 (586) 228-1010 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Macomb Internal Medicine Associates Pc1639266885

Rodriguez, Jose, MDp Internal Medicine License: 4301044571 NPI: 1750481842 Pioneer Medical Associates Pc 15945 19 Mile Rd Ste 206 Clinton Township, MI 48038 (586) 757-6400 Mon 8:00am - 5:00pm, Tue-Fri 8:30am - 5:00pm Group(s): Pioneer Medical Associates Pc 1093296592
Roxas Jr, Renato, MDpq Pediatric License: 4301074766 NPI: 1124065727 Vhs Physicians Of Michigan Inc 42700 Garfield Rd Clinton Township, MI 48038 (313) 745-9048 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Saha, Joyanta, MDp Internal Medicine License: 4301058457 NPI: 1699874677 Joyanta Kumar Saha Md Plc 43211 Dalcama Dr Ste 1 Clinton Township, MI 48038 (586) 263-7190 Mon,Wed,Fri 9:00am 4:30pm, Tue 8:00am 12:00pm, Thu 9:00am 5:00pm Bengali Group(s): Joyanta Kumar Saha Md Plc
Sharabi, Ghanem, MDp Internal Medicine License: 4301066011 NPI: 1508874504 Pioneer Medical Associates Pc 15945 19 Mile Rd Ste 206 Clinton Township, MI 48038 (586) 757-6400 Mon 8:00am - 5:00pm, Tue-Fri 8:30am - 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Pioneer Medical Associates Pc 1093296592

Smereck, Susan, MD Family Medicine License: 4301071790 NPI: 1437223948 Henry Ford Health System 15855 19 Mile Rd Clinton Township, MI 48038 (313) 556-8736 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Srikrishna, Latha, MDp Family Medicine License: 4301081098 NPI: 1316025695 Latha Srikrishna Md Pc 43475 Dalcoma Dr Clinton Township, MI 48038 (586) 263-1818 Mon-Thu 8:00am 4:00pm, Fri 8:00am 12:00pm Hindi, Kannada Certification: Am Board Family Medicine Group(s): Latha Srikrishna Md Pc 1295205532

Stachowiak, Katrina, PA p Physician Assistant License: 5601003460 NPI: 1801862842 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900
Stier, Ashley, NPp Family Nurse Practitioner License: 4704260658 NPI: 1710502810 Stephen M Swetech Do Medical Center Pc 43600 Garfield Rd Clinton Township, MI 48038 (586) 228-0400 Mon-Wed,Fri 8:00am 5:00pm, Thu 11:00am 7:00pm Certification: American Academy Of Nurse Practitioners Group(s): Stephen M Swetech Do Medical Center Pc - 1255427209

Swetech, Jonathan, DOp Family Medicine License: 5101021048 NPI: 1871909598 Stephen M Swetech Do Medical Center Pc 43600 Garfield Rd Clinton Township, MI 48038 (586) 228-0400 Mon-Wed,Fri 8:00am 5:00pm, Thu 11:00am 7:00pm Macedonian, Serbian, Serbo-Croatian Certification: Am Board Family Medicine Group(s): Stephen M Swetech Do Medical Center Pc - 1255427209
Swetech, Maria, DOp Family Medicine License: 5101023060 NPI: 1578002408 Stephen M Swetech Do Medical Center Pc 43600 Garfield Rd Clinton Township, MI 48038 (586) 228-0400 Mon-Wed,Fri 8:00am 5:00pm, Thu 11:00am 7:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Stephen M Swetech Do Medical Center Pc - 1255427209

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Syska Jr, Michael, PTp Physical Therapist License: 5501011361 NPI: 1649497876 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900
Theramatrix Incp Physical Therapy Clinic NPI: 1760489678 Theramatrix Physical Rehabilitation 43628 Garfield Rd Clinton Township, MI 48038 (586) 416-1523 Mon-Fri 9:00am 5:00pm Group(s): Theramatrix Inc

Vora, Sanjay, DOp Internal Medicine License: 5101013624 NPI: 1467459180 Macomb Internal Medicine Associates Pc 15520 19 Mile Rd Ste 480 Clinton Township, MI 48038 (586) 228-1010 Mon-Fri 8:00am 5:00pm French Group(s): Macomb Internal Medicine Associates Pc1639266885
Vyas, Bhavana, MDp Pediatric License: 4301072081 NPI: 1720135536 Macomb Medical Pediatrics 43475 Dalcoma Dr Ste 208 Clinton Township, MI 48038 (586) 263-1818 Mon-Fri 9:00am 5:00pm Gujarati, Hindi Certification: Am Board Pediatrics Group(s): Macomb Medical Pediatrics 1427430677

Wiggins, Derek, PAp Physician Assistant License: 5601009759 NPI: 1538789383 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Total Health Systems Inc 1265564900
Witer, Elizabeth, DOp Family Medicine License: 5101019839 NPI: 1245505981 Henry Ford Macomb Family Medicine 15400 19 Mile Rd Ste 150 Clinton Township, MI 48038 (586) 263-3400 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

Wojdyla, Devynn, PAp Physician Assistant License: 5601006716 NPI: 1992139703 Total Health Systems Inc 43740 Garfield Rd Clinton Township, MI 48038 (586) 228-0270 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:30pm Group(s): Total Health Systems Inc 1689705964
Yousif, Lina, DOp Family Medicine License: 5101020497 NPI: 1003252230 Henry Ford Macomb Family Medicine 15400 19 Mile Rd Ste 150 Clinton Township, MI 48038 (586) 263-3400 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

CLINTON TWP - 48035
Catalan, Marissa, MDp Pediatric License: 4301061651 NPI: 1619935921 Mclaren Macomb 22500 Metropolitan Parkway Suite 201 Clinton Twp, MI 48035 (586) 493-3732 Mon-Fri 9:00am 5:00pm Tagalog Certification: Am Board Pediatrics Group(s): Mclaren Macomb Pc 1396014601
Catalan, Marissa, MDp Pediatric License: 4301061651 NPI: 1619935921 Mclaren Macomb 22500 Metropolitan Pkwy Ste 200 Clinton Twp, MI 48035 (586) 493-3732 Mon-Fri 8:00am 5:00pm Tagalog Certification: Am Board Pediatrics Group(s): Mclaren Macomb Pc 1396014601

Filbeck, Lindsay, NPp Nurse Practitioner License: 4704281162 NPI: 1194215186 Mclaren Macomb 22500 Metropolitan Parkway Suite 201 Clinton Twp, MI 48035 (586) 493-3732 Mon-Fri 9:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mclaren Bay Region Pc - 1508131087
Khadr, Nagwa, MDp Pediatric License: 4301060896 NPI: 1417905480 Mclaren Macomb 22500 Metropolitan Parkway Suite 201 Clinton Twp, MI 48035 (586) 493-3732 Mon-Fri 9:00am 5:00pm Arabic Group(s): Mclaren Macomb Pc 1396014601, Mclaren Macomb Pc 1184998288

Przybylski, Albert, DOp Family Medicine License: 5101011659 NPI: 1013988773 Albert A. Przybylski, Do, Pc 36549 Harper Ste B Clinton Twp, MI 48035 (586) 791-3150 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Albert A Przybylski Do Pc
- 48036
Juocys, Algirdas, DOp Family Medicine License: 5101007401 NPI: 1174691471 Salvation Army 42590 Stepnitz Dr Clinton Twp, MI 48036 (586) 954-1838 Tue,Thu 3:00pm 7:00pm Lithuanian Group(s): Judson Center Family Health Clinic 1396217600

- 48038
Barjaktarovich, Nicholas, MDp Family Medicine License: 5101021847 NPI: 1265826804 The Neurosurgery Group, Pc 43650 Garfield Road Clinton Twp, MI 48038 (586) 263-0820 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Medical Group 1346396066
Heitmann, Ronald, MDp Family Medicine License: 5101007906 NPI: 1588767933 Henry Ford Health System 21250 Hall Rd Ste 200 Clinton Twp, MI 48038 (586) 566-8240 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

EASTPOINTE - 48021
Aquino, Robert, DOp Internal Medicine License: 5101013933 NPI: 1780671461 Michigan Healthcare Prof Pc 24901 Kelly Rd Eastpointe, MI 48021 (586) 772-9055 Mon-Fri 8:30am 5:00pm Italian Certification: Am Os Bd Internal Medicine Group(s): Michigan Healthcare Professionals Pc - 1295023547
Complete Care Rehab Llc Pc - 1801844220p Physical Therapy Clinic NPI: 1801844220 Complete Care Rehab Llc 18200 E 10 Mile Rd Ste 200 Eastpointe, MI 48021 (586) 771-7377 Group(s): Complete Care Rehab Llc Pc 1801844220

Ekole, Alphonse, MDp Family Medicine License: 4301080987 NPI: 1760483903 Kelly Family Medical Center 21331 Kelly Rd Ste 120 Eastpointe, MI 48021 (586) 585-9119 Mon,Thu 9:00am 5:00pm, Tue-Wed 9:00am - 12:00pm French Certification: Am Board Family Medicine Group(s): Kelly Family Medical Center
Hames, Douglas, MDpq Internal Medicine License: 4301040884 NPI: 1457400954 Douglas G Hames Md 22850 Kelly Rd Eastpointe, MI 48021 (586) 774-2900 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500

Liptawat, Suthin, MDp General Practice License: 4301034874 NPI: 1871606756 Ptpeastpointe Pc 15200 E 10 Mile Rd Eastpointe, MI 48021 (586) 773-7667 Mon-Fri 8:30am 5:30pm Thai Certification: General Practice Group(s): Ptpeastpointe Pc
Metiku, Tesfamariam, MDp Internal Medicine License: 4301092621 NPI: 1427289339 Great Lakes Medical Group Pc 19070 E Ten Mile Rd Eastpointe, MI 48021 (586) 773-1383 Mon-Fri 9:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Amharic Certification: Am Bd Internal Med Group(s): Great Lakes Medical Group Pc 1053787853

Miller, Colleen, NPp Nurse Practitioner License: 4704233398 NPI: 1285161430 Michigan Primary Care 17000 E 10 Mile Rd Eastpointe, MI 48021 (586) 563-5555 Mon-Fri 9:00am 5:00pm Group(s): Michigan Primary Care Pllc 1669799128
Rahbar, Mohamad, MDp Internal Medicine License: 4301076911 NPI: 1679567762 Great Lakes Urgent Care Pc 19070 E 10 Mile Rd Eastpointe, MI 48021 (586) 773-1383 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Bd Internal Med Group(s): Great Lakes Urgent Care Pc 1477978930, Great Lakes Medical Group Pc 1053787853

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Siddiqui, Saadia, MDp Internal Medicine License: 4301075014 NPI: 1164409496 V K Siddiqui Md Pc 18161 E Eight Mile Rd Eastpointe, MI 48021 (586) 772-7200 Mon-Thu 9:00am 5:00pm, Fri 9:30am 3:00pm Urdu Certification: Am Bd Internal Med Group(s): V K Siddiqui Md Pc - 1295805588
Theramatrix Incp Physical Therapy Clinic NPI: 1760489678 Theramatrix Physical Rehabilitation 23411 Gratiot Eastpointe, MI 48021 (586) 776-0080 Mon-Fri 9:00am 5:00pm Group(s): Theramatrix Inc
LENOX - 48048
Cavataio, Peitro, MDp Family Medicine License: 4301079777 NPI: 1134195258 Phcn Chesterfield 36267 26 Mile Rd Ste 3 Lenox, MI 48048 (586) 716-1371 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Physician Healthcare Network Pc 1750334405

Colombo, Antonino, MD p Family Medicine License: 4301082157 NPI: 1598867491 Phcn Chesterfield 36267 26 Mile Rd Ste 3 Lenox, MI 48048 (586) 716-1371 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Physician Healthcare Network Pc 1750334405
Holdwick, Katherine, NP p Nurse Practitioner License: 4704273604 NPI: 1912400136 Phcn Chesterfield 36267 26 Mile Rd Ste 3 Lenox, MI 48048 (586) 716-1371 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Physician Healthcare Network Pc 1750334405

Lacovic, Shannon, NPp Family Nurse Practitioner License: 4704240822 NPI: 1780121145 Phcn Chesterfield 36267 26 Mile Rd Ste 3 Lenox, MI 48048 (586) 716-1371 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Physician Healthcare Network Pc 1750334405
Peacock, April, NPp Nurse Practitioner License: 4704239814 NPI: 1952738304 Phcn Chesterfield 36267 26 Mile Rd Ste 3 Lenox, MI 48048 (586) 716-1371 Mon-Fri 8:00am 5:00pm Group(s): Physician Healthcare Network Pc 1750334405

Robinet, Christine, NPp Family Nurse Practitioner License: 4704306129 NPI: 1679040844 Phcn Chesterfield 36267 26 Mile Rd Ste 3 Lenox, MI 48048 (586) 716-1371 Mon-Fri 8:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Physician Healthcare Network Pc 1750334405
Schweiger, Michelle, NPp Nurse Practitioner License: 4704265244 NPI: 1801211990 Phcn Chesterfield 36267 26 Mile Rd Ste 3 Lenox, MI 48048 (586) 716-1371 Mon-Fri 8:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): Physician Healthcare Network Pc 1750334405

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

MACOMB - 48044
Ahmad, Ruhel, MDpq Pediatric License: 4301501413 NPI: 1447780754 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Ascension Michigan Cmg 1851765374
Aljahmi, Zaid, MDp Family Medicine License: 4301102602 NPI: 1679815112 Zaid Aljahmi Medical Practice Pllc 21840 23 Mile Rd Macomb, MI 48044 (586) 598-8115 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Zaid Aljahmi Medical Practice Pllc 1396276622

Alton, Karen, MDpq Pediatric License: 4301066273 NPI: 1649264037 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Alton, Karen, MDpq Pediatric License: 4301066273 NPI: 1649264037 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Bhargava, Neena, MDp Pediatric License: 4301082909 NPI: 1245288232 Mclaren Macomb 16700 21 Mile Rd Ste 104 Macomb, MI 48044 (586) 226-2032 Mon-Fri 9:00am 5:00pm Hindi Group(s): Mclaren Macomb Pc 1396014601

Bhargava, Neena, MDp Pediatric License: 4301082909 NPI: 1245288232 Mount Clemens General Hospital Pc 16700 21 Mile Rd Ste 104 Macomb, MI 48044 (586) 226-2032 Mon-Fri 8:00am 5:00pm Hindi Group(s): Mclaren Macomb Pc 1396014601
Brege, David, MDp Pediatric License: 4301051390 NPI: 1770550709 Lakeview Pediatrics 46591 Romeo Plank Ste 112 Macomb, MI 48044 (586) 228-0130 Mon-Fri 9:00am 5:00pm, Sat-Sun 5:00pm - 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266

Brege, David, MDp Pediatric License: 4301051390 NPI: 1770550709 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266
Broderick, Rachel, NPpq Nurse Practitioner License: 4704322170 NPI: 1720559917 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Burlingame, Jennifer, DOpq Family Medicine License: 5101019063 NPI: 1003110552 St John Pediatric Associates 46591 Romeo Plank Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472
Catrambone, Renee, MD pq Pediatric License: 4301095985 NPI: 1407896921 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374

Chritz, Tiffany, DOpq Pediatric License: 5101021660 NPI: 1750760070 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Chritz, Tiffany, DOpq Pediatric License: 5101021660 NPI: 1750760070 St John Providence Physicians Cmg 46591 Romeo Plank Rd Ste 205 Macomb, MI 48044 (866) 501-3627 Mon,Wed-Fri 8:30am 5:00pm, Tue 8:30am 6:00pm, Sat 8:30am 12:00pm Group(s): Ascension Michigan Cmg 1851765374

Church, Sage, DOpq Pediatric License: 5101019349 NPI: 1902185598 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Ascension St John Hospital Pc 1912965088
Church, Sage, DOpq Pediatric License: 5101019349 NPI: 1902185598 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Ascension St John Hospital Pc 1912965088

Considine, Colleen, MDp q Pediatric License: 4301117222 NPI: 1861842353 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension St John Hospital Pc 1912965088
Considine, Colleen, MDp q Pediatric License: 4301117222 NPI: 1861842353 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension St John Hospital Pc 1912965088

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Corcoran, Timothy, NPp Nurse Practitioner License: 4704282991 NPI: 1760022057 Eastside Cardiovascular Medicine 17900 23 Mile Rd Ste 303 Macomb, MI 48044 (586) 775-4594 Mon-Fri 9:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Ascension St John Hospital Pc 1912965088
Damidi, Sudha, MDpq Pediatric License: 4301089171 NPI: 1407902869 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Hindi, Telugu Group(s): Ascension Michigan Cmg 1851765374

Degraw, Marcus, MDpq Pediatric License: 4301074121 NPI: 1750375002 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Degraw, Marcus, MDpq Pediatric License: 4301074121 NPI: 1750375002 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088

Fowler, Sharon, MDpq Pediatric License: 4301071559 NPI: 1881682334 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Fowler, Sharon, MDpq Pediatric License: 4301071559 NPI: 1881682334 St John Providence Physicians Cmg 46591 Romeo Plank Rd Ste 205 Macomb, MI 48044 (866) 501-3627 Mon,Wed-Fri 8:30am 5:00pm, Tue 8:30am 6:00pm, Sat 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Ascension Michigan Cmg 1851765374

Garcia Rios, Kirk, MDp Family Medicine License: 5101018497 NPI: 1033341821 Mclaren Macomb 16700 21 Mile Rd Ste 104 Macomb, MI 48044 (586) 226-2032 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601
Garcia Rios, Kirk, MDp Family Medicine License: 5101018497 NPI: 1033341821 Mclaren Medical Management Inc 46401 Romeo Plank Ste 4 Macomb, MI 48044 (586) 226-8600 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601, Mclaren Macomb - 1396014601, Mclaren Medical Group - 1346396066

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Garcia Rios, Kirk, MDp Family Medicine License: 5101018497 NPI: 1033341821 Mclaren Medical Mgmt Inc 16700 21 Mile Rd Ste 101 Macomb, MI 48044 (586) 263-0320 Mon 8:00am - 4:00pm, Tue 8:00am - 5:00pm, Wed,Fri 8:00am 1:00pm, Thu 8:00am 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Medical Group 1346396066
Garcia Rios, Kirk, MDp Family Medicine License: 5101018497 NPI: 1033341821 Mount Clemens General Hospital Pc 46401 Romeo Plank Rd Ste 4 Macomb, MI 48044 (586) 226-8600 Mon 8:30am - 4:30pm, Tue,Thu 8:30am 5:30pm, Fri 7:30am 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

Green, Lyric, MDpq Pediatric License: 4301056540 NPI: 1205825957 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm French Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Green, Lyric, MDpq Pediatric License: 4301056540 NPI: 1205825957 St John Providence Physicians Cmg 46591 Romeo Plank Rd Ste 205 Macomb, MI 48044 (866) 501-3627 Mon,Wed-Fri 8:30am 5:00pm, Tue 8:30am 6:00pm, Sat 8:30am 12:00pm French Certification: Am Board Pediatrics Group(s): Ascension Michigan Cmg 1851765374

Hall, Elizabeth, DOpq Pediatric License: 5101019021 NPI: 1336459221 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Hall, Elizabeth, DOpq Pediatric License: 5101019021 NPI: 1336459221 St John Providence Physicians Cmg 46591 Romeo Plank Rd Ste 205 Macomb, MI 48044 (866) 501-3627 Mon,Wed-Fri 8:30am 5:00pm, Tue 8:30am 6:00pm, Sat 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Ascension Michigan Cmg 1851765374

Hamzeh, Basel, MDpq Pediatric License: 4301062011 NPI: 1790779080 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Hamzeh, Basel, MDpq Pediatric License: 4301062011 NPI: 1790779080 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Hertz, Ronald, DOpq Internal Medicine License: 5101010791 NPI: 1053304816 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Hertz, Ronald, DOpq Internal Medicine License: 5101010791 NPI: 1053304816 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Hrabovsky, Julie, MDpq Pediatric License: 4301107593 NPI: 1912393398 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374

Kessler, Susan, MDpq Pediatric License: 4301406679 NPI: 1437170750 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension St John Hospital Pc 1912965088
Kessler, Susan, MDpq Pediatric License: 4301406679 NPI: 1437170750 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension St John Hospital Pc 1912965088

Kontos, Natalie, DOpq Pediatric License: 5101017823 NPI: 1053571885 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Ascension St John Hospital Pc 1912965088
Kontos, Natalie, DOpq Pediatric License: 5101017823 NPI: 1053571885 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Ascension St John Hospital Pc 1912965088

Marsheh, Nicholas, MD Internal Medicine License: 4301069838 NPI: 1962423657 Silver Pine Medical Group Plc 15959 Hall Rd Ste 110 Macomb, MI 48044 (586) 726-4823 Mon 8:30am - 8:00pm, Tue-Wed 7:00am 8:00pm, Thu 8:00am 8:00pm, Fri 8:00am 5:30pm, Sat 8:00am 12:00pm Arabic, French Certification: Am Bd Internal Med Group(s): Silver Pine Medical Group Plc 1639105695
Marsheh, Nicholas, MD Internal Medicine License: 4301069838 NPI: 1962423657 Silver Pine Medical Group Plc 48801 Romeo Plank Rd Ste 103 Ste 103 Macomb, MI 48044 (586) 726-4823 Mon-Wed 7:00am 8:00pm, Thu 8:00am 8:00pm, Fri 8:00am 5:30pm, Sat 8:30am 11:30am Arabic, French Certification: Am Bd Internal Med Group(s): Silver Pine Medical Group Plc 1639105695

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Marth, Margaret, NPp Primary Care Nurse Practitioner License: 4704206006 NPI: 1740686534 Ascension St John Hospital Pc 46591 Romeo Plank Ste 127 Macomb, MI 48044 (313) 343-7460 Mon-Fri 8:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Mesi, Krista, DOp Pediatric License: 5101023266 NPI: 1578862835 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension St John Hospital Pc 1912965088

Mirza, Shakeela, MDpq Pediatric License: 4301064234 NPI: 1902856578 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm French, Hindi, Urdu Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Petroff, Christy, MDpq Pediatric License: 4301078024 NPI: 1467433516 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Spanish Group(s): Ascension St John Hospital Pc 1912965088

Petroff, Christy, MDpq Pediatric License: 4301078024 NPI: 1467433516 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Spanish Group(s): Ascension St John Hospital Pc 1912965088
Pierron, Margaret, MDp Pediatric License: 4301042366 NPI: 1588631865 Ascension Medical Group Michigan Pediatrics Association, 46591 Romeo Plank Ste 112 Macomb, MI 48044 (586) 228-0130 Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266

Pierron, Margaret, MDp Pediatric License: 4301042366 NPI: 1588631865 Lakeview Pediatrics 46591 Romeo Plank Ste 112 Macomb, MI 48044 (586) 228-0130 Mon-Fri 9:00am 5:00pm, Sat-Sun 5:00pm - 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Pierron, Margaret, MDp Pediatric License: 4301042366 NPI: 1588631865 St John Providence Physicians Cmg 46591 Romeo Plank Ste 112 Macomb, MI 48044 (586) 228-0130 Certification: Am Board Pediatrics Group(s): Ascension Michigan Cmg 1851765374

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Pokriefka, Eileen, MDp Pediatric License: 5101010320 NPI: 1316995145 Mclaren Macomb 16700 21 Mile Rd Ste 104 Macomb, MI 48044 (586) 226-2032 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Mclaren Macomb Pc 1396014601
Radzioch, Angelica, DOp Family Medicine License: 5101021571 NPI: 1306229018 Mclaren Medical Management Inc 16700 21 Mile Rd Ste 101 Macomb, MI 48044 (586) 263-0320 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

Raza, Saleem, MDpq Pediatric License: 4301081516 NPI: 1205874807 Sjh And Med Ctr 17900 23 Mile Rd Ste 304 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Urdu Group(s): Ascension St John Hospital Pc 1912965088
Raza, Saleem, MDpq Pediatric License: 4301081516 NPI: 1205874807 St John Childrens Center 17900 23 Mile Rd Ste 101 Macomb, MI 48044 (586) 868-9010 Mon-Fri 9:00am 5:00pm Urdu Group(s): Ascension St John Hospital Pc 1912965088

Roth, Katherine, MDp Family Medicine License: 4301097800 NPI: 1417143553 Mclaren Medical Management Inc 46401 Romeo Plank Ste 4 Macomb, MI 48044 (586) 226-8600 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601
Roth, Katherine, MDp Family Medicine License: 4301097800 NPI: 1417143553 Mount Clemens General Hospital Pc 46401 Romeo Plank Rd Ste 4 Macomb, MI 48044 (586) 226-8600 Mon 8:30am - 4:30pm, Tue,Thu 8:30am 5:30pm, Fri 7:30am 12:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601

Schreck, Paula, MDpq Pediatric License: 4301070703 NPI: 1437135431 St John Pediatric Associates 46591 Romeo Plank Ste 205 Macomb, MI 48044 (586) 226-6250 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Spanish Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Schreck, Paula, MDpq Pediatric License: 4301070703 NPI: 1437135431 St John Providence Physicians Cmg 46591 Romeo Plank Rd Ste 205 Macomb, MI 48044 (866) 501-3627 Mon,Wed-Fri 8:30am 5:00pm, Tue 8:30am 6:00pm, Sat 8:30am 12:00pm Spanish Group(s): Ascension Michigan Cmg 1851765374

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

MOUNT CLEMENS - 48043
Cuda, Shawna, NPp Family Nurse Practitioner License: 4704293145 NPI: 1487136552 Mycare Health Center Pc 18 Market St Ste C Ste C Mount Clemens, MI 48043 (586) 783-2222 Mon,Fri 8:00am 5:00pm, Tue-Thu 8:00am - 7:00pm, Sat 8:00am 12:00pm Certification: American Academy Of Nurse Practitioners Group(s): Mycare Health Center Pc 1265749683, Mycare Health Center Pc 1639573033, Mycare Health Center Pc 1811391212
Finn, Jeffrey, MD Internal Medicine License: 4301052615 NPI: 1033287578 Henry Ford Health System 155 Cass Ave Mount Clemens, MI 48043 (586) 461-3363 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Gillett Elrington, Ann, MDp Obstetrics & Gynecology License: 4301072747 NPI: 1104856897 Mycare Health Center Pc 18 Market St Ste C Ste C Mount Clemens, MI 48043 (586) 783-2222 Mon,Fri 8:00am 5:00pm, Tue-Thu 8:00am - 7:00pm, Sat 8:00am 12:00pm Spanish Group(s): Mycare Health Center Pc 1265749683, Mycare Health Center Pc 1639573033
Mandava, Vasudevar, MDp Internal Medicine License: 4301031566 NPI: 1073501821 Mycare Health Center Pc 18 Market St Ste C Ste C Mount Clemens, MI 48043 (586) 783-2222 Mon,Fri 8:00am 5:00pm, Tue-Thu 8:00am - 7:00pm, Sat 8:00am 12:00pm Certification: Am Bd Internal Med Group(s): Mycare Health Center Pc 1265749683

Payton, Gladstone, DOp Family Medicine License: 5101005762 NPI: 1184617854 Gladstone Payton Do 247 N Gratiot Ave Mount Clemens, MI 48043 (586) 468-8088 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Gladstone Payton Do
NEW BALTIMORE - 48047
Klein, Kevin, DOp Family Medicine License: 5101010088 NPI: 1558354365 Anchor Bay Clinic Family Medical Center 32901 23 Mile Rd Ste 100 New Baltimore, MI 48047 (586) 725-8500 Mon,Wed 8:00am 9:00pm, Tue,Thu 8:00am - 8:30pm, Fri 8:00am 7:00pm, Sat 8:00am 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Anchor Bay Clinic Family Medical Center - 1518076306

Lao, Ernesto, MDp Family Medicine License: 4301065252 NPI: 1235158528 Henry Ford Macomb Hospital Clinton Twp Pc 30795 23 Mile Rd New Baltimore, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Tagalog Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986
Marston, Katherine, DOp Family Medicine License: 5101019867 NPI: 1013273960 Anchor Bay Clinic Family Medical Center 32901 23 Mile Rd Ste 100 New Baltimore, MI 48047 (586) 725-8500 Mon,Wed 8:00am 9:00pm, Tue,Thu 8:00am - 8:30pm, Fri 8:00am 7:00pm, Sat 8:00am 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Anchor Bay Clinic Family Medical Center - 1518076306

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Mianecki, Thomas, DOp Family Medicine License: 5101007185 NPI: 1013909795 Anchor Bay Clinic Family Medical Center 32901 23 Mile Rd Ste 100 New Baltimore, MI 48047 (586) 725-8500 Mon,Wed 8:00am 9:00pm, Tue,Thu 8:00am - 8:30pm, Fri 8:00am 7:00pm, Sat 8:00am 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Anchor Bay Clinic Family Medical Center - 1518076306
Parrish, Elenn, MDp Family Medicine License: 4301093881 NPI: 1831422286 Henry Ford Macomb Hospital Clinton Twp Pc 30795 23 Mile Rd New Baltimore, MI 48047 (586) 421-3050 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

Prior, Matthew, DOp Family Medicine License: 5101019935 NPI: 1629332382 Anchor Bay Clinic Family Medical Center 32901 23 Mile Rd Ste 100 New Baltimore, MI 48047 (586) 725-8500 Mon,Wed 8:00am 9:00pm, Tue,Thu 8:00am - 8:30pm, Fri 8:00am 7:00pm, Sat 8:00am 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Anchor Bay Clinic Family Medical Center - 1518076306
- 48051
Forton, Jessica, PTp Physical Therapist License: 5501019502 NPI: 1275167140 Total Health Systems Inc 28098 23 Mile Rd New Baltimore, MI 48051 (586) 949-0123 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:30pm Group(s): Total Health Systems Inc 1265564900

Wojdyla, Devynn, PAp Physician Assistant License: 5601006716 NPI: 1992139703 Total Health Systems Inc 28098 23 Mile Rd New Baltimore, MI 48051 (586) 949-0123 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:30pm Group(s): Total Health Systems Inc 1689705964
NEW HAVEN - 48048
Cloutier, Aaron, DOp Family Medicine License: 5101025378 NPI: 1013448067 Community First Health Centers 58144 Gratiot Ave New Haven, MI 48048 (586) 749-5197 Mon 8:30am - 6:00pm, Tue 8:30am - 7:00pm, Wed 8:30am - 8:00pm, Thu 8:30am - 7:30pm, Fri 8:30am - 5:00pm, Sat 8:30am - 12:00pm Certification: Am Board Family Medicine Group(s): Community First Health Centers Pc 1679571392

Doyle, David, DOp Obstetrics & Gynecology License: 5101025812 NPI: 1326499849 Community First Health Centers 58144 Gratiot Ave New Haven, MI 48048 (586) 749-5197 Mon 8:30am - 6:00pm, Tue 8:30am - 7:00pm, Wed 8:30am - 8:00pm, Thu 8:30am - 7:30pm, Fri 8:30am - 5:00pm, Sat 8:30am - 12:00pm Certification: Am Osteopathic Bd Ob/Gyn (Obstetrics & Gynecologic Surgery) Group(s): Community First Health Centers Pc 1679571392
Iqbal, Asif, MDp Family Medicine License: 4301109605 NPI: 1982054482 Community First Health Centers 58144 Gratiot Ave New Haven, MI 48048 (586) 749-5197 Mon 8:30am - 6:00pm, Tue 8:30am - 7:00pm, Wed 8:30am - 8:00pm, Thu 8:30am - 7:30pm, Fri 8:30am - 5:00pm, Sat 8:30am - 12:00pm Group(s): Community First Health Centers Pc 1679571392

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Priebe, Michael, MD Family Medicine License: 4301049840 NPI: 1740271089 Community First Health Centers 58144 Gratiot Ave New Haven, MI 48048 (586) 749-5197 Mon 8:30am - 6:00pm, Tue 8:30am - 7:00pm, Wed 8:30am - 8:00pm, Thu 8:30am - 7:30pm, Fri 8:30am - 5:00pm, Sat 8:30am - 12:00pm Group(s): Community First Health Centers Pc 1679571392
Singleton, Sheila, MDp Family Medicine License: 4301067070 NPI: 1699766030 Community First Health Centers 58144 Gratiot Ave New Haven, MI 48048 (586) 749-5197 Mon 8:30am - 6:00pm, Tue 8:30am - 7:00pm, Wed 8:30am - 8:00pm, Thu 8:30am - 7:30pm, Fri 8:30am - 5:00pm, Sat 8:30am - 12:00pm Certification: Am Board Family Medicine Group(s): Community First Health Centers Pc 1679571392

Sunilkumar, Mini, MD Family Medicine License: 4301078753 NPI: 1477502292 Community First Health Centers 58144 Gratiot Ave New Haven, MI 48048 (586) 749-5197 Mon 8:30am - 6:00pm, Tue 8:30am - 7:00pm, Wed 8:30am - 8:00pm, Thu 8:30am - 7:30pm, Fri 8:30am - 5:00pm, Sat 8:30am - 12:00pm Certification: Am Board Family Medicine Group(s): Community First Health Centers Pc 1679571392
Vernier, Patricia, NP Nurse Practitioner License: 4704202536 NPI: 1194845933 Community First Health Centers 58144 Gratiot Ave New Haven, MI 48048 (586) 749-5197 Mon 8:30am - 6:00pm, Tue 8:30am - 7:00pm, Wed 8:30am - 8:00pm, Thu 8:30am - 7:30pm, Fri 8:30am - 5:00pm, Sat 8:30am - 12:00pm Group(s): Community First Health Centers Pc 1679571392

Woods, Melanie, NPp Nurse Practitioner License: 4704225061 NPI: 1326357013 Community First Health Centers 58144 Gratiot Ave New Haven, MI 48048 (586) 749-5197 Mon 8:30am - 6:00pm, Tue 8:30am - 7:00pm, Wed 8:30am - 8:00pm, Thu 8:30am - 7:30pm, Fri 8:30am - 5:00pm, Sat 8:30am - 12:00pm Group(s): Community First Health Centers Pc 1679571392
Woods, Melanie, NPp Nurse Practitioner License: 4704225061 NPI: 1326357013 Community First Health Centers Pc 58144 Gratiot Ave New Haven, MI 48048 (586) 749-8002 Mon-Fri 8:30am 5:00pm Group(s): Community First Health Centers Pc 1851399570, Community First Health Centers Pc 1184935488, Community First Health Centers Pc 1679571392

RICHMOND
- 48062
Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Health System 67267 S Main St Richmond, MI 48062 (586) 649-9078 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Barker, William, MDp Family Medicine License: 5101013935 NPI: 1275554073 Henry Ford Health System 67267 S Main St Richmond, MI 48062 (586) 649-9078 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Haq, Junaed, MDp Family Medicine License: 4301086147 NPI: 1730341868 Henry Ford Health System 67267 S Main St Richmond, MI 48062 (586) 649-9078 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Hicks, Mary, NPp Family Nurse Practitioner License: 4704140648 NPI: 1811415474 Michigan Healthcare Professionals Pc 68560 Stoecker Ln Richmond, MI 48062 (586) 250-4040 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Jackson, Katherine, DOp Family Medicine License: 5101016612 NPI: 1871614545 Henry Ford Health System 67267 S Main St Richmond, MI 48062 (586) 649-9078 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Jackson, Katherine, DOp Family Medicine License: 5101016612 NPI: 1871614545 Henry Ford Health System Richmond Family Medicine 67267 Main St Richmond, MI 48062 (586) 727-2761 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

Kopp, Amy, MDp Family Medicine License: 4301092532 NPI: 1255595120 Henry Ford Health System 67267 S Main St Richmond, MI 48062 (586) 649-9078 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986
Kopp, Amy, MDp Family Medicine License: 4301092532 NPI: 1255595120 Henry Ford Health System Richmond Family Medicine 67267 Main St Richmond, MI 48062 (586) 727-2761 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986

Shah, Kunjesh, MDp Family Medicine License: 4301090856 NPI: 1720287386 Henry Ford Health System 67267 S Main St Richmond, MI 48062 (586) 649-9078 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Simovski, Radmila, NPp Nurse Practitioner License: 4704283236 NPI: 1700449857 Michigan Healthcare Professionals Pc 68560 Stoecker Ln Richmond, MI 48062 (586) 250-4040 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Health System 67267 S Main St Richmond, MI 48062 (586) 649-9078 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Health System Richmond Family Medicine 67267 Main St Richmond, MI 48062 (586) 727-2761 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

ROMEO - 48065
Allard, Raymond, MDp Family Medicine License: 4301062033 NPI: 1760556377 Henry Ford Med Ctr 80650 Van Dyke Romeo, MI 48065 (810) 798-6410 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Casey, Nina, MDp Family Medicine License: 4301072657 NPI: 1932115052 Nina Z Casey Md Pllc 239 S Main St Romeo, MI 48065 (586) 281-6888 Mon-Tue,Thu 9:00am 5:00pm, Wed 8:00am 12:00pm, Fri 9:00am 2:00pm Certification: Am Board Family Medicine Group(s): Nina Z Casey Md Pllc - 1942495684

Gupta, Badri, MD Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Med Ctr 80650 Van Dyke Romeo, MI 48065 (810) 798-6410 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Hospital Pc - 1891702833
Prasad, Sujatha, MDp Family Medicine License: 4301060650 NPI: 1942206545 Henry Ford Med Ctr 80650 Van Dyke Romeo, MI 48065 (810) 798-6410 Mon-Fri 8:00am 10:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

ROSEVILLE - 48066
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 30785 Gratiot Ave Roseville, MI 48066 (586) 200-6601 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 31120 Gratiot Ave Roseville, MI 48066 (586) 541-2220 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Barjaktarovich, Nicholas, MDp Family Medicine License: 5101021847 NPI: 1265826804 Mclaren Macomb 30550 Utica Rd Roseville, MI 48066 (586) 771-0290 Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb - 1396014601
Barjaktarovich, Nicholas, MDp Family Medicine License: 5101021847 NPI: 1265826804 Mt Clemens Regional Medical Ctr 30550 Utica Roseville, MI 48066 (586) 771-0290 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

Brege, David, MDp Pediatric License: 4301051390 NPI: 1770550709 Ascension Medical Group Michigan Pediatrics Association 18263 Ten Mile Rd Ste C Roseville, MI 48066 (586) 771-0355 Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266
Cohen, Victoria, DOpq Family Medicine License: 5101024520 NPI: 1922458751 St John Center For Wellness & Family Medicine 18303 E 10 Mile Rd Ste 500 Roseville, MI 48066 (586) 498-5160 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1457663197

Corcoran, Timothy, NPp Nurse Practitioner License: 4704282991 NPI: 1760022057 Eastside Cardiovascular Medicine 25195 Kelly Rd Ste A Roseville, MI 48066 (586) 775-4594 Mon-Fri 9:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Ascension St John Hospital Pc 1912965088
Deryavoush, Tara, DOp Internal Medicine License: 5101020870 NPI: 1851718092 Beaumont Professional Services 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Mon 6:30am - 5:00pm, Tue-Thu 6:30am 7:00pm, Fri 7:30am 4:30pm Assyrian, Chaldean Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Deryavoush, Tara, DOp Internal Medicine License: 5101020870 NPI: 1851718092 Oakwood Ambulatory Llc 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Assyrian, Chaldean Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441
Dusevic, Tammy, DOp Family Medicine License: 5101014333 NPI: 1255308615 Mt Clemens Regional Medical Center 19041 12 Mile Rd Roseville, MI 48066 (586) 758-6263 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

130

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Edwards, Robert, MDp Family Medicine License: 4301076025 NPI: 1073597985 Beaumont East Area Family Prac 30695 Little Mack Ave Ste 200 Roseville, MI 48066 (586) 294-9600 Mon-Thu 8:30am 7:00pm, Fri 8:30am 5:00pm, Sat 9:00am 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Geddes, John, MDp Family Medicine License: 4301504481 NPI: 1962995480 Beaumont Professional Services 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Mon 6:30am - 5:00pm, Tue-Thu 6:30am 7:00pm, Fri 7:30am 4:30pm French Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Hanna, Waffa, MDp Internal Medicine License: 4301062012 NPI: 1114929106 Beaumont Professional Services 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Mon 6:30am - 5:00pm, Tue-Thu 6:30am 7:00pm, Fri 7:30am 4:30pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Hanna, Waffa, MDp Internal Medicine License: 4301062012 NPI: 1114929106 Oakwood Ambulatory Llc 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441

Hasnath, Remana, MDp Family Medicine License: 4301500442 NPI: 1649620956 Beaumont East Area Family Prac 30695 Little Mack Ave Ste 200 Roseville, MI 48066 (586) 294-9600 Mon-Thu 8:30am 7:00pm, Fri 8:30am 5:00pm, Sat 9:00am 12:00pm Bengali Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Howard, Thelma, PAp Physician Assistant License: 5601002379 NPI: 1457485237 Park Family Health Care 28350 Gratiot Roseville, MI 48066 (586) 775-2727 Mon-Fri 9:00am 5:00pm Group(s): Park Family Health Care Pc 1437161437

Ishaqsei, Wahed, MDpq Internal Medicine License: 4301080522 NPI: 1063423176 Allied Internists Pllc 18263 E Ten Mile Rd Ste E Roseville, MI 48066 (586) 438-3535 Mon-Fri 8:00am 5:00pm French, German, Other (Non-English), Persain (Farsi) Group(s): Allied Internists Pllc 1801162334
Ishaqsei, Wahed, MDpq Internal Medicine License: 4301080522 NPI: 1063423176 Associates In Internal Medicine 18263 E 10 Mile Rd Ste C Roseville, MI 48066 (586) 552-8696 Mon-Fri 9:00am 5:00pm French, German, Other (Non-English), Persain (Farsi) Group(s): Premier Family Physicians 1457663197, Ascension St John Hospital Pc 1457663197

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

131

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Ishaqsei, Wahed, MDpq Internal Medicine License: 4301080522 NPI: 1063423176 Ishaqsei Md Pllc 18263 E Ten Mile Rd Ste E Roseville, MI 48066 (586) 438-3535 Mon-Fri 8:00am 5:00pm French, German, Other (Non-English), Persain (Farsi) Group(s): Ishaqsei Md Pllc - 1659819639
Ishaqsei, Wahed, MDpq Internal Medicine License: 4301080522 NPI: 1063423176 St John Hospital And Medical Center Pc 18263 E 10 Mile Rd Ste E Roseville, MI 48066 (586) 552-8696 Mon-Fri 9:00am 5:00pm French, German, Other (Non-English), Persain (Farsi) Group(s): Ascension St John Hospital Pc 1457663197

Jain, Deepali, MDp Internal Medicine License: 4301098351 NPI: 1811285489 Beaumont Professional Services 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Mon 6:30am - 5:00pm, Tue-Thu 6:30am 7:00pm, Fri 7:30am 4:30pm Gujarati, Hindi Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Jain, Deepali, MDp Internal Medicine License: 4301098351 NPI: 1811285489 Oakwood Ambulatory Llc 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Gujarati, Hindi Group(s): Oakwood Ambulatory Llc Pc 1003829441

Kamath Wood, Clara, MDp Family Medicine License: 4301064612 NPI: 1548377328 Beaumont East Area Family Prac 30695 Little Mack Ave Ste 200 Roseville, MI 48066 (586) 294-9600 Mon-Thu 8:30am 7:00pm, Fri 8:30am 5:00pm, Sat 9:00am 12:00pm Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Kessler, Susan, MDpq Pediatric License: 4301406679 NPI: 1437170750 Ascension Medical Group Michigan Pediatrics Association 18263 Ten Mile Rd Ste C Roseville, MI 48066 (586) 771-0355 Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266

Kessler, Susan, MDpq Pediatric License: 4301406679 NPI: 1437170750 Woods Pediatric Clinic 18263 E 10 Mile Rd Ste C Roseville, MI 48066 (586) 771-0355 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266
Koss, Marcus, MD Family Medicine License: 4301074604 NPI: 1750300679 Beaumont Professional Services 25509 Kelly Rd Ste A Roseville, MI 48066 (586) 443-7600 Mon-Thu 8:30am 8:00pm, Fri 7:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

132

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Kurzawa, Michael, MDp Family Medicine License: 4301406542 NPI: 1477503217 Beaumont East Area Family Prac 30695 Little Mack Ave Ste 200 Roseville, MI 48066 (586) 294-9600 Mon-Thu 8:30am 7:00pm, Fri 8:30am 5:00pm, Sat 9:00am 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Kurzawa, Michael, MDp Family Medicine License: 4301406542 NPI: 1477503217 Beaumont East Area Family Practice 30695 Little Mack Ave Ste 200 Roseville, MI 48066 (586) 294-9600 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Mermiges, Demetrios, MDp Internal Medicine License: 4301038263 NPI: 1063486736 Beaumont Professional Services 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Mon 6:30am - 5:00pm, Tue-Thu 6:30am 7:00pm, Fri 7:30am 4:30pm Greek Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Mermiges, Demetrios, MDp Internal Medicine License: 4301038263 NPI: 1063486736 Oakwood Ambulatory Llc 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Greek Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441

Mitchell, Michele, MDp Family Medicine License: 4301116042 NPI: 1174505325 Oak Street Health 26390 Gratiot Ave Roseville, MI 48066 (586) 221-7020 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Osh Mi Physicians Group Pc 1700236478
Mohammed, Sabah, MD p Internal Medicine License: 4301091878 NPI: 1366484206 Sabah Internal Medicine Pllc 18245 10 Mile Rd Ste 120 Roseville, MI 48066 (586) 774-8710 Mon-Fri 8:30am 4:30pm Arabic Certification: Am Bd Internal Med Group(s): Sabah Internal Medicine Pllc Pc 1770029621

Moore, Donald, MD Internal Medicine License: 4301038055 NPI: 1427073469 Oakwood Ambulatory Llc 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441
Nabha, Enaia, MDp Internal Medicine License: 4301097102 NPI: 1881907418 Oak Street Health 26390 Gratiot Ave Roseville, MI 48066 (586) 221-7020 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Osh Mi Physicians Group Pc 1700236478

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Nine, Carolyn, MD Family Medicine License: 4301060058 NPI: 1154437416 Beaumont Professional Services 18263 10 Mile Rd Ste C Roseville, MI 48066 (586) 778-3564 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Nine, Carolyn, MDp Family Medicine License: 4301060058 NPI: 1154437416 Beaumont Professional Services 25509 Kelly Rd Ste A Roseville, MI 48066 (586) 443-7600 Mon-Thu 8:30am 8:00pm, Fri 7:00am 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Paduvana, Majeed, MDp q Internal Medicine License: 4301060372 NPI: 1649272261 Associates In Internal Medicine 18263 E 10 Mile Rd Ste C Roseville, MI 48066 (586) 552-8696 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Premier Family Physicians 1457663197, Ascension St John Hospital Pc 1457663197
Paduvana, Majeed, MDp q Internal Medicine License: 4301060372 NPI: 1649272261 St John Hospital And Medical Center Pc 18263 E 10 Mile Rd Ste E Roseville, MI 48066 (586) 552-8696 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension St John Hospital Pc 1457663197

Schunemann, Christie, NPp Family Nurse Practitioner License: 4704224979 NPI: 1013909001 Mclaren Macomb Pc 30550 Utica Rd Roseville, MI 48066 (586) 771-0290 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601
Schunemann, Christie, NPp Family Nurse Practitioner License: 4704224979 NPI: 1013909001 Mt Clemens Regional Medical Ctr 30550 Utica Roseville, MI 48066 (586) 771-0290 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601

Shajahan, Asha, MDp Family Medicine License: 4301093733 NPI: 1619102597 Beaumont East Area Family Prac 30695 Little Mack Ave Ste 200 Roseville, MI 48066 (586) 294-9600 Mon-Thu 8:30am 7:00pm, Fri 8:30am 5:00pm, Sat 9:00am 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Sood, Ratika, MDp Family Medicine License: 4301111020 NPI: 1174819312 Beaumont Professional Services 25509 Kelly Rd Ste A Roseville, MI 48066 (586) 443-7600 Mon-Thu 8:30am 8:00pm, Fri 7:00am 5:00pm Hindi, Punjabi Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Toromanovski, Todor, MDp Family Medicine License: 4301102789 NPI: 1801237847 Mclaren Macomb Pc 30550 Utica Rd Roseville, MI 48066 (586) 771-0290 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Mclaren Macomb Pc 1396014601
Vollmer, John, MDp Family Medicine License: 4301046289 NPI: 1932113628 Beaumont East Area Family Prac 30695 Little Mack Ave Ste 200 Roseville, MI 48066 (586) 294-9600 Mon-Thu 8:30am 7:00pm, Fri 8:30am 5:00pm, Sat 9:00am 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Vollmer, John, MDp Family Medicine License: 4301046289 NPI: 1932113628 Beaumont Professional Services 25250 Kelly Rd Ste 100 Roseville, MI 48066 (586) 777-4668 Mon-Tue,Thu-Fri 9:00am - 4:30pm, Wed 9:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Vollmer, John, MDp Family Medicine License: 4301046289 NPI: 1932113628 Oakwood Ambulatory Llc Pc 30695 Little Mack Ave Ste 200 Roseville, MI 48066 (586) 294-9600 Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Wang, Jennifer, MDp Internal Medicine License: 4301075319 NPI: 1962404483 Beaumont Professional Services 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Mon 6:30am - 5:00pm, Tue-Thu 6:30am 7:00pm, Fri 7:30am 4:30pm Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Wang, Jennifer, MDp Internal Medicine License: 4301075319 NPI: 1962404483 Oakwood Ambulatory Llc 18325 E 10 Mile Rd Ste 300 Roseville, MI 48066 (586) 447-4000 Group(s): Oakwood Ambulatory Llc Pc 1003829441

Welke, Nancy, NPp Nurse Practitioner License: 4704192792 NPI: 1487711677 Eastside Cardiovascular Medicine 25195 Kelly Rd Ste A Roseville, MI 48066 (586) 775-4594 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Wessel, Charles, MDp Family Medicine License: 4301045810 NPI: 1275525909 Park Family Health Care 28350 Gratiot Roseville, MI 48066 (586) 775-2727 Mon-Fri 9:00am 5:00pm Group(s): Park Family Health Care Pc 1437161437

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

SAINT CLAIR SHORES
- 48080
Afram, Renee, MDp Family Medicine License: 4301117198 NPI: 1922450980 Beaumont Professional Services 22646 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Mon 8:00am - 5:00pm, Tue-Fri 8:00am - 8:00pm Arabic Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Alrais, Mark, MDp Family Medicine License: 4301092637 NPI: 1083875702 Beaumont Professional Services 22646 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Mon 8:00am - 5:00pm, Tue-Fri 8:00am - 8:00pm Arabic Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Alrais, Mark, MDp Family Medicine License: 4301092637 NPI: 1083875702 Oakwood Ambulatory Llc Pc 22646 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Arabic Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Bhardwaj, Priti, MDp Internal Medicine License: 4301069863 NPI: 1205879434 Priti Bhardwaj Md, 22790 Harper Ste St A 22790 Harper Ste Ste A Saint Clair Shores, MI 48080 (586) 771-7200 Mon-Fri 9:00am 5:30pm Hindi, Punjabi Group(s): Priti Bhardwaj Md Pc - 1851447692
Brege, David, MDp Pediatric License: 4301051390 NPI: 1770550709 Lakeview Pediatrics 20225 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 772-1090 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266

Brown, Indigo, DOp Family Medicine License: 5101022333 NPI: 1740638535 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Cherri, Catherine, MDp Family Medicine License: 4301103625 NPI: 1053750356 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Cohen, Victoria, DOpq Family Medicine License: 5101024520 NPI: 1922458751 Greater Mack Primary Care 22050 Greater Mack Saint Clair Shores, MI 48080 (586) 738-9430 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500
Cybinski, Katherine, DO p Family Medicine License: 5101021001 NPI: 1023420585 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

Farhat, Anna, MDpq Family Medicine License: 4301101528 NPI: 1710241856 St John Hospital And Medical Center Pc 29411 Little Mack Ste C Saint Clair Shores, MI 48080 (586) 777-2050 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088
Fox, Kelita, MDp Family Medicine License: 4301501395 NPI: 1518279827 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Gavino, Belinda, MDp Family Medicine License: 4301500706 NPI: 1750711636 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Gupta, Badri, MDp Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

Gupta, Badri, MD Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Haurani, Chady, MDp Family Medicine License: 4301099328 NPI: 1982992475 Beaumont Professional Services 22646 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Mon 8:00am - 5:00pm, Tue-Fri 8:00am - 8:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

137

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Haurani, Chady, MDp Family Medicine License: 4301099328 NPI: 1982992475 Oakwood Ambulatory Llc Pc 22646 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
Hindawi, Aref, MDp Internal Medicine License: 4301062013 NPI: 1538181458 Aref Hindawi Md 23600 Harper Ave Ste 102 Saint Clair Shores, MI 48080 (586) 443-4940 Mon,Thu 8:00am 3:00pm, Tue 8:00am 5:00pm, Fri 8:00am 12:00pm French Certification: Am Bd Internal Med Group(s): Aref Hindawi Md

Ishaqsei, Wahed, MDpq Internal Medicine License: 4301080522 NPI: 1063423176 Wahed Ishaqsei, Md 22811 Greater Mack Ste 205 Saint Clair Shores, MI 48080 (586) 778-4950 Mon-Fri 9:00am 5:00pm French, German, Other (Non-English), Persain (Farsi) Group(s): Ascension Medical Group Michigan Pc 1174537500
Jacobs, William, DOpq Family Medicine License: 5101022427 NPI: 1265882260 Alnajjar Plastic & Reconstructive Surgery Pc 20225 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 779-8700 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Michigan Cmg 1851765374

Jayakar, Arunima, MDp Family Medicine License: 4301092675 NPI: 1295987212 Doctor Robot Pllc 21610 E 9 Mile Rd Saint Clair Shores, MI 48080 (586) 438-3535 Mon-Thu 9:30am 5:00pm Hindi Group(s): Doctor Robot Pllc - 1962861815
Jayakar, Saroja, MDp Internal Medicine License: 4301033040 NPI: 1144259995 Doctor Robot Pllc 21610 E 9 Mile Rd Saint Clair Shores, MI 48080 (586) 438-3535 Mon-Thu 9:30am 5:00pm Certification: Am Bd Internal Med Group(s): Doctor Robot Pllc - 1962861815

Jayakar, Saroja, MDp Internal Medicine License: 4301033040 NPI: 1144259995 Gandam S Jayakar Md Pc 21610 E 9 Mile Rd Saint Clair Shores, MI 48080 (586) 775-6010 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Doctor Robot Pllc - 1962861815, Gandam S Jayakar Md
Jayakar, Shaun, MDp Internal Medicine License: 4301086680 NPI: 1770747594 Doctor Robot Pllc 21610 E 9 Mile Rd Saint Clair Shores, MI 48080 (586) 438-3535 Mon-Thu 9:30am 5:00pm Certification: Am Bd Internal Med Group(s): Doctor Robot Pllc - 1962861815

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

138

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Jayakar, Shaun, MDp Internal Medicine License: 4301086680 NPI: 1770747594 Gandam S Jayakar Md Pc 21610 E 9 Mile Rd Saint Clair Shores, MI 48080 (586) 775-6010 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Doctor Robot Pllc - 1962861815, Gandam S Jayakar Md
Kohler, Aliya, MDp Family Medicine License: 4301072057 NPI: 1811099559 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Maqbool, Zenia, MDp Family Medicine License: 4301103101 NPI: 1669810297 Beaumont Professional Services 22646 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Mon 8:00am - 5:00pm, Tue-Fri 8:00am - 8:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Maqbool, Zenia, MDp Family Medicine License: 4301103101 NPI: 1669810297 Oakwood Ambulatory Llc Pc 22646 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Mulrenin, Steven, PAp Physician Assistant License: 5601001853 NPI: 1659595775 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Hospital Pc - 1134144801
Namei, Farzin, MDpq Family Medicine License: 4301053449 NPI: 1700883345 Premier Family Physicians 24100 Little Mack Saint Clair Shores, MI 48080 (586) 443-4063 Mon-Fri 9:00am 5:00pm Persain (Farsi) Group(s): Premier Family Physicians 1457663197, Ascension St John Hospital Pc 1457663197

Nine, Carolyn, MDp Family Medicine License: 4301060058 NPI: 1154437416 Beaumont Professional Services 22646 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Mon 8:00am - 5:00pm, Tue-Fri 8:00am - 8:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Nine, Carolyn, MDp Family Medicine License: 4301060058 NPI: 1154437416 Oakwood Ambulatory Llc Pc 22646 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

139

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Obyrne, Rachel, MDpq Family Medicine License: 4301086067 NPI: 1376503151 Ascension St John Hospital Pc 25319 Little Mack Ave Saint Clair Shores, MI 48080 (586) 443-4950 Mon-Fri 8:30am 5:30pm French Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1457663197
Pandrangi, Lakshmi, MD p Family Medicine License: 4301077786 NPI: 1043384555 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Pandrangi, Lakshmi, MD p Family Medicine License: 4301077786 NPI: 1043384555 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1134144801
Parcells, Jeffrey, MDpq Family Medicine License: 4301049455 NPI: 1982605275 St John Hospital And Medical Center Pc 29411 Little Mack Ste C Saint Clair Shores, MI 48080 (586) 777-2050 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088

Paschall, Mark, MDpq Family Medicine License: 4301049934 NPI: 1871543678 St John Hospital And Medical Center Pc 29411 Little Mack Ste C Saint Clair Shores, MI 48080 (586) 777-2050 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088
Phillips, Robert, MD Internal Medicine License: 4301047298 NPI: 1760443600 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801

Pierron, Margaret, MDp Pediatric License: 4301042366 NPI: 1588631865 Lakeview Pediatrics 20225 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 772-1090 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Reickert, Eileen, MDpq Family Medicine License: 4301061184 NPI: 1174515779 St John Hospital And Medical Center Pc 29411 Little Mack Ste C Saint Clair Shores, MI 48080 (586) 777-2050 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

140

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Reynolds, Jenese, MDp Family Medicine License: 4301096049 NPI: 1972760817 St John Hospital And Medical Center Pc 29411 Little Mack Ste C Saint Clair Shores, MI 48080 (586) 777-2050 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Savalli, Rachelle, DOp Family Medicine License: 5101022495 NPI: 1770933848 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Shah, Kunjesh, MDp Family Medicine License: 4301090856 NPI: 1720287386 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Siddiqui, Rehana, MDp Family Medicine License: 4301503731 NPI: 1942730510 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Stachelski, Daniel, MDp Family Medicine License: 4301054741 NPI: 1992797898 Beaumont Professional Services 22646 E 9 Mile Rd Ste A Saint Clair Shores, MI 48080 (586) 498-4800 Mon 8:00am - 5:00pm, Tue-Fri 8:00am - 8:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Sukumar, Suja, MD Internal Medicine License: 4301067488 NPI: 1811065352 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833

Turk, Eshel, MDp Family Medicine License: 4301081830 NPI: 1356350268 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Ul Hassan, Jawad, DOp Family Medicine License: 5101020498 NPI: 1629417928 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

141

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Hospital 24725 Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Group(s): Henry Ford Macomb Family Medicine - 1134265986
Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Medical Center 24725 E Jefferson Ave Saint Clair Shores, MI 48080 (586) 774-7800 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

- 48081
Alrais, Mark, MDp Family Medicine License: 4301092637 NPI: 1083875702 Oakwood Ambulatory Llc 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4000 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
Balasz, Jade, DOpq Family Medicine License: 5101023197 NPI: 1780122036 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1174537500

Boucher, Alexandra, DO pq Family Medicine License: 5101022511 NPI: 1861841124 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1174537500
Cassleman, Sean, DOpq Internal Medicine License: 5101020867 NPI: 1720404775 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500

Cassleman, Sean, DOpq Internal Medicine License: 5101020867 NPI: 1720404775 Medical Resource Group 2100 E 12 Mile Rd Ste 104 Saint Clair Shores, MI 48081 (586) 447-5055 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500
Chintalapally, Radhika, MDpq Family Medicine License: 4301086143 NPI: 1326251620 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Hindi Group(s): Ascension Medical Group Michigan Pc 1174537500

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

142

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Cohen, Victoria, DOpq Family Medicine License: 5101024520 NPI: 1922458751 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500
Conrad, Nikola, MDp Family Medicine License: 4301101196 NPI: 1013279371 Beaumont Professional Services 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon,Wed 8:00am 8:00pm, Tue,Thu-Fri 8:00am - 5:00pm, Sat 9:00am - 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Conrad, Nikola, MD Family Medicine License: 4301101196 NPI: 1013279371 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Crampton, Katherine, NP p Nurse Practitioner License: 4704228761 NPI: 1285181065 Shores Primary Care Pc 28001 Harper Ave Saint Clair Shores, MI 48081 (586) 772-7180 Mon-Fri 9:00am 6:00pm, Sat 9:00am 1:30pm Group(s): Ascension Medical Group Michigan Pc 1174537500

Gammouh, Sarah, MDp Family Medicine License: 4301109650 NPI: 1073961884 Oakwood Ambulatory Llc 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4000 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
Gerhardt, Sara, MDp Internal Medicine License: 4301108011 NPI: 1437530516 Beaumont Professional Services 25631 Little Mack Ave Lower Level Saint Clair Shores, MI 48081 (586) 443-2998 Mon-Fri 8:00am 4:30pm German Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

Gerhardt, Sara, MDp Internal Medicine License: 4301108011 NPI: 1437530516 Beaumont Weight Control Center 25631 Little Mack Ave Ste Ll Saint Clair Shores, MI 48081 (586) 443-2998 Mon 6:00am - 3:00pm, Tue-Wed 8:00am 8:00pm, Thu 8:00am 5:00pm German Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Gruber, Amber, DOp Family Medicine License: 5101016902 NPI: 1124240858 Beaumont Professional Services 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon,Wed 8:00am 8:00pm, Tue,Thu-Fri 8:00am - 5:00pm, Sat 9:00am - 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

143

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Hanna, Jennifer, DOpq Family Medicine License: 5101021791 NPI: 1770962128 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500
Herman, Eugene, MDpq Internal Medicine License: 4301049218 NPI: 1801876164 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Group(s): Ascension Medical Group Michigan Pc 1174537500

Hindy, David, MDpq Family Medicine License: 4301054522 NPI: 1043201767 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Group(s): Ascension Medical Group Michigan Pc 1174537500
Hussein, Alan, NPp Family Nurse Practitioner License: 4704304560 NPI: 1306386339 Shores Primary Care Pc 28001 Harper Ave Saint Clair Shores, MI 48081 (586) 772-7180 Mon-Fri 9:00am 6:00pm, Sat 9:00am 1:30pm Arabic Group(s): Ascension Medical Group Michigan Pc 1174537500

Jamil, Mada, MDpq Internal Medicine License: 4301072954 NPI: 1386716280 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500
Jennings, Melissa, MDp Family Medicine License: 4301118912 NPI: 1891145439 Beaumont Professional Services 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon,Wed 8:00am 8:00pm, Tue,Thu-Fri 8:00am - 5:00pm, Sat 9:00am - 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Karmo, Brandon, DOpq Family Medicine License: 5101020274 NPI: 1831533645 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500
Klamo, Rachel, DOpq Family Medicine License: 5101022084 NPI: 1497953533 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm French Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1174537500

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

144

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Mcclowry, Robert, MDp Family Medicine License: 4301113767 NPI: 1275952764 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Group(s): Beaumont Professional Services Pc 1811044878
Mcclowry, Robert, MDp Family Medicine License: 4301113767 NPI: 1275952764 Oakwood Ambulatory Llc 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4000 Mon-Fri 9:00am 5:00pm Group(s): Oakwood Ambulatory Llc Pc 1003829441

Mcmall, Madeleine, DOp q Family Medicine License: 5101025484 NPI: 1306373428 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1174537500
Mermiges, Demetrios, MDp Internal Medicine License: 4301038263 NPI: 1063486736 Beaumont Professional Services 25319 Little Mack Ave Saint Clair Shores, MI 48081 (586) 447-4000 Mon-Fri 9:00am 5:00pm Greek Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

Misch, Paul, MDp Family Medicine License: 4301047052 NPI: 1942277876 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Nixon, Rachel, DOpq Family Medicine License: 5101018524 NPI: 1780817593 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1174537500

Oleszkowicz, Andrew, MDp Family Medicine License: 4301094383 NPI: 1528008570 Beaumont Professional Services 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon,Wed 8:00am 8:00pm, Tue,Thu-Fri 8:00am - 5:00pm, Sat 9:00am - 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Panthangi, Veena, MDpq Family Medicine License: 4301081639 NPI: 1467571463 Ascension St John Hospital Pc 26101 Jefferson Saint Clair Shores, MI 48081 (586) 296-6213 Hindi, Kannada Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

145

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Parvataneni, Amitha, MDpq Family Medicine License: 4301089533 NPI: 1336326362 Ascension Medical Group Michigan Pc 28001 Harper Ave Saint Clair Shores, MI 48081 (586) 772-7180 Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500
Patero, Rosalie, NPp Nurse Practitioner License: 4704200258 NPI: 1407384167 Shores Primary Care Pc 28001 Harper Ave Saint Clair Shores, MI 48081 (586) 772-7180 Mon-Fri 9:00am 6:00pm, Sat 9:00am 1:30pm Cebuano, Filipino, Tagalog Certification: American Academy Of Nurse Practitioners Group(s): Ascension Medical Group Michigan Pc 1174537500

Ramakrishna, Shruti, MDp Family Medicine License: 4301103243 NPI: 1700220654 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Ramakrishna, Shruti, MDp Family Medicine License: 4301103243 NPI: 1700220654 Oakwood Ambulatory Llc 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4000 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Rappe, Jodie, MDp Family Medicine License: 4301113817 NPI: 1417012980 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Group(s): Beaumont Professional Services Pc 1811044878
Rappe, Jodie, MDp Family Medicine License: 4301113817 NPI: 1417012980 Oakwood Ambulatory Llc 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4000 Mon-Fri 9:00am 5:00pm Group(s): Oakwood Ambulatory Llc Pc 1003829441

Reddy, Srikar, MDpq Family Medicine License: 4301095478 NPI: 1609036409 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Group(s): Ascension Medical Group Michigan Pc 1174537500
Rizk, Nabil, MDp Family Medicine License: 4301072314 NPI: 1861493124 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

146

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Rodin, Peter, DOp Family Medicine License: 5101008434 NPI: 1225039597 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Group(s): Beaumont Professional Services Pc 1811044878
Rollinger, Kathleen, DOp Family Medicine License: 5101009605 NPI: 1912908245 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

Rollinger, Kathleen, DOp Family Medicine License: 5101009605 NPI: 1912908245 Oakwood Ambulatory Llc 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4000 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441
Rosbolt, James, DOp Family Medicine License: 5101015500 NPI: 1629093158 Beaumont Professional Services 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon,Wed 8:00am 8:00pm, Tue,Thu-Fri 8:00am - 5:00pm, Sat 9:00am - 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

Rosbolt, James, DOp Family Medicine License: 5101015500 NPI: 1629093158 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878
Rosbolt, James, DOp Family Medicine License: 5101015500 NPI: 1629093158 Oakwood Ambulatory Llc 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4000 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

Samyn, Robin, MDp Family Medicine License: 4301070282 NPI: 1275525198 Beaumont Shores Fam Physicians 25631 Little Mack Ave Ste 103 Saint Clair Shores, MI 48081 (586) 443-2333 Mon,Thu 9:00am 8:00pm, Wed,Fri 9:00am - 5:00pm Group(s): Beaumont Professional Services Pc 1811044878
Samyn, Robin, MD Family Medicine License: 4301070282 NPI: 1275525198 Oakwood Ambulatory Llc Pc 25631 Little Mack Ave Ste 103 Saint Clair Shores, MI 48081 (586) 443-2333 Mon-Fri 9:00am 5:00pm Group(s): Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

147

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Shajahan, Asha, MDp Family Medicine License: 4301093733 NPI: 1619102597 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Singhi, Usha, MDpq Internal Medicine License: 4301062197 NPI: 1023098001 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500

Stober, Richard, MDpq Internal Medicine License: 4301045010 NPI: 1255332268 Lakeside Internal Medicine 21000 12 Mile Rd Ste 105 Saint Clair Shores, MI 48081 (586) 498-3610 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500
Stone, Michelle, MDp Family Medicine License: 4301107368 NPI: 1245619352 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Stone, Michelle, MDp Family Medicine License: 4301107368 NPI: 1245619352 Oakwood Ambulatory Llc 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4000 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
Warnick Jr, Stephen, MDp Family Medicine License: 4301099879 NPI: 1235336991 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Board Family Medicine, Am Board Psych & Neurology (Psychiatry) Group(s): Beaumont Professional Services Pc 1811044878

Weitz, Erik, DOp Family Medicine License: 5101021581 NPI: 1033598156 Beaumont St Clair Shores Fam Med Center 21400 E 11 Mile Rd Saint Clair Shores, MI 48081 (586) 498-4400 Mon-Fri 8:00am 4:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Xiong, Mai, NPp Nurse Practitioner License: 4704281958 NPI: 1417313727 Ascension Medical Group Michigan 28001 Harper Ave Saint Clair Shores, MI 48081 (586) 772-7180 Mon-Fri 9:00am 6:00pm, Sat 9:00am 1:30pm Hmong Group(s): Ascension Medical Group Michigan Pc 1174537500

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

148

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Xiong, Mai, NPp Nurse Practitioner License: 4704281958 NPI: 1417313727 Shores Primary Care Pc 28001 Harper Ave Saint Clair Shores, MI 48081 (586) 772-7180 Mon-Fri 9:00am 6:00pm, Sat 9:00am 1:30pm Hmong Group(s): Ascension Medical Group Michigan Pc 1174537500
Zilli, Janaina, MDpq Family Medicine License: 4301081453 NPI: 1366544058 Ascension Medical Group Michigan 28001 Harper Ave Saint Clair Shores, MI 48081 (586) 772-7180 Mon-Fri 9:00am 6:00pm, Sat 9:00am 1:30pm Portuguese Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500

Zilli, Janaina, MDpq Family Medicine License: 4301081453 NPI: 1366544058 Shores Primary Care Pc 28001 Harper Ave Saint Clair Shores, MI 48081 (586) 772-7180 Mon-Fri 9:00am 6:00pm, Sat 9:00am 1:30pm Portuguese Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500, Shores Primary Care Pc 1629110804
Zolo, Shoshan, MDp Family Medicine License: 4301064850 NPI: 1083607584 Beaumont Shores Fam Physicians 25631 Little Mack Ave Ste 103 Saint Clair Shores, MI 48081 (586) 443-2333 Mon,Thu 9:00am 8:00pm, Wed,Fri 9:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Zolo, Shoshan, MD Family Medicine License: 4301064850 NPI: 1083607584 Oakwood Ambulatory Llc Pc 25631 Little Mack Ave Ste 103 Saint Clair Shores, MI 48081 (586) 443-2333 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
- 48082
Adair, Andrew, DOp Family Medicine License: 5101013932 NPI: 1164541702 Total Health Systems Inc 30045 Harper Ave Saint Clair Shores, MI 48082 (586) 772-8560 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Total Health Systems Inc 1265564900

Caldwell, Samantha, PTp Physical Therapist License: 5501016961 NPI: 1649673294 Total Health Systems Inc 30045 Harper Ave Saint Clair Shores, MI 48082 (586) 772-8560 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:30pm Group(s): Total Health Systems Inc 1265564900
Complete Care Rehab Llc Pc - 1801844220p Physical Therapy Clinic NPI: 1801844220 Complete Care Rehab Llc 31370 Harper Ave Saint Clair Shores, MI 48082 (586) 771-7377 Mon-Fri 9:00am 5:00pm Group(s): Complete Care Rehab Llc Pc 1801844220

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Forton, Jessica, PTp Physical Therapist License: 5501019502 NPI: 1275167140 Total Health Systems Inc 30045 Harper Ave Saint Clair Shores, MI 48082 (586) 772-8560 Mon,Wed,Fri 8:30am 6:00pm, Tue,Thu 8:30am - 7:00pm, Sat 8:30am 1:30pm Group(s): Total Health Systems Inc 1265564900
Francis, Kwame, MDpq Family Medicine License: 4301090938 NPI: 1841470481 21099 Masonic Blvd Saint Clair Shores, MI 48082 (586) 296-6213 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Premier Family Physicians 1457663197, Ascension St John Hospital Pc 1457663197

Stachowiak, Katrina, PA p Physician Assistant License: 5601003460 NPI: 1801862842 Total Health Systems Inc 30045 Harper Ave Saint Clair Shores, MI 48082 (586) 772-8560 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900
Syska Jr, Michael, PTp Physical Therapist License: 5501011361 NPI: 1649497876 Total Health Systems Inc 30045 Harper Ave Saint Clair Shores, MI 48082 (586) 772-8560 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900

Wiggins, Derek, PAp Physician Assistant License: 5601009759 NPI: 1538789383 Total Health Systems Inc 30045 Harper Ave Saint Clair Shores, MI 48082 (586) 772-8560 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Total Health Systems Inc 1265564900
SHELBY TOWNSHIP - 48315
Dreyer Laezza, Jaime, MDp Pediatric License: 4301087960 NPI: 1467660779 Pediatric Consultants Of Troy Pc 50720 Schoenherr Rd Shelby Township, MI 48315 (586) 566-2340 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Pediatric Consultants Of Troy Pc 1003821661

Dubina, Elizabeth, MDp Pediatric License: 4301045659 NPI: 1538166434 Pediatric Consultants Of Troy Pc 50720 Schoenherr Rd Shelby Township, MI 48315 (586) 566-2340 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Pediatric Consultants Of Troy Pc 1003821661
Marsheh, Nicholas, MD Internal Medicine License: 4301069838 NPI: 1962423657 Silver Pine Medical Group Plc 13467 23 Mile Rd Shelby Township, MI 48315 (586) 726-4823 Mon 8:00am - 8:00pm, Tue-Thu 7:00am 8:00pm, Fri 8:00am 5:30pm, Sat 8:00am 12:00pm Arabic, French Certification: Am Bd Internal Med Group(s): Silver Pine Medical Group Plc 1639105695

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Munoz, Jill, PTp Physical Therapist License: 5501010768 NPI: 1194794750 Plymouth Physical Therapy Specialists Lp 49050 Schoenherr Rd Ste 600 Shelby Township, MI 48315 (586) 566-8913 Mon-Fri 6:00am 7:00pm Group(s): Plymouth Physical Therapy Specialists Lp 1356368047
Plymouth Physical Therapy Specialists Lp -
1356368047 Physical Therapy Clinic NPI: 1356368047 Plymouth Physical Therapy Specialists Lp 49050 Schoenherr Rd Ste 600 Shelby Township, MI 48315 (586) 566-8913 Mon-Fri 6:00am 7:00pm Group(s): Plymouth Physical Therapy Specialists Lp 1356368047

Schwarz Warner, Laura, MDp Pediatric License: 4301070437 NPI: 1952389561 Pediatric Consultants Of Troy Pc 50720 Schoenherr Rd Shelby Township, MI 48315 (586) 566-2340 Mon-Fri 9:00am 5:00pm Group(s): Pediatric Consultants Of Troy Pc 1003821661
- 48316
Boyd, Sharese, NPp Family Nurse Practitioner License: 4704312111 NPI: 1639713266 Mi Healthcare Professionals Pc 53960 Van Dyke Rd Shelby Township, MI 48316 (586) 323-1510 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Grover, Juli, NPp Family Nurse Practitioner License: 4704258844 NPI: 1508151903 Partners In Family Medicine 6000 24 Mile Rd Shelby Township, MI 48316 (586) 677-3310 Mon-Fri 9:00am 5:00pm Group(s): Partners In Family Medicine 1952592974
Maxwell, Karma, NPp Adult Nurse Practitioner License: 4704260563 NPI: 1083156087 Mi Healthcare Professionals Pc 53960 Van Dyke Rd Shelby Township, MI 48316 (586) 323-1510 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Stortz, Alexa, NPp Family Nurse Practitioner License: 4704288159 NPI: 1083120497 Mi Healthcare Professionals Pc 53960 Van Dyke Rd Shelby Township, MI 48316 (586) 323-1510 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Wixon, Kristina, DOp Family Medicine License: 5101021985 NPI: 1619358793 Partners In Family Medicine 6000 24 Mile Rd Shelby Township, MI 48316 (586) 677-3310 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Partners In Family Medicine 1952592974

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

- 48317
Athletico Physical Therapy - 1821085028 Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 49443 Van Dyke Ave Shelby Township, MI 48317 (586) 580-8460 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
SHELBY TWP - 48315
Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Barker, William, MDp Family Medicine License: 5101013935 NPI: 1275554073 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Ferrarer-Blair, Hilda, MDp Family Medicine License: 4301085592 NPI: 1487868121 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Gadzinski, Nicholas, DO p Family Medicine License: 5101019544 NPI: 1013216068 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Haq, Junaed, MDp Family Medicine License: 4301086147 NPI: 1730341868 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Hasan, Tahir, MDp Family Medicine License: 4301059956 NPI: 1003987694 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

152

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Kavanagh, Kristen, DOp Family Medicine License: 5101015629 NPI: 1174562482 Henry Ford Medical Center 51221 Schoenherr Rd Ste 201 Shelby Twp, MI 48315 (586) 254-3545 Mon 9:00am - 5:00pm, Tue 8:30am - 5:00pm, Wed,Fri 9:00am 4:30pm, Thu 8:30am 6:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634, Henry Ford Macomb Family Medicine - 1134265986
Khan, Mubina, MDp Family Medicine License: 4301072412 NPI: 1053336271 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986

Ochani, Monika, MDp Family Medicine License: 4301085831 NPI: 1851509293 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Gujarati, Hindi, Marathi, Sindhi Group(s): Henry Ford Macomb Family Medicine - 1134265986
Ompt Specialists Inc 1205865961p Physical Therapy Clinic NPI: 1205865961 Ompt Specialists Inc 14901 23 Mile Rd Ste C Shelby Twp, MI 48315 (248) 353-1234 Mon-Fri 7:00am 7:00pm Group(s): Ompt Specialists Inc 1205865961

Packey, Nicholas, DOp Family Medicine License: 5101018950 NPI: 1104130558 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986
Parrish, Elenn, MDp Family Medicine License: 4301093881 NPI: 1831422286 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986

Philip, Sathish, MDp Family Medicine License: 4301096861 NPI: 1194040626 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Hindi, Malayalam, Russian, Tamil Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986
Terry Hassel, Norene, MDp Family Medicine License: 4301049445 NPI: 1982778494 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

153

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Thibodeau, Michael, MD Internal Medicine License: 4301057585 NPI: 1992873434 Henry Ford Health System 50505 Schoenherr Rd Shelby Twp, MI 48315 (586) 323-4700 Mon-Fri 6:00am 10:00pm, Sat-Sun 6:00am - 6:00pm Group(s): Henry Ford Hospital Pc - 1891702833
ST CLAIR SHRS - 48081
Agrawal, Rajiv, MDp Family Medicine License: 4301075779 NPI: 1659392496 Pioneer Medical Associates Pc 29111 Harper Ave St Clair Shrs, MI 48081 (586) 566-1782 Mon,Wed,Fri 8:30am 4:30pm, Tue,Thu 8:00am - 6:00pm Group(s): Pioneer Medical Associates Pc 1093296592
Fox Smith, Laura, MD Family Medicine License: 4301050430 NPI: 1346241668 Oakwood Ambulatory Llc Pc 21400 E 11 Mile Rd St Clair Shrs, MI 48081 (586) 498-4400 Group(s): Oakwood Ambulatory Llc Pc 1003829441

Rodriguez, Jose, MDp Internal Medicine License: 4301044571 NPI: 1750481842 Pioneer Medical Associates Pc 29111 Harper Ave St Clair Shrs, MI 48081 (586) 566-1782 Mon,Wed,Fri 8:30am 4:30pm, Tue,Thu 8:00am - 6:00pm Group(s): Pioneer Medical Associates Pc 1093296592
Warnick Jr, Stephen, MDp Family Medicine License: 4301099879 NPI: 1235336991 Oakwood Ambulatory Llc Pc 21400 E 11 Mile Rd St Clair Shrs, MI 48081 (586) 498-4400 Certification: Am Board Family Medicine, Am Board Psych & Neurology (Psychiatry) Group(s): Oakwood Ambulatory Llc Pc 1003829441

ST CLR SHORES - 48080
Alrais, Mark, MDp Family Medicine License: 4301092637 NPI: 1083875702 Bi County Physicians Pc 21600 Harper Ave Ste 100 St Clr Shores, MI 48080 (586) 800-1001 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Bi County Physicians Pc 1114417813
Chritz, Tiffany, DOpq Pediatric License: 5101021660 NPI: 1750760070 St John Pediatric Associates 25319 Little Mack Ave St Clr Shores, MI 48080 (586) 443-4950 Mon-Fri 8:30am 5:00pm Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266

Farhat, Anna, MDpq Family Medicine License: 4301101528 NPI: 1710241856 St John Hospital And Medical Center Pc 24911 Little Mack Ste C St Clr Shores, MI 48080 (586) 777-2050 Mon-Fri 8:00am 8:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088
Fulgenzi, Kathleen, MDp Family Medicine License: 4301042670 NPI: 1588656102 St John Hospital And Medical Center Pc 24911 Little Mack Ste C St Clr Shores, MI 48080 (586) 777-2050 Mon-Fri 8:00am 8:00pm Group(s): Ascension St John Hospital Pc 1912965088

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

154

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Hagle, Sarah, MDpq Family Medicine License: 4301106196 NPI: 1235544081 St John Hospital And Medical Center Pc 24911 Little Mack Ste C St Clr Shores, MI 48080 (586) 777-2050 Mon-Fri 8:00am 8:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088
Murphy, Mary, MDpq Family Medicine License: 4301054246 NPI: 1306838834 St John Hospital And Medical Center Pc 24911 Little Mack Ste C St Clr Shores, MI 48080 (586) 777-2050 Mon-Fri 8:00am 8:00pm Group(s): Ascension St John Hospital Pc 1912965088
Parcells, Jeffrey, MDpq Family Medicine License: 4301049455 NPI: 1982605275 St John Hospital And Medical Center Pc 24911 Little Mack Ste C St Clr Shores, MI 48080 (586) 777-2050 Mon-Fri 8:00am 8:00pm Group(s): Ascension St John Hospital Pc 1912965088

Paschall, Mark, MDpq Family Medicine License: 4301049934 NPI: 1871543678 St John Hospital And Medical Center Pc 24911 Little Mack Ste C St Clr Shores, MI 48080 (586) 777-2050 Mon-Fri 8:00am 8:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088
Reickert, Eileen, MDpq Family Medicine License: 4301061184 NPI: 1174515779 St John Hospital And Medical Center Pc 24911 Little Mack Ste C St Clr Shores, MI 48080 (586) 777-2050 Mon-Fri 8:00am 8:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088

Scofield, Barry, MDpq Family Medicine License: 4301065690 NPI: 1699725481 St John Hospital And Medical Center Pc 24911 Little Mack Ste C St Clr Shores, MI 48080 (586) 777-2050 Mon-Fri 8:00am 8:00pm Spanish, Portuguese Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1912965088
- 48081
Ahmad, Ruhel, MDpq Pediatric License: 4301501413 NPI: 1447780754 St John Pediatric Associates 25319 Little Mack Ave Ste 100 St Clr Shores, MI 48081 (586) 443-4950 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Michigan Cmg 1851765374

Brege, David, MDp Pediatric License: 4301051390 NPI: 1770550709 St John Pediatric Associates 25319 Little Mack Ave Ste 100 St Clr Shores, MI 48081 (586) 443-4950 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266
Catrambone, Renee, MD pq Pediatric License: 4301095985 NPI: 1407896921 St John Pediatric Associates 25319 Little Mack Ave Ste 100 St Clr Shores, MI 48081 (586) 443-4950 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

155

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Chritz, Tiffany, DOpq Pediatric License: 5101021660 NPI: 1750760070 St John Pediatric Associates 25319 Little Mack Ave Ste 100 St Clr Shores, MI 48081 (586) 443-4950 Mon-Fri 9:00am 5:00pm Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Damidi, Sudha, MDpq Pediatric License: 4301089171 NPI: 1407902869 St John Pediatric Associates 25319 Little Mack Ave Ste 100 St Clr Shores, MI 48081 (586) 443-4950 Mon-Fri 9:00am 5:00pm Hindi, Telugu Group(s): Ascension Michigan Cmg 1851765374

Fowler, Sharon, MDpq Pediatric License: 4301071559 NPI: 1881682334 St John Pediatric Associates 25319 Little Mack Ave Ste 100 St Clr Shores, MI 48081 (586) 443-4950 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
Green, Lyric, MDpq Pediatric License: 4301056540 NPI: 1205825957 St John Pediatric Associates 25319 Little Mack Ave Ste 100 St Clr Shores, MI 48081 (586) 443-4950 Mon-Fri 9:00am 5:00pm French Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374

Hrabovsky, Julie, MDpq Pediatric License: 4301107593 NPI: 1912393398 St John Pediatric Associates 25319 Little Mack Ave Ste 100 St Clr Shores, MI 48081 (586) 443-4950 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374
- 48082
Iyer, Chandrika, MDpq Family Medicine License: 4301070354 NPI: 1306895065 St John Hospital And Medical Center Pc 21099 Masonic Blvd St Clr Shores, MI 48082 (586) 296-6213 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1457663197

Obyrne, Rachel, MDpq Family Medicine License: 4301086067 NPI: 1376503151 St John Hospital And Medical Center Pc 21099 Masonic Blvd St Clr Shores, MI 48082 (586) 296-6213 Mon-Fri 9:00am 5:00pm French Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1457663197
Panthangi, Veena, MDpq Family Medicine License: 4301081639 NPI: 1467571463 St John Hospital And Medical Center Pc 21099 Masonic Blvd St Clr Shores, MI 48082 (586) 296-6213 Mon-Fri 9:00am 5:00pm Hindi, Kannada Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1457663197

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

156

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Scofield, Barry, MDpq Family Medicine License: 4301065690 NPI: 1699725481 St John Hospital And Medical Center Pc 21099 Masonic Blvd St Clr Shores, MI 48082 (586) 296-6213 Mon-Fri 9:00am 5:00pm Spanish, Portuguese Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1457663197
Wilson, Jeanette, MDpq Family Medicine License: 4301108210 NPI: 1376926865 St John Hospital And Medical Center Pc 21099 Masonic Blvd St Clr Shores, MI 48082 (586) 296-6213 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1457663197

STERLING HEIGHTS
- 48310
Al Khouri, Ghidah, MDp Family Medicine License: 4301094540 NPI: 1427289081 Mercy Family Care Center Pllc 2107 E 14 Mile Rd Ste 103 Sterling Heights, MI 48310 (586) 272-2005 Mon-Fri 9:00am 5:00pm, Sat 10:00am 2:00pm Arabic Certification: Am Board Family Medicine Group(s): Mercy Family Care Center Pllc 1598202467
Al Khouri, Ghidah, MDp Family Medicine License: 4301094540 NPI: 1427289081 Mercy Family Care Center Pllc 2107 E 14 Mile Rd Ste 130 Sterling Heights, MI 48310 (586) 272-2005 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Mercy Family Care Center Pllc 1598202467

Al Matchy, Victor, MDp Internal Medicine License: 4301070663 NPI: 1609811975 Trinity Medical Center Pc 37522 Dequindre Rd Sterling Heights, MI 48310 (586) 275-0065 Mon-Tue,Thu 9:00am 5:00pm, Wed 9:00am 4:00pm, Fri 9:00am 5:30pm Arabic, Assyrian, Chaldean Certification: Am Bd Internal Med Group(s): Trinity Medical Center Pc
Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Alkhouri, Raad, MDp Internal Medicine License: 4301092314 NPI: 1467616904 Mercy Family Care Center Pllc 2107 E 14 Mile Rd Ste 130 Sterling Heights, MI 48310 (586) 272-2005 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Mercy Family Care Center Pllc 1598202467, Mercy Family Care Center 1275807372
Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Alsheikh, Anas, MDp Internal Medicine License: 4301110410 NPI: 1902249766 Elite Internal Medicine Pc 34580 Dequindre Rd Sterling Heights, MI 48310 (586) 977-9066 Mon-Tue,Thu 9:00am 5:00pm, Wed 10:00am 6:00pm, Fri 9:00am 2:00pm, Sat 10:00am 2:00pm Arabic, Chaldean Group(s): Elite Internal Medicine Pc 1255411658
Andritsis, Brenda, MDp Family Medicine License: 4301054934 NPI: 1124196936 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Tagalog Group(s): Henry Ford Medical Center Fairlane - 1952485351

Askar, Faiz, MD Internal Medicine License: 4301089680 NPI: 1881860823 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Askar, Faiz, MD Internal Medicine License: 4301089680 NPI: 1881860823 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801

Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 38093 Mound Rd Sterling Heights, MI 48310 (586) 826-4000 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Azeez, Nasser, MDp Family Medicine License: 4301087087 NPI: 1750556999 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Hindi, Kannada, Tamil Group(s): Henry Ford Medical Center Fairlane - 1952485351

Barkho, Wafa, MDpq Family Medicine License: 4301094713 NPI: 1033349626 Ascension Macomb Oakland Hospital Pc 3601 15 Mile Rd Ste 100 Sterling Heights, MI 48310 (586) 738-9475 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472
Brown, Indigo, DOp Family Medicine License: 5101022333 NPI: 1740638535 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Burton, Mary, MDp Pediatric License: 4301054386 NPI: 1033108337 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Cherri, Catherine, MDp Family Medicine License: 4301103625 NPI: 1053750356 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Collins, Joshua, MD Internal Medicine License: 4301097129 NPI: 1023321809 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Costandi, Mariam, MDp Family Medicine License: 4301090069 NPI: 1487850509 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Cox, David, MDp Family Medicine License: BC1718836 NPI: 1740554666 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Crow, Joseph, MDp Family Medicine License: 4301083886 NPI: 1134241110 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Cybinski, Katherine, DO p Family Medicine License: 5101021001 NPI: 1023420585 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351
Dabaja, Fauzieh, MD Internal Medicine License: 4301500464 NPI: 1386095321 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Daiza, Renap Family Medicine License: 4301108370 NPI: 1235526112 Henry Ford Health System 3500 15 Mile Rd 2nd Fl Sterling Heights, MI 48310 (586) 268-8898 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Deitch, Jeffrey, DOp Family Medicine License: 5101010020 NPI: 1386634749 Tri 37450 Dequindre Rd Sterling Heights, MI 48310 (586) 979-5100 Mon 7:30am - 7:00pm, Tue-Fri 7:30am 6:00pm, Sat 7:30am 6:30pm Vietnamese Certification: Am Os Bd Family Physicians & Omt, Am Os Bd Family Physicians (Geriatric Medicine) Group(s): Tri-County Medical Clinic Pc

Desai, Komal, MD Pediatric License: 4301116939 NPI: 1841654266 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318
Devaney, Lani, DOp Pediatric License: 5101015607 NPI: 1659305787 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Dizon, Emmanuel, MD Internal Medicine License: 4301073823 NPI: 1447328984 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Drake, Sean, MD Internal Medicine License: 4301079442 NPI: 1891863338 Henry Ford Hospital 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-8990 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Elsarawy, Zainab, MDp Family Medicine License: 4301101905 NPI: 1902130545 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Federman, Alexis, DOq Internal Medicine License: 5101016164 NPI: 1346433422 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Ferrans, Diana, MD Family Medicine License: 4301058323 NPI: 1851469662 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Spanish Group(s): Henry Ford Medical Center Fairlane - 1952485351
Fesdjian-Gogaltan, Oana
Cristina, MD Internal Medicine License: 4301074517 NPI: 1124196662 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Romanian Certification: Am Bd Internal Med Experience/Service: Fiscinermed, Homedeliveredmeals, Preventivenursingservices, Communitytransition, Nursinginter, Special Services Offered Group(s): Henry Ford Hospital Pc - 1891702833

Fesdjian-Gogaltan, Oana
Cristina, MD Internal Medicine License: 4301074517 NPI: 1124196662 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Romanian Certification: Am Bd Internal Med Experience/Service: Preventivenursingservices, Special Services Offered, Communitytransition, Nursinginter, Homedeliveredmeals, Fiscinermed Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Fox, Kelita, MDp Family Medicine License: 4301501395 NPI: 1518279827 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Gavino, Belinda, MDp Family Medicine License: 4301500706 NPI: 1750711636 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
George, Diane, DOp Family Medicine License: 5101010642 NPI: 1700950219 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1134144801

Gjurashaj, Nik, MDp Family Medicine License: 4301101531 NPI: 1366705949 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Spanish, Albanian Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Gogue, Paul, MDxp Pediatric License: 4301101197 NPI: 1104172212 Gogue Pediatrics Pc 39242 Dequindre Rd Ste 101 Sterling Heights, MI 48310 (586) 446-8060 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Gogue Pediatrics Pc 1265921191 PEIRXT

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Gordon, Shoshana, DOp Pediatric License: 5101025276 NPI: 1740719558 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318
Gordon, Shoshana, DO Pediatric License: 5101025276 NPI: 1740719558 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Hospital Pc - 1003990318

Greenberg, Ralph, MD Internal Medicine License: 4301042372 NPI: 1205904745 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Hebrew Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Greenberg, Ralph, MD Internal Medicine License: 4301042372 NPI: 1205904745 Henry Ford Hospital 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-8990 Mon-Fri 8:00am 5:00pm Hebrew Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Greenberg, Ralph, MD Internal Medicine License: 4301042372 NPI: 1205904745 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Hebrew Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Gupta, Anupam, MD Internal Medicine License: 4301085802 NPI: 1780832063 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Hindi Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Gupta, Badri, MDp Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Hospital Pc - 1891702833
Habbal, Sarah, MD Pediatric License: 4301502093 NPI: 1770036915 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Hackel, Gregory, DO Internal Medicine License: 5101011844 NPI: 1891723185 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Haddad-Khoury, Mouna,
MD Internal Medicine License: 4301064167 NPI: 1578631016 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Haddad-Khoury, Mouna,
MD Internal Medicine License: 4301064167 NPI: 1578631016 Henry Ford Hospital 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-8990 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Haddad-Khoury, Mouna, MD Internal Medicine License: 4301064167 NPI: 1578631016 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801

Haladik, Amanda, DO Pediatric License: 5101020303 NPI: 1730428632 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Hasso, Fawaz, MDp Family Medicine License: 4301083265 NPI: 1972647196 Elite Family Medicine Pllc 33200 Dequindre Rd Ste 200 Sterling Heights, MI 48310 (586) 977-0200 Mon-Thu 8:00am 4:00pm, Fri 8:00am 3:00pm Arabic Certification: Am Board Family Medicine Group(s): Elite Family Medicine Pllc -1699164699

Hua, Wenhui, MD Pediatric License: 4301067764 NPI: 1316094113 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Hug, Eileen, DOp Pediatric License: 5101011517 NPI: 1063466985 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

163

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Ibrahim, Dina, MD Family Medicine License: 4301098221 NPI: 1134412679 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Spanish, Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Jacobs, William, DOpq Family Medicine License: 5101022427 NPI: 1265882260 St John Providence Physicians Cmg 5555 Metropolitan Pkwy Ste 400 Sterling Heights, MI 48310 (586) 264-0670 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Michigan Cmg 1851765374

Jaffery-Khalil, Shehla,
MD Internal Medicine License: 4301057909 NPI: 1265591507 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Jafri, Syed Abbas, MD Internal Medicine License: 4301057405 NPI: 1801969969 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Other (Non-English), Urdu Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801

Jaidka, Aditi, MD Internal Medicine License: 4301097631 NPI: 1932367463 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Kennerly, Marlene, MDp Family Medicine License: 4301070554 NPI: 1679541239 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Khater, Mona, MDpq Family Medicine License: 4301059589 NPI: 1992763940 Cornerstone Family Medicine 5555 Metropolitan Pkwy Ste 400 Sterling Heights, MI 48310 (586) 264-0670 Mon-Wed 9:00am 4:30pm, Thu 9:00am 5:00pm, Fri 9:00am 1:00pm Certification: Am Board Family Medicine Group(s): St John Macomb Oakland Hospital - 1720390453
Khater, Mona, MDpq Family Medicine License: 4301059589 NPI: 1992763940 St John Providence Physicians Cmg 5555 Metropolitan Pkwy Ste 400 Sterling Heights, MI 48310 (586) 264-0670 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): St John Macomb Oakland Hospital - 1720390453, Ascension Michigan Cmg - 1851765374

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

164

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Kopyrina, Mariya, MD Family Medicine License: 4301080257 NPI: 1164402160 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Kridler, Jordan, MD Pediatric License: 4301103557 NPI: 1699018952 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Hospitals Pc 1861539892, Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Hospital Pc - 1003990318

Krol, Gregory, MD Internal Medicine License: 4301043866 NPI: 1548338098 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Krol, Gregory, MD Internal Medicine License: 4301043866 NPI: 1548338098 Henry Ford Hospital 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-8990 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Krol, Gregory, MD Internal Medicine License: 4301043866 NPI: 1548338098 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Lewis, Raja, MDp Internal Medicine License: 4301072571 NPI: 1558479469 Raja Lewis Md Pc 3840 17 Mile Rd Sterling Heights, MI 48310 (586) 826-9625 Mon-Wed,Fri 9:00am 5:00pm, Thu 9:00am 1:00pm Arabic Certification: Am Bd Internal Med Group(s): Raja Lewis Md Pc

Little, James, MDp Internal Medicine License: 4301063594 NPI: 1083699615 James R Little Md 35200 Dequindre Rd Ste 100 Sterling Heights, MI 48310 (586) 826-8600 Mon-Fri 8:00am 4:30pm Group(s): James R Little Md
Mann, Amardeep, MD Internal Medicine License: 4301073779 NPI: 1902814320 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 268-9030 Mon-Fri 8:00am 5:00pm Punjabi Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

165

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Mansoor-Arabo, Walid,
MD Internal Medicine License: 4301079362 NPI: 1417065350 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 268-9030 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Massaro, Brian, MD Internal Medicine License: 4301050419 NPI: 1528136074 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Massaro, Brian, MD Internal Medicine License: 4301050419 NPI: 1528136074 Henry Ford Hospital 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-8990 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Massaro, Brian, MD Internal Medicine License: 4301050419 NPI: 1528136074 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801

Mcardle, Bridget, DOp Pediatric License: 5101016453 NPI: 1912184870 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Mikhail, Besma, MDp Pediatric License: 4301083958 NPI: 1114196417 Town Pediatric Clinic Pllc 3755 E 15 Mile Road Sterling Heights, MI 48310 (586) 722-7498 Mon-Fri 9:00am 5:00pm Arabic, Assyrian, Chaldean Group(s): Town Pediatric Clinic Pllc

Mirza, Arshiya, DO Internal Medicine License: 5101017528 NPI: 1295980159 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Moghaddam, Marjan, DOp Family Medicine License: 5101019748 NPI: 1457615247 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Mousan, Grace, MD Pediatric License: 4301101389 NPI: 1174878961 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Macomb Hospitals Pc 1861539892, Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Hospital Pc - 1003990318
Munir, Nazia, MDp Family Medicine License: 4301104866 NPI: 1053739797 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Health System 1306368923

Nakadar, Saqib, MDp Internal Medicine License: 5101015984 NPI: 1538361530 Sns Medical Group 37300 Dequindre Rd Ste 102 Sterling Heights, MI 48310 (586) 983-4200 Mon-Fri 9:00am 5:00pm Hindi, Urdu Certification: Am Bd Internal Med Group(s): Sns Medical Group - 1487271268
Norwood, Earlexia, MDp Family Medicine License: 4301052833 NPI: 1225102734 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Panchagnula, Soumya, MDp Family Medicine License: 4301090433 NPI: 1770740045 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Paragi, Kavita, MD Internal Medicine License: 4301068238 NPI: 1417025966 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Paragi, Kavita, MD Internal Medicine License: 4301068238 NPI: 1417025966 Henry Ford Hospital 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-8990 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833

Paragi, Kavita, MD Internal Medicine License: 4301068238 NPI: 1417025966 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Passerman, Daniel, DOp Family Medicine License: 5101015988 NPI: 1043366842 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Patrick, E, MDp Family Medicine License: 4301060218 NPI: 1215001722 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Pernick, Rebecca, DO Family Medicine License: 5101010408 NPI: 1285708792 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Postell, Lonetta, MD Pediatric License: 4301103317 NPI: 1770826984 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Prasad, Sujatha, MDp Family Medicine License: 4301060650 NPI: 1942206545 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Procare Physical Therapy
& Rehabilitation Inc Physical Therapy Clinic NPI: 1619179884 3820 Seventeen Mile Rd Sterling Heights, MI 48310 (586) 554-7100 Mon-Fri 9:00am 5:00pm Group(s): Procare Physical Therapy & Rehabilitation Inc

Qamar, Shazia, MDp Family Medicine License: 4301085442 NPI: 1902015290 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Rajan, Kanthi, MDp Pediatric License: 4301069868 NPI: 1104973916 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Hindi, Tamil Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Razoky, Bnan, MDp Internal Medicine License: 4301082048 NPI: 1942317789 Basmit Medical Center Pc 35614 Dequindre Rd Sterling Heights, MI 48310 (586) 883-6787 Arabic, Assyrian, Chaldean Certification: Am Bd Internal Med Group(s): Basmit Medical Center Pc 1619246428
Rehman, Durdana, MDp Pediatric License: 4301065854 NPI: 1558399808 Durdana T Rehman Md Pc 35450 Dequindre Rd Ste 105 Sterling Heights, MI 48310 (586) 977-9090 Mon,Wed,Fri 9:00am 4:00pm, Tue,Thu 9:00am - 6:00pm, Sat 10:00am 12:00pm Hindi, Urdu Group(s): Durdana T Rehman Md Pc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Roychoudhury, Promita, MDp Family Medicine License: 4301079465 NPI: 1083614002 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Hindi Group(s): Henry Ford Medical Center Fairlane - 1952485351
Rudraraju, Sudha, MD Pediatric License: 4301062364 NPI: 1568519379 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Samuel, Maria, MD Internal Medicine License: 4301065813 NPI: 1669540191 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Samuel, Maria, MD Internal Medicine License: 4301065813 NPI: 1669540191 Henry Ford Hospital 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-8990 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Samuel, Maria, MD Internal Medicine License: 4301065813 NPI: 1669540191 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Schade, William, MD Internal Medicine License: 4301068987 NPI: 1578631008 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Sekaran, Jayashree, MD Internal Medicine License: 4301077533 NPI: 1013085547 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Sekaran, Jayashree, MD Internal Medicine License: 4301077533 NPI: 1013085547 Henry Ford Hospital 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-8990 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Sekaran, Jayashree, MD Internal Medicine License: 4301077533 NPI: 1013085547 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Shah, Kunjesh, MDp Family Medicine License: 4301090856 NPI: 1720287386 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Shamon, Dalya, MDp Family Medicine License: 4301094062 NPI: 1164657805 Sudad Louis Md Pllc 39150 Dequindre Rd Ste 200 Sterling Heights, MI 48310 (586) 268-5440 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Sudad Louis Md Pllc Pc - 1760847651
Shamon, Dalya, MDp Family Medicine License: 4301094062 NPI: 1164657805 Toma & Yaldo Medical Center Pc 39150 Dequindre Rd Ste 200 Sterling Heights, MI 48310 (586) 268-5440 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Sudad Louis Md Pllc Pc - 1760847651, Toma & Yaldo Medical Center Pc - 1487294054

Siddiqi, Raffat, MD Pediatric License: 4301052229 NPI: 1003963810 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318
Silas Incp Physical Therapy Clinic NPI: 1922294321 35200 Dequindre Rd Ste 300 Sterling Heights, MI 48310 (866) 876-2747 Mon-Fri 9:00am 5:00pm Group(s): Silas Inc
Stockard, Frances, MDp Family Medicine License: 4301071901 NPI: 1821162330 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Sukumar, Suja, MD Internal Medicine License: 4301067488 NPI: 1811065352 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Taylor, Traci, NPp Nurse Practitioner License: 4704308861 NPI: 1811514003 Tri 37450 Dequindre Rd Sterling Heights, MI 48310 (586) 979-5100 Mon 7:30am - 7:00pm, Tue-Thu 7:30am 6:00pm, Fri 7:30am 5:00pm, Sat 7:30am 12:00pm Certification: American Academy Of Nurse Practitioners Group(s): Tri-County Medical Clinic Pc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Tosch, Jon, MD Internal Medicine License: FT0292893 NPI: 1881802437 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Tosch, Jon, MD Internal Medicine License: FT0292893 NPI: 1881802437 Henry Ford Medical Center 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-9300 Mon-Fri 9:00am 5:00pm, Sat 9:00am 1:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801

Turk, Eshel, MDp Family Medicine License: 4301081830 NPI: 1356350268 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Ul Hassan, Jawad, DOp Family Medicine License: 5101020498 NPI: 1629417928 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

Vunnam, Sarala, MD Internal Medicine License: 4301058426 NPI: 1154499697 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Wolok, Kenneth, DOp Family Medicine License: 5101007340 NPI: 1194715557 Tri 37450 Dequindre Rd Sterling Heights, MI 48310 (586) 979-5100 Mon 7:30am - 7:00pm, Tue-Fri 7:30am 6:00pm, Sat 7:30am 6:30pm Certification: Am Os Bd Family Physicians & Omt, Am Os Bd Family Physicians (Geriatric Medicine) Group(s): Tri-County Medical Clinic Pc
Wood, Brian, DOp Family Medicine License: 5101021256 NPI: 1215342381 Medical Resources Group 36040 Dequindre Rd Sterling Heights, MI 48310 (586) 939-9160 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1174537500

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Zimmer, Michael, MDp Family Medicine License: 4301094070 NPI: 1881825743 Henry Ford Health System 3500 15 Mile Rd Sterling Heights, MI 48310 (586) 977-6497 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
- 48312
Aslam, Nagina, DO Internal Medicine License: 5101018371 NPI: 1003042516 Henry Ford Hospital Pc 13801 15 Mile Rd Sterling Heights, MI 48312 (586) 757-9707 Mon-Fri 8:00am 5:00pm Hindi, Punjabi, Urdu Certification: Am Bd Internal Med Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Hospital Pc - 1134144801

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 35724 Van Dyke Sterling Heights, MI 48312 (586) 698-0081 Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Baker, Erin, DOp Family Medicine License: 5101018835 NPI: 1114230133 Mclaren Macomb 35111 Dodge Park Rd Sterling Heights, MI 48312 (586) 978-8010 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Macomb Pc 1396014601

Bochenek, John, DO Internal Medicine License: 5101012498 NPI: 1841213436 Henry Ford Hospital Pc 13801 15 Mile Rd Sterling Heights, MI 48312 (586) 757-9707 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Hospital Pc - 1134144801
Doyle, Katherine, DO Internal Medicine License: 5101019720 NPI: 1497097158 Henry Ford Hospital Pc 13801 15 Mile Rd Sterling Heights, MI 48312 (586) 757-9707 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986

Dusevic, Tammy, DOp Family Medicine License: 5101014333 NPI: 1255308615 Mclaren Medical Management Inc 13425 19 Mile Rd Ste 100 Sterling Heights, MI 48312 (586) 843-3935 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601
Faber, Michael, DOp Internal Medicine License: 5101010980 NPI: 1245325927 Cardiovascular Consultants Pc 37771 Schoenherr Rd Ste 101 Sterling Heights, MI 48312 (586) 698-1200 Mon-Fri 8:00am 4:00pm Group(s): Cardiovascular Consultants Pc 1053368233

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Faber, Michael, DOp Internal Medicine License: 5101010980 NPI: 1245325927 Medical Resources Group Pc 37771 Schoenherr Rd Ste 101 Sterling Heights, MI 48312 (586) 698-1207 Group(s): Ascension Medical Group Michigan Pc 1174537500
Jacobs, William, DOpq Family Medicine License: 5101022427 NPI: 1265882260 St John Providence Physicians Cmg 13935 Plumbrook Sterling Heights, MI 48312 (586) 939-9900 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Michigan Cmg 1851765374

Jacobs, William, DOpq Family Medicine License: 5101022427 NPI: 1265882260 St John Providence Physicians Cmg 13951 Plumbrook Rd Sterling Heights, MI 48312 (586) 274-2400 Certification: Am Board Family Medicine Group(s): Ascension Michigan Cmg 1851765374
Khater, Mona, MDpq Family Medicine License: 4301059589 NPI: 1992763940 St John Providence Physicians Cmg 13935 Plumbrook Sterling Heights, MI 48312 (586) 939-9900 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Michigan Cmg 1851765374

Kopparam Aravapally,
Amitha, MD Internal Medicine License: 4301075750 NPI: 1720156276 Henry Ford Hospital Pc 13801 15 Mile Rd Sterling Heights, MI 48312 (586) 757-9707 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Macomb Family Medicine - 1134265986
Muma, Bruce, MD Internal Medicine License: 4301049178 NPI: 1336217884 Henry Ford Health System St Hgts Heart Transplant 37771 Schoenherr Ste 103 Sterling Heights, MI 48312 (586) 698-1200 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Munir, Nazia, MDp Family Medicine License: 4301104866 NPI: 1053739797 Henry Ford Health System St Hgts Heart Transplant 37771 Schoenherr Ste 103 Sterling Heights, MI 48312 (586) 698-1200 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Owusu Ansah, Theresa, MDp Family Medicine License: 4704254603 NPI: 1902374986 Sterling Medical Center Pllc 13409 E 14 Mile Rd Sterling Heights, MI 48312 (586) 977-3900 Mon-Fri 9:00am 9:00pm, Sat 9:00am 3:00pm Group(s): Sterling Medical Center Pllc 1558752402

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

173

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Pokriefka, Eileen, MDp Pediatric License: 5101010320 NPI: 1316995145 Mclaren Macomb 35111 Dodge Park Rd Sterling Heights, MI 48312 (586) 978-8010 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Mclaren Macomb Pc 1396014601
Raheem, Shaheena, DOp Internal Medicine License: 5101017985 NPI: 1023265014 St John Clinical Path Labs 37771 Schoenherr Ste 104 Sterling Heights, MI 48312 (586) 939-4328 Mon,Wed,Fri 8:00am 5:00pm, Tue,Thu 8:00am - 6:00pm Arabic, Punjabi, Urdu Certification: Am Bd Internal Med Group(s): Wayne Health Pc - 1447299797

Saad, Abdulhassan, MDp Internal Medicine License: 4301098448 NPI: 1447546593 Sterling Medical Center Pllc 13409 E 14 Mile Rd Sterling Heights, MI 48312 (586) 977-3900 Mon-Fri 9:00am 9:00pm, Sat 9:00am 3:00pm Arabic Certification: Am Bd Preventive Med (Addiction Medicine) Group(s): Sterling Medical Center Pllc 1558752402
Sandulescu, Dumitru, MDp Internal Medicine License: 4301078611 NPI: 1104981695 Dumitru Medical Center Pc 38300 Van Dyke Ave Ste 104 Sterling Heights, MI 48312 (586) 274-4699 Mon-Fri 8:30am 5:00pm German, Italian, Romanian Group(s): Dumitru Medical Center Pc 1770769879

Sayegh, Anthony, DOp Family Medicine License: 5101015727 NPI: 1114961885 Legacy Family Medicine Pc 35429 Schoenherr Rd Sterling Heights, MI 48312 (586) 274-1145 Mon-Fri 9:00am 5:00pm Group(s): Legacy Family Medicine Pc 1912264458
Schwartz, Allan, DOp Family Medicine License: 5101007859 NPI: 1740367168 Allan Schwartz Medical Center Pc 9001 15 Mile Rd Ste C Sterling Heights, MI 48312 (586) 983-8133 Mon-Fri 8:00am 5:00pm Group(s): Allan Schwartz Medical Center Pc

Stephen, Mark, MDp Internal Medicine License: 4301088367 NPI: 1356555916 Macomb Physicians Group Pllc 8244 Metropolitan Pkwy Ste C Sterling Heights, MI 48312 (586) 795-4060 Mon,Thu 8:00am 7:00pm, Tue-Wed 8:00am - 4:00pm, Fri 8:00am - 2:00pm, Sat 8:00am - 12:00pm Certification: Am Bd Internal Med Group(s): Macomb Physicians Grp, Macomb Physicians Group Pllc Pc - 1255388898
Theramatrix Incp Physical Therapy Clinic NPI: 1760489678 Theramatrix Physical Rehabilitation 6041 15 Mile Rd Sterling Heights, MI 48312 (586) 264-4343 Mon-Fri 9:00am 5:00pm Group(s): Theramatrix Inc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

West, Tammy, MDp Family Medicine License: 4301094657 NPI: 1215167739 Mclaren Medical Management Inc 13425 19 Mile Rd Ste 100 Sterling Heights, MI 48312 (586) 843-3935 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601
Yim, Roger, DOp Family Medicine License: 5101012410 NPI: 1790781656 Sterling Medical Center Pllc 13409 E 14 Mile Rd Sterling Heights, MI 48312 (586) 977-3900 Mon-Fri 9:00am 9:00pm, Sat 9:00am 3:00pm Chinese Certification: Am Os Bd Family Physicians & Omt Group(s): Sterling Medical Center Pllc 1558752402

Zimny, Matthew, DOp Family Medicine License: 5101015736 NPI: 1306880950 Legacy Family Medicine Pc 35429 Schoenherr Rd Sterling Heights, MI 48312 (586) 274-1145 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine, Am Os Bd Family Physicians & Omt Group(s): Legacy Family Medicine Pc 1912264458
- 48313
Alfares, Soha, MD Internal Medicine License: 4301094675 NPI: 1922339977 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801

Askar, Faiz, MD Internal Medicine License: 4301089680 NPI: 1881860823 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Cusumano, Dominic, MD Internal Medicine License: 4301407063 NPI: 1447243779 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Dombroski, Susan, MD Pediatric License: 4301056654 NPI: 1356419899 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318
Dusevic, Tammy, DOp Family Medicine License: 5101014333 NPI: 1255308615 Mt Clemens Regional Med Center Pc 13425 19 Mile Rd Ste 100 Sterling Heights, MI 48313 (586) 843-3935 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Fesdjian-Gogaltan, Oana
Cristina, MD Internal Medicine License: 4301074517 NPI: 1124196662 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Romanian Certification: Am Bd Internal Med Experience/Service: Communitytransition, Homedeliveredmeals, Nursinginter, Fiscinermed, Preventivenursingservices, Special Services Offered Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
Haladik, Amanda, DO Pediatric License: 5101020303 NPI: 1730428632 Henry Ford Health System 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2750 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Harris, Roger, DOp Family Medicine License: 5101007120 NPI: 1730188269 Dean Clinic 39880 Van Dyke Ste 202 Sterling Heights, MI 48313 (586) 264-7930 Certification: Am Os Bd Family Physicians & Omt Group(s): Dean Clinic Pc - 1942357959
Kezlarian, Kim, MDp Family Medicine License: 4301041887 NPI: 1558440628 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1134144801

Kuhl, Shirlee, DO Pediatric License: 5101008622 NPI: 1225185036 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm French Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Kuo, Jessica, DO Internal Medicine License: 5101020882 NPI: 1447678065 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Moore, Daniel, MD Internal Medicine License: 4301087116 NPI: 1346265196 Henry Ford Health System 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2750 Mon-Fri 8:00am 5:00pm Certification: Am Board Radiology (Diagnostic Radiology) Group(s): Henry Ford Hospital Pc - 1891702833
Mousan, Grace, MD Pediatric License: 4301101389 NPI: 1174878961 Henry Ford Health System 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2750 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Hospital Pc - 1003990318

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Neumann, Fredric, DOp Family Medicine License: 5101009587 NPI: 1013009901 Plumbrook Medical Center, P.C. 39880 Van Dyke Sterling Heights, MI 48313 (586) 939-9060 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Plumbrook Medical Center 1942309091
Qamar, Shazia, MDp Family Medicine License: 4301085442 NPI: 1902015290 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1134144801

Tosch, Jon, MD Internal Medicine License: FT0292893 NPI: 1881802437 Henry Ford Medical Center 14500 Hall Rd Sterling Heights, MI 48313 (586) 247-2700 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801
West, Tammy, MDp Family Medicine License: 4301094657 NPI: 1215167739 Mt Clemens Regional Med Center Pc 13425 19 Mile Rd Ste 100 Sterling Heights, MI 48313 (586) 843-3935 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601

- 48314
Abbo, Marisa, DOp Family Medicine License: 5101011618 NPI: 1184605388 Beaumont Family Medicine Ctr 44300 Dequindre Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 2215 18 Mile Rd Sterling Heights, MI 48314 (586) 930-0668 Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Carnwath, Danielle, DOp Family Medicine License: 5101020350 NPI: 1093153553 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Dzebo, Ruzica, MDp Family Medicine License: 4301087812 NPI: 1770797482 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Serbian Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Dzebo, Ruzica, MDp Family Medicine License: 4301087812 NPI: 1770797482 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Serbian Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Fox Smith, Laura, MD Family Medicine License: 4301050430 NPI: 1346241668 Oakwood Ambulatory Llc Pc 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Group(s): Oakwood Ambulatory Llc Pc 1003829441

Geimer, Sharon, MD Internal Medicine License: 4301061283 NPI: 1043218621 Riverbend Health Care Pc 44344 Dequindre Rd Ste 480 Sterling Heights, MI 48314 (586) 323-8935 Mon-Wed 9:00am 5:00pm, Thu 8:00am 4:00pm, Fri 9:00am 12:00pm Certification: Am Board Pediatrics Group(s): Riverbend Health Care Pc 1982602082
Gruber, Amber, DOp Family Medicine License: 5101016902 NPI: 1124240858 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Gruber, Amber, DOp Family Medicine License: 5101016902 NPI: 1124240858 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Hanson, Danette, NPp Nurse Practitioner License: 4704156459 NPI: 1275779308 Beaumont Professional Services 44344 Dequindre Rd Ste 560 Sterling Heights, MI 48314 (586) 731-6777 Mon-Fri 8:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878

Hunt, Ronald, MDp Family Medicine License: 4301407125 NPI: 1134103583 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Hunt, Ronald, MDp Family Medicine License: 4301407125 NPI: 1134103583 Beaumont Professional Services 44250 Dequindre Sterling Heights, MI 48314 (248) 964-0400 Mon-Tue,Thu-Fri 9:00am - 5:00pm, Wed 7:00am - 4:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Iskander, Josephine, MD p Internal Medicine License: 4301085250 NPI: 1366629156 Josephine Iskander Md Pllc 43200 Dequindre Rd Ste 104 Sterling Heights, MI 48314 (586) 799-4350 Mon,Wed-Fri 9:00am 5:00pm, Tue 5:00pm 5:00pm French Group(s): Josephine Iskander Md Pllc
Issa, Nadheer, MD Internal Medicine License: 4301074521 NPI: 1568444677 Skywalk Internal Medicine Pc 44344 Dequidre Road Ste 540 Sterling Heights, MI 48314 (586) 997-1230 Mon-Fri 9:00am 4:00pm Arabic, Chaldean Certification: Am Bd Internal Med Group(s): Skywalk Internal Medicine Pc 1538437066

Jamil, Mada, MDpq Internal Medicine License: 4301072954 NPI: 1386716280 Medical Resources Group 6055 19 Mile Rd Sterling Heights, MI 48314 (586) 803-4443 Mon-Fri 8:00am 5:00pm, Sat 10:00am 12:00pm Arabic Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922
Kathawa, Rita, MDpq Internal Medicine License: 4301119232 NPI: 1427584812 Ascension Medical Group Michigan Pc 41400 Dequindre Rd Ste 121 Sterling Heights, MI 48314 (586) 843-3815 Mon-Fri 8:00am 5:00pm Group(s): Ascension Medical Group Michigan Pc 1174537500

Klenczar, Melissa, MD Family Medicine License: 4301083991 NPI: 1982812236 Beaumont Family Medicine Ctr 44300 Dequindre Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Kpadenou, Samson, MDp Internal Medicine License: 4301033869 NPI: 1821088352 Comprehensive Hlth Care Ctr Of Mi Pllc 44344 Dequindre Rd Ste 340 Sterling Heights, MI 48314 (586) 731-8200 Mon-Wed 8:30am 5:00pm, Fri 8:00am 2:00pm French Certification: Am Bd Internal Med Group(s): Comprehensive Hlth Care Ctr Of Mi Pllc 1033345889

Lick, David, MDp Family Medicine License: 4301076522 NPI: 1962478974 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Lick, David, MDp Family Medicine License: 4301076522 NPI: 1962478974 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

179

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Misch, Paul, MDp Family Medicine License: 4301047052 NPI: 1942277876 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Misch, Paul, MDp Family Medicine License: 4301047052 NPI: 1942277876 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Mulhem, Elie, MDp Family Medicine License: 4301066749 NPI: 1801862834 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Arabic Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Mulhem, Elie, MDp Family Medicine License: 4301066749 NPI: 1801862834 Beaumont Family Medicine Ctr 44300 Dequindre Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Arabic Group(s): Beaumont Professional Services Pc 1811044878

Mulhem, Elie, MDp Family Medicine License: 4301066749 NPI: 1801862834 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Arabic Group(s): Beaumont Professional Services Pc 1811044878
Oleszkowicz, Andrew, MDp Family Medicine License: 4301094383 NPI: 1528008570 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Oleszkowicz, Andrew, MDp Family Medicine License: 4301094383 NPI: 1528008570 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Patalinghug, Erwin, MDp Family Medicine License: 4301105451 NPI: 1144634262 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Patalinghug, Erwin, MDp Family Medicine License: 4301105451 NPI: 1144634262 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Rappe, Jodie, MDp Family Medicine License: 4301113817 NPI: 1417012980 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Ripley, Trevor, MDp Family Medicine License: 4301090670 NPI: 1477747251 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Ripley, Trevor, MDp Family Medicine License: 4301090670 NPI: 1477747251 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Group(s): Beaumont Professional Services Pc 1811044878

Shammami, Adam, DOp Family Medicine License: 5101017700 NPI: 1508029273 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Arabic, Chaldean Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Shammami, Adam, DOp Family Medicine License: 5101017700 NPI: 1508029273 Beaumont Professional Services 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon-Fri 8:00am 4:30pm Arabic, Chaldean Group(s): Beaumont Professional Services Pc 1811044878

Stone, Michelle, MDp Family Medicine License: 4301107368 NPI: 1245619352 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Sundaram, Shobana, MD p Pediatric License: 4301077847 NPI: 1932138583 Pediatric And Adolescent Care Associates Pc 43184 Dequindre Rd Ste 208 Sterling Heights, MI 48314 (586) 731-1500 Mon 9:00am - 5:00pm, Tue-Wed 9:00am 7:00pm, Thu 9:00am 6:00pm, Fri 9:00am 4:00pm, Sat 9:00am 12:00pm Hindi, Tamil Group(s): Pediatric And Adolescent Care Associates Pc 1689012601

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

181

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Tolia, Ketan, MDpq Internal Medicine License: 4301054022 NPI: 1710988688 Providence Im Endocrinology Diabetes Center 6043 19 Mile Rd Sterling Heights, MI 48314 (248) 849-4880 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213
Weitz, Erik, DOp Family Medicine License: 5101021581 NPI: 1033598156 Beaumont Family Medicine Center 44250 Dequindre Rd Sterling Heights, MI 48314 (248) 964-0400 Mon,Thu 8:00am 8:00pm, Tue 9:00am 6:00pm, Wed,Fri 8:00am - 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

STERLING HTS - 48310
Alsaqa, Mazen, MDpq Internal Medicine License: 4301101042 NPI: 1982968244 Medical Resources Group 37538 Dequindre Rd Ste 100A Sterling Hts, MI 48310 (586) 939-3073 Mon-Fri 9:00am 5:00pm Arabic Group(s): Ascension Medical Group Michigan Pc 1174537500
Burton, Mary, MDp Pediatric License: 4301054386 NPI: 1033108337 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-9932 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Devaney, Lani, DO Pediatric License: 5101015607 NPI: 1659305787 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-9932 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Dombroski, Susan, MD Pediatric License: 4301056654 NPI: 1356419899 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-9932 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1003990318

Kopyrina, Mariya, MD Family Medicine License: 4301080257 NPI: 1164402160 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (800) 277-2740 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Kuhl, Shirlee, DO Pediatric License: 5101008622 NPI: 1225185036 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-9932 Mon-Fri 8:00am 5:00pm French Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Leatherwood, Stacy, MD Pediatric License: 4301068427 NPI: 1306993118 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-9932 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Mcardle, Bridget, DO Pediatric License: 5101016453 NPI: 1912184870 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-9932 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Rajan, Kanthi, MD Pediatric License: 4301069868 NPI: 1104973916 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-9932 Mon-Fri 8:00am 5:00pm Hindi, Tamil Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Tosch, Jon, MD Internal Medicine License: FT0292893 NPI: 1881802437 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (313) 916-1275 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Tosch, Jon, MD Internal Medicine License: FT0292893 NPI: 1881802437 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 566-4290 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Trostinskaia, Anna, MD Internal Medicine License: 4301083736 NPI: 1912104944 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-6403 Mon-Fri 8:00am 5:00pm Russian Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Turk, Eshel, MDp Family Medicine License: 4301081830 NPI: 1356350268 Henry Ford Health System 3500 15 Mile Rd Sterling Hts, MI 48310 (586) 977-6365 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

- 48312
Natheer, Rose, MDpq Internal Medicine License: 4301104822 NPI: 1184030942 Medical Resources Group 33464 Schoenherr Rd Ste 160 Ste 160 Sterling Hts, MI 48312 (586) 258-3775 Mon-Thu 8:00am 5:00pm, Fri 8:00am 1:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500
Skardarasy, Charles, MD pq Internal Medicine License: 4301047519 NPI: 1386618882 Medical Resources Group 33464 Schoenherr Rd Ste 160 Ste 160 Sterling Hts, MI 48312 (586) 258-3775 Mon-Thu 8:00am 5:00pm, Fri 8:00am 1:00pm Italian Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1174537500

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

- 48313
Marsheh, Nicholas, MD Internal Medicine License: 4301069838 NPI: 1962423657 Silver Pine Medical Group Plc 43455 Schoenherr Rd Ste 2 Sterling Hts, MI 48313 (586) 726-4823 Mon,Thu 8:00am 8:00pm, Tue-Wed 7:00am - 8:00pm, Fri 8:00am - 5:30pm, Sat 8:00am - 12:00pm Arabic, French Certification: Am Bd Internal Med Group(s): Silver Pine Medical Group Plc 1639105695
Massey, William, MDp Internal Medicine License: 4301063765 NPI: 1609884600 William Massey Md Pc 43243 Schoenherr Sterling Hts, MI 48313 (586) 726-0044 Mon-Fri 9:00am 5:00pm Group(s): William Massey Md Pc

UTICA - 48317
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 45551 Mound Rd Utica, MI 48317 (586) 323-9224 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Bignotti, Donald, MDp Family Medicine License: 4301046305 NPI: 1659379758 St John Macomb Oakland Hospital 44720 Van Dyke Ave Utica, MI 48317 (586) 323-7148 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): St John Macomb Oakland Hospital - 1720390453

Brege, David, MDp Pediatric License: 4301051390 NPI: 1770550709 Ascension Medical Group Michigan Pediatrics Association 44720 Van Dyke Ave Utica, MI 48317 (586) 323-7148 Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Medical Group Michigan Pc 1174537500
Patterson, Michael, DOp Internal Medicine License: 5101014038 NPI: 1891724688 Osteopathic Health Care Associates 44720 Van Dyke Ave Utica, MI 48317 (586) 323-7148 Mon-Tue 7:30am 5:00pm, Wed 9:00am 7:00pm, Thu 9:00am 5:00pm Spanish Group(s): Osteopathic Health Care Associates 1487045688

Stencel, Gary, MDp Family Medicine License: 4301047736 NPI: 1740209675 Henry Ford Macomb Hospital Pc 49310 Van Dyke Ave Utica, MI 48317 (586) 731-8900 Mon-Fri 7:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634
United Rehab Services Pc p Physical Therapy Clinic NPI: 1568495083 49974 Van Dyke Rd Utica, MI 48317 (586) 254-4040 Mon-Fri 9:00am 5:00pm Group(s): United Rehab Services Pc
Wilson, Angela, PAp Physician Assistant License: 5601003884 NPI: 1376536607 Henry Ford Macomb Hospital Pc 49310 Van Dyke Ave Utica, MI 48317 (586) 731-8900 Mon-Fri 7:00am 5:00pm Group(s): Henry Ford Macomb Hospital Clinton Township Pc 1023114634

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

WARREN - 48088
Askar, Maan, MDp Family Medicine License: 4301068769 NPI: 1053321117 Maan Askar Md Pc 13430 E 13 Mile Rd Warren, MI 48088 (586) 427-1351 Mon-Fri 7:00am 5:00pm, Sat 9:00am 12:00pm Arabic Certification: Am Board Family Medicine Group(s): Maan Askar Md Pc - 1841462967
Badalamenti, Melissa, NPp Family Nurse Practitioner License: 4704268965 NPI: 1578008025 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Group(s): St John Macomb Oakland Hospital Pc - 1578696092

Broderick, Rachel, NPpq Nurse Practitioner License: 4704322170 NPI: 1720559917 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Group(s): St John Macomb Oakland Hospital Pc - 1578696092
Burlingame, Jennifer, DOpq Family Medicine License: 5101019063 NPI: 1003110552 St John Macomb Oakland Hospital Pc 27450 Schoenherr Rd Ste 400 Warren, MI 48088 (586) 582-7550 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472

Camara, Robert, DOp Family Medicine License: 5101013444 NPI: 1942207931 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): St John Macomb Oakland Hospital Pc - 1578696092
Cascone, Nicole, PAp Physician Assistant License: 5601005875 NPI: 1740580588 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): St John Macomb Oakland Hospital Pc - 1578696092

Castronova, Sarah, NPp Family Nurse Practitioner License: 4704278775 NPI: 1669921037 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Group(s): St John Macomb Oakland Hospital Pc - 1578696092
Chintalapally, Radhika, MDpq Family Medicine License: 4301086143 NPI: 1326251620 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Hindi Group(s): St John Macomb Oakland Hospital Pc - 1578696092

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Corondan, Victor, MDp Family Medicine License: 4301059864 NPI: 1376594887 Corondan Medical Pc 14050 E 14 Mile Warren, MI 48088 (586) 920-2249 Mon-Fri 11:00am 4:00pm Romanian Group(s): Corondan Medical Pc Corp
Fozo, Paul, MDpq Internal Medicine License: 4301080819 NPI: 1073593174 Preferred Hospitalists Of Michigan 27450 Schoenherr Rd Ste 500 Warren, MI 48088 (586) 582-7632 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Michigan Cmg 1851765374, Ascension Medical Group Michigan Pc 1174537500

Gupta, Sapna, DOpq Family Medicine License: 5101021471 NPI: 1780086769 Medical Resources Group 30229 Schoenherr Rd Warren, MI 48088 (586) 751-1177 Spanish, Hindi Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500
Gupta, Sapna, DOpq Family Medicine License: 5101021471 NPI: 1780086769 Michigan Healthcare Professionals, Pc 30229 Schoenherr Rd Ste 300 Warren, MI 48088 (586) 751-1177 Mon-Fri 9:00am 5:00pm Spanish, Hindi Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500

Hanna, Jennifer, DOpq Family Medicine License: 5101021791 NPI: 1770962128 St John Macomb Oakland Hospital Pc 27450 Schoenherr Rd Ste 400 Warren, MI 48088 (586) 582-7550 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472
Knapp, David, PAp Physician Assistant License: 5601002533 NPI: 1700800422 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): St John Macomb Oakland Hospital Pc - 1578696092

Luttenbacher, Emily, PA p Physician Assistant License: 5601004554 NPI: 1831180090 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): St John Macomb Oakland Hospital Pc - 1578696092
Messmore, Kathryn, NPp Nurse Practitioner License: 4704301133 NPI: 1750806097 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Certification: American Academy Of Nurse Practitioners Group(s): St John Macomb Oakland Hospital Pc - 1578696092

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Michals, Eva, PAp Physician Assistant License: 5601003055 NPI: 1326349655 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): St John Macomb Oakland Hospital Pc - 1578696092
Misra, Saroj, MDpq Family Medicine License: 5101014026 NPI: 1336130970 St John Macomb Oakland Hospital Pc 27450 Schoenherr Rd Ste 400 Warren, MI 48088 (586) 582-7550 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472

Nixon, Rachel, DOpq Family Medicine License: 5101018524 NPI: 1780817593 St John Macomb Oakland Hospital Pc 27450 Schoenherr Rd Ste 400 Warren, MI 48088 (586) 582-7550 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472
Ogboh, Donovan, DOp Family Medicine License: 5101025038 NPI: 1407345622 Donovan Ogboh Do 30117 Schoenherr Rd Warren, MI 48088 (586) 751-8844 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1174537500

Pasham, Swathi, MDp Internal Medicine License: 4301088042 NPI: 1164663852 Ascension Medical Group Michigan Pc 27450 Schoenherr Rd Warren, MI 48088 (586) 582-7632 Mon-Fri 9:00am 5:00pm Group(s): Ascension Medical Group Michigan Pc 1174537500
Pasham, Swathi, MDp Internal Medicine License: 4301088042 NPI: 1164663852 Preferred Hospitalists Of Michigan 27450 Schoenherr Rd Ste 500 Warren, MI 48088 (586) 582-7632 Mon-Fri 9:00am 5:00pm Group(s): Ascension Michigan Cmg 1851765374, Ascension Medical Group Michigan Pc 1174537500

Pasham, Swathi, MDp Internal Medicine License: 4301088042 NPI: 1164663852 St John Providence Physicians Cmg 27450 Schoenherr Rd Warren, MI 48088 (586) 582-7632 Mon-Fri 9:00am 5:00pm Group(s): Ascension Michigan Cmg 1851765374
Rehab Specialists Of Michiganp Physical Therapy Clinic NPI: 1326181488 Rehab Specialists Of S Macomb 27301 Schoehherr Ste 104 Warren, MI 48088 (586) 757-9311 Mon-Fri 9:00am 5:00pm Group(s): Rehab Specialists Of Michigan

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Smith, Ryan, MDpq Family Medicine License: 5101023366 NPI: 1477089357 St John Macomb Oakland Hospital Pc 27450 Schoenherr Rd Ste 400 Warren, MI 48088 (586) 582-7550 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472
Soffa, Jason, DOpq Family Medicine License: 5101015353 NPI: 1194791368 St John Macomb Oakland Hospital Pc 27450 Schoenherr Rd Ste 400 Warren, MI 48088 (586) 582-7550 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472

Teschler, Marie, NPp Nurse Practitioner License: 4704217146 NPI: 1699136218 Ascension Macomb Oakland Community Vaccine Clinic 14500 E 12 Mile Rd Warren, MI 48088 (313) 343-7460 Mon-Sun 7:00am 7:00pm Group(s): St John Macomb Oakland Hospital Pc - 1578696092
Yalala, Sridevi, MDp Internal Medicine License: 4301064391 NPI: 1649240417 In House Geriatric Care Pc 27450 Schoenherr Ste 500 Warren, MI 48088 (586) 582-7632 Mon-Fri 9:00am 5:00pm Hindi, Telugu Certification: Am Bd Internal Med Group(s): Sridevi Yalala Md

- 48089
Askar, Maan, MDp Family Medicine License: 4301068769 NPI: 1053321117 Maan Askar Md Pc 26440 Hoover Rd Ste C Warren, MI 48089 (586) 427-1351 Wed 9:00am - 5:00pm, Thu 9:00am - 1:00pm Arabic Certification: Am Board Family Medicine Group(s): Maan Askar Md Pc - 1841462967
Colvin, Randall, MDpq Family Medicine License: 4301098835 NPI: 1306133863 Warren Family Medical Center Pllc 26000 Hoover Rd Ste 100 Ste 100 Warren, MI 48089 (586) 722-0707 Mon-Sun 8:00am 10:00pm Certification: Am Board Family Medicine Group(s): Warren Family Medical Center Pllc

Complete Care Rehab Llc Pc - 1801844220p Physical Therapy Clinic NPI: 1801844220 Complete Care Rehab Llc 26440 Hoover Ste A Warren, MI 48089 (586) 756-7500 Mon-Fri 9:00am 5:00pm Group(s): Complete Care Rehab Llc Pc 1801844220
Jaber, Ali, MDp Family Medicine License: 4301102779 NPI: 1285975250 Warren Family Medical Center Pllc 26000 Hoover Rd Ste 100 Ste 100 Warren, MI 48089 (586) 722-0707 Mon-Sun 8:00am 10:00pm Certification: Am Board Family Medicine Group(s): Warren Family Medical Center Pllc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Kohli, Vinod, MDp General Practice License: 4301040989 NPI: 1770681470 Vinod Kohli Md Pc 23700 Van Dyke Warren, MI 48089 (586) 759-6300 Mon-Tue,Thu 9:00am 5:00pm, Wed 9:00am 3:00pm, Fri 9:00am 2:00pm Hindi, Urdu Certification: Am Board Pediatrics Group(s): Vinod Kohli Md Pc
Rummani-Askar, Sundus, MDp Pediatric License: 4301073962 NPI: 1669499547 Great Lakes Pediatrics 13430 13 Mile Rd Warren, MI 48089 (586) 427-1351 Mon,Wed,Fri 9:00am 5:00pm, Tue 9:00am 4:00pm, Thu 9:00am 12:00am Arabic Certification: Am Board Pediatrics Group(s): Great Lakes Pediatrics

Rummani-Askar, Sundus, MDp Pediatric License: 4301073962 NPI: 1669499547 Great Lakes Pediatrics 26440 Hoover Rd Ste C Warren, MI 48089 (586) 427-1337 Mon,Wed-Fri 9:00am 5:00pm, Tue 9:00am 6:00pm Arabic Certification: Am Board Pediatrics Group(s): Great Lakes Pediatrics
Salem, Norman, MDp Family Medicine License: 4301108617 NPI: 1013270362 Warren Family Medical Center Pllc 26000 Hoover Rd Ste 100 Ste 100 Warren, MI 48089 (586) 722-0707 Mon-Sun 8:00am 10:00pm Certification: Am Board Family Medicine Group(s): Warren Family Medical Center Pllc

Soni, Rakesh, MDp Family Medicine License: 4301090722 NPI: 1982803540 Warren Family Medical Center Pllc 26000 Hoover Rd Ste 100 Ste 100 Warren, MI 48089 (586) 722-0707 Mon-Sun 8:00am 10:00pm Group(s): Warren Family Medical Center Pllc
Spearman, Anthony, MD p Internal Medicine License: 4301099716 NPI: 1639453228 Warren Family Medical Center Pllc 26000 Hoover Rd Ste 100 Ste 100 Warren, MI 48089 (586) 722-0707 Mon-Sun 8:00am 10:00pm Certification: Am Bd Internal Med Group(s): Warren Family Medical Center Pllc

- 48091
Agrest, Kevin, DOp Family Medicine License: 5101014983 NPI: 1386625606 Michigan Healthcare Professionals Pc 21647 Ryan Rd Warren, MI 48091 (586) 757-4200 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Dennis, Aimee, NPp Nurse Practitioner License: 4704215131 NPI: 1770981037 Advantage Health Centers 4669 E 8 Mile Rd Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm, Sat 9:00am - 1:00pm Group(s): Advantage Health Centers Pc 1871645309

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

189

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

George, Nancy, NPp Family Nurse Practitioner License: 4704172835 NPI: 1598827750 Advantage Health Centers 4669 E 8 Mile Rd Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm, Sat 9:00am - 1:00pm Group(s): Advantage Health Centers Pc 1871645309, Advantage Health Centers Pc 1144371279
Gibson Scipio, Wanda, NPp Family Nurse Practitioner License: 4704123322 NPI: 1689877649 Advantage Family Health Center 4669 E Eight Mile Rd 4669 E Eight Mile Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm Group(s): Advantage Health Centers Pc 1396839981

Harris Jr, Anthony, MDp Internal Medicine License: 4301082278 NPI: 1477763878 Advantage Health Centers 4669 E 8 Mile Rd Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm, Sat 9:00am - 1:00pm Certification: Am Bd Internal Med Group(s): Advantage Health Centers Pc 1871645309, Advantage Health Centers Pc 1144371279
Healthcure Rehabilitation Incp Physical Therapy Clinic NPI: 1528024163 21647 Ryan Rd Warren, MI 48091 (586) 757-0317 Mon-Fri 9:00am 5:00pm Group(s): Healthcure Rehabilitation Inc

Hussain, Mohammad, MDp Pediatric License: 4301069469 NPI: 1982625794 Childrens Clinic Of Michigan 29230 Ryan Rd Warren, MI 48091 (586) 578-9345 Mon-Fri 9:00am 5:00pm, Sat-Sun 11:00am - 5:00pm Spanish, Arabic, Bengali, Hindi, Urdu Group(s): Childrens Clinic Of Michigan 1912161134
Johnson, Lakreese, PAp Physician Assistant License: 5601005679 NPI: 1508186156 Advantage Health Centers 4669 E 8 Mile Rd Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm, Sat 9:00am - 1:00pm Group(s): Advantage Health Centers Pc 1871645309

Kayali, Fikrat, MDp Family Medicine License: 4301036984 NPI: 1669449096 Childrens Clinic Of Michigan 29230 Ryan Rd Warren, MI 48091 (586) 578-9345 Mon-Fri 9:00am 5:00pm, Sat-Sun 11:00am - 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Childrens Clinic Of Michigan 1912161134
Khan, Moniruzzaman, MDp General Practice License: 4301057394 NPI: 1477592905 Moniruzzaman M Khan Md 4402 E 9 Mile Rd Warren, MI 48091 (248) 648-8930 Mon-Fri 12:00pm 7:00pm, Sat 4:00pm 7:00pm Bengali Certification: Am Board Pediatrics Group(s): Moniruzzaman M Khan Md - 1477592905

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Mathew, Neethu, MDp Family Medicine License: 4301098619 NPI: 1528355906 Advantage Family Health Center 4669 E Eight Mile Rd 4669 E Eight Mile Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm Malayalam Certification: Am Board Family Medicine Group(s): Advantage Health Centers Pc 1396839981
Meyer, Barry, DOp Internal Medicine License: 5101011427 NPI: 1194706580 Barry S Meyer Do Pc 23411 Ryan Rd Warren, MI 48091 (586) 755-5400 Mon 8:00am - 12:00pm, Tue-Fri 8:00am - 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Barry S Meyer Do Pc

Nichols, Victoria, DOp Family Medicine License: 5101019924 NPI: 1225304272 Advantage Health Centers 4669 E 8 Mile Rd Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm, Sat 9:00am - 1:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Advantage Health Centers Pc 1871645309, Advantage Health Centers Pc 1144371279
Tsacoumangos, Brian, PAp Medical - Physician Assistant License: 5601008608 NPI: 1346739224 Advantage Health Centers 4669 E 8 Mile Rd Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm, Sat 9:00am - 1:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Advantage Health Centers Pc 1871645309

Vanderpool, Imaobong, NPp Primary Care Nurse Practitioner License: 4704313471 NPI: 1841849544 Advantage Health Centers 4669 E 8 Mile Rd Warren, MI 48091 (313) 416-6200 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 10:00am - 6:00pm, Sat 9:00am - 1:00pm Group(s): Advantage Health Centers Pc 1871645309, Advantage Health Centers Pc 1144371279
- 48092
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 28514 Dequindre Rd Warren, MI 48092 (248) 658-1231 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Bhatti, Nasira, NPp Family Nurse Practitioner License: 4704288825 NPI: 1134639164 Alshefa Family Practice Pllc 28780 Ryan Rd Ste B Warren, MI 48092 (586) 261-6201 Mon-Fri 10:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Alshefa Family Practice Pllc 1801257738
Bolukh, Oleh, MDp Family Medicine License: 4301083381 NPI: 1598941148 Sterling Family Medicine Pc 2539 E 12 Mile Warren, MI 48092 (586) 558-5075 Mon,Wed 9:00am 6:00pm, Tue,Thu 9:00am - 12:00pm, Fri 9:00am 3:00pm Polish, Russian, Ukrainian Certification: Am Board Family Medicine Group(s): Sterling Family Medicine Pc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Naoumi, Manhal, MDp Family Medicine License: 4301079004 NPI: 1689643124 Grace Family Care Pc 31500 Dequindre Rd Ste 200 Warren, MI 48092 (583) 939-9500 Mon-Tue,Thu 9:00am 7:00pm, Wed,Fri 9:00am - 5:00pm, Sat 10:00am 2:00pm Arabic Group(s): Grace Family Care Pc - 1447640172
Naoumi, Manhal, MDp Family Medicine License: 4301079004 NPI: 1689643124 Manhal H Naoumi Md Pc 31500 Dequindre Ste 100 Warren, MI 48092 (586) 939-9500 Mon-Fri 9:00am 5:00pm Arabic Group(s): Manhal H Naoumi Md Pc 1205165859

Ouza, Ayaa, NPp Family Nurse Practitioner License: 4704316972 NPI: 1922662501 Alshefa Family Practice Pllc 28780 Ryan Rd Ste B Warren, MI 48092 (586) 261-6201 Mon-Fri 10:00am 5:00pm Certification: American Academy Of Nurse Practitioners Group(s): Alshefa Family Practice Pllc 1801257738
Potrous, Laith, MDp Family Medicine License: 4301105756 NPI: 1487073615 Madison Heights Pediatrics Pc 31200 Dequindre Rd Warren, MI 48092 (586) 939-1800 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:00pm, Sun 12:30pm 2:30pm Arabic Certification: Am Board Family Medicine Group(s): Madison Heights Pediatrics Pc

Potrous, Laith, MDp Family Medicine License: 4301105756 NPI: 1487073615 Madison Heights Urgent Care Pc 31200 Dequindre Rd Warren, MI 48092 (586) 939-1800 Mon-Fri 8:00am 8:00pm, Sat 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Madison Heights Pediatrics Pc
Qin, Pu, MDp Family Medicine License: 4301085889 NPI: 1306052931 Beaumont Neighborhood Fmly Med 29245 Ryan Rd Ste 300 Warren, MI 48092 (586) 578-0222 Fri 8:00am - 12:00pm Mandarin Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Stride Physical Therapy Incp Physical Therapy Clinic NPI: 1154510220 28565 Ryan Rd Warren, MI 48092 (248) 334-9003 Mon-Fri 8:00am 5:00pm Group(s): Stride Physical Therapy Inc

Yarlagadda, Sushma, PA p Physician Assistant License: 5601007256 NPI: 1548648587 Alshefa Family Practice Pllc 28780 Ryan Rd Ste B Warren, MI 48092 (586) 261-6201 Mon-Fri 10:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Alshefa Family Practice Pllc 1801257738
- 48093
Aljahmi, Zaid, MD Family Medicine License: 4301102602 NPI: 1679815112 Zaid Aljahmi Medical Practice Pllc 28771 Hoover Rd Warren, MI 48093 (586) 578-9975 Mon-Sun 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Zaid Aljahmi Medical Practice Pllc 1396276622

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Anchan, Siddhartha, PTp Physical Therapist License: 5501014478 NPI: 1710286091 Ati Physical Therapy 8381 E 12 Mile Rd Warren, MI 48093 (586) 698-1999 Mon-Fri 7:00am 7:00pm Group(s): Ati Physical Therapy - 1669531166
Berman, Calli, NPp Family Nurse Practitioner License: 4704293546 NPI: 1609363431 Michigan Healthcare Professionals Pc 28477 Hoover Rd Warren, MI 48093 (586) 250-4040 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Cusumano, Dominic, MD Internal Medicine License: 4301407063 NPI: 1447243779 Henry Ford Medical Center 8600 Chicago Rd South Warren, MI 48093 (586) 826-3300 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Dado, Lynn, MD Internal Medicine License: 4301115729 NPI: 1689940322 Henry Ford Medical Center 8600 Chicago Rd South Warren, MI 48093 (586) 826-3300 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Gammons, Timothy, MD p Family Medicine License: 5101013821 NPI: 1730163023 Michigan Healthcare Professionals Pc 28477 Hoover Rd Warren, MI 48093 (586) 250-4040 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547

Goldberg, Scott, MDp Internal Medicine License: 4301406895 NPI: 1093712259 Michigan Healthcare Professionals Pc 28289 Hoover Rd Warren, MI 48093 (586) 276-7530 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Grincewicz, Bradley, PAp Physician Assistant License: 5601006430 NPI: 1447508437 The Health Center At Mckenny 31700 Van Dyke Ave Warren, MI 48093 (586) 275-2401 Mon-Fri 9:00am 5:00pm Group(s): The Health Center At Mckenny 1134787633

Haq, Junaed, MDp Family Medicine License: 4301086147 NPI: 1730341868 Henry Ford Medical Center 8600 Chicago Rd South Warren, MI 48093 (586) 826-3300 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Kerges, Dana, MDp Family Medicine License: 4301081809 NPI: 1487620050 Beaumont Associated Fam Care Phys 8545 Common Rd Ste 280 Warren, MI 48093 (800) 903-5253 Mon-Tue 9:00am 6:00pm, Wed-Thu 7:00am - 5:00pm, Fri 7:00am - 3:00pm Romanian Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Kerges, Dana, MDp Family Medicine License: 4301081809 NPI: 1487620050 Beaumont Professional Services 27070 Hoover Rd Warren, MI 48093 (586) 427-7300 Mon,Wed 8:00am 5:00pm, Tue 7:00am 6:00pm, Thu 8:00am 6:00pm, Fri 8:00am 3:00pm, Sat 8:00am 12:00pm Romanian Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878, Beaumont Medical Group Specialty Serv Pc - 1578072906
Kerges, Dana, MDp Family Medicine License: 4301081809 NPI: 1487620050 Oakwood Ambulatory Llc Pc 8545 Common Rd Ste 280 Warren, MI 48093 (586) 393-3025 Romanian Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Lubera, Richard, MDp Internal Medicine License: 4301024564 NPI: 1457327744 Pioneer Medical Associates Pc 27540 Hoover Rd Warren, MI 48093 (586) 754-6797 Mon,Wed,Fri 9:00am 5:00pm, Tue,Thu 9:00am - 4:30pm Polish Certification: Am Bd Internal Med Group(s): Pioneer Medical Associates Pc 1093296592
Mccrory, Paul, NPpq Family Nurse Practitioner License: 4704284624 NPI: 1295236602 Judson Center Family Health Clinic 12200 E 13 Mile Rd, Ste 200 Warren, MI 48093 (586) 573-1810 Mon-Fri 8:30am 5:00pm Group(s): Judson Center Family Health Clinic 1396217600

Mengri, Floriola, NPp Nurse Practitioner License: 4704304735 NPI: 1558918706 Pioneer Medical Associates Pc 11900 E 12 Mile Rd Ste 100 Warren, MI 48093 (586) 573-5890 Mon-Fri 8:30am 4:30pm Group(s): Pioneer Medical Associates Pc 1093296592
Meyers, Leia, MDp Family Medicine License: 4301076182 NPI: 1841291184 Beaumont Associated Fam Care Phys 8545 Common Rd Ste 280 Warren, MI 48093 (800) 903-5253 Mon-Tue 9:00am 6:00pm, Wed-Thu 7:00am - 5:00pm, Fri 7:00am - 3:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Meyers, Leia, MDp Family Medicine License: 4301076182 NPI: 1841291184 Beaumont Professional Services 27070 Hoover Rd Warren, MI 48093 (586) 427-7300 Mon,Wed 8:00am 5:00pm, Tue 7:00am 6:00pm, Thu 8:00am 6:00pm, Fri 8:00am 3:00pm, Sat 8:00am 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Meyers, Leia, MDp Family Medicine License: 4301076182 NPI: 1841291184 Oakwood Ambulatory Llc Pc 27070 Hoover Rd Warren, MI 48093 (586) 427-7300 Mon-Fri 7:00am 6:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

194

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Meyers, Leia, MDp Family Medicine License: 4301076182 NPI: 1841291184 Oakwood Ambulatory Llc Pc 8545 Common Rd Ste 280 Warren, MI 48093 (586) 393-3025 Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
Mitchell, Lindsey, MDp Family Medicine License: 5601010035 NPI: 1689275026 Michigan Healthcare Professionals Pc 28477 Hoover Rd Warren, MI 48093 (586) 250-4040 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Michigan Healthcare Professionals Pc - 1295023547

Novak, Katherine, PAp Physician Assistant License: 5601008417 NPI: 1669981353 Michigan Healthcare Professionals Pc 28477 Hoover Rd Warren, MI 48093 (586) 250-4040 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Panchagnula, Soumya, MDp Family Medicine License: 4301090433 NPI: 1770740045 Henry Ford Medical Center 8600 Chicago Rd South Warren, MI 48093 (586) 826-3300 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1134144801

Patnugot, Kristopher, DOp Family Medicine License: 5101020290 NPI: 1649614470 Michigan Healthcare Professionals Pc 28477 Hoover Rd Warren, MI 48093 (586) 250-4040 Mon-Fri 8:00am 5:00pm Certification: Am Bd Preventive Med (Addiction Medicine) Group(s): Michigan Healthcare Professionals Pc - 1295023547
Patrick, E, MDp Family Medicine License: 4301060218 NPI: 1215001722 Henry Ford Medical Center 8600 Chicago Rd South Warren, MI 48093 (586) 826-3300 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1134144801

Pernick, Rebecca, DO Family Medicine License: 5101010408 NPI: 1285708792 Henry Ford Medical Center 8600 Chicago Rd South Warren, MI 48093 (586) 826-3300 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1134144801
Plizga, Linda, DOpq Internal Medicine License: 5101017033 NPI: 1235346578 Motor City Internists 11885 E 12 Mile Rd Ste 300A Warren, MI 48093 (586) 582-6630 Mon-Fri 7:00am 5:00pm Certification: Am Bd Internal Med (Geriatric Medicine) Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Ponkowski, Jennifer, PA p Physician Assistant License: 5601009658 NPI: 1811546229 Michigan Healthcare Professionals Pc 28477 Hoover Rd Warren, MI 48093 (586) 250-4040 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Michigan Healthcare Professionals Pc - 1295023547
Qamar, Shazia, MDp Family Medicine License: 4301085442 NPI: 1902015290 Henry Ford Medical Center 8600 Chicago Rd South Warren, MI 48093 (586) 826-3300 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1134144801

Rodriguez, Jose, MDp Internal Medicine License: 4301044571 NPI: 1750481842 Pioneer Medical Associates Pc 27540 Hoover Rd Warren, MI 48093 (586) 754-6797 Mon,Wed,Fri 9:00am 5:00pm, Tue,Thu 9:00am - 4:30pm Group(s): Pioneer Medical Associates Pc 1093296592
Schulte, Meg, NPp Primary Care Nurse Practitioner License: 4704210400 NPI: 1518427640 Michigan Healthcare Professionals Pc 28477 Hoover Rd Warren, MI 48093 (586) 250-4040 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Vogel, Harrison, DOp Family Medicine License: 5101024557 NPI: 1164870986 Beaumont Associated Fam Care Phys 8545 Common Rd Ste 280 Warren, MI 48093 (800) 903-5253 Mon-Tue 9:00am 6:00pm, Wed-Thu 7:00am - 5:00pm, Fri 7:00am - 3:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Vogel, Harrison, DOp Family Medicine License: 5101024557 NPI: 1164870986 Oakwood Ambulatory Llc Pc 8545 Common Rd Ste 280 Warren, MI 48093 (586) 393-3025 Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Wetzel, Jennilyn, MDp Family Medicine License: 4301054330 NPI: 1104920792 Michigan Healthcare Professionals Pc 28289 Hoover Rd Warren, MI 48093 (586) 276-7530 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
WASHINGTON - 48094
Adair, Andrew, DOp Family Medicine License: 5101013932 NPI: 1164541702 Total Health Systems Inc 57911 Van Dyke Rd Washington, MI 48094 (586) 751-0800 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Total Health Systems Inc 1265564900

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

196

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 7715 26 Mile Rd Washington, MI 48094 (586) 992-4930 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Balasz, Jade, DOpq Family Medicine License: 5101023197 NPI: 1780122036 Crittenton Primary Care 57850 Van Dyke Ave Ste 600 Washington, MI 48094 (586) 738-9448 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Caldwell, Samantha, PTp Physical Therapist License: 5501016961 NPI: 1649673294 Total Health Systems Inc 57911 Van Dyke Rd Washington, MI 48094 (586) 781-0800 Mon,Wed,Fri-Sat 8:00am - 6:00pm, Tue,Thu 8:00am 7:00pm Group(s): Total Health Systems Inc 1265564900
Demashkieh, Fadi, MDp Internal Medicine License: 4301060083 NPI: 1396726808 Rochester Internists Pllc 57850 Van Dyke Ave Ste 100 Washington, MI 48094 (248) 844-1500 Mon-Fri 9:00am 5:00pm Arabic Group(s): Rochester Internists Pllc

Fityan, Mohammad, MD pq Internal Medicine License: 4301107249 NPI: 1265829154 Ascension Crittenton Hospital 57850 Van Dyke Rd Ste 150 Washington, MI 48094 (586) 738-9400 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Fityan, Mohammad, MD pq Internal Medicine License: 4301107249 NPI: 1265829154 Crittenton Hospital Medical Center Pc 57850 Van Dyke Ave Ste 150 Washington, MI 48094 (248) 652-5721 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Forton, Jessica, PTp Physical Therapist License: 5501019502 NPI: 1275167140 Total Health Systems Inc 57911 Van Dyke Rd Washington, MI 48094 (586) 781-0800 Mon,Wed,Fri-Sat 8:00am - 6:00pm, Tue,Thu 8:00am 7:00pm Group(s): Total Health Systems Inc 1265564900
Kulairi, Zain, MDpq Internal Medicine License: 4301099025 NPI: 1578856456 Ascension Crittenton Hosp Pc 58750 Van Dyke Rd Ste 250 Washington, MI 48094 (248) 601-6945 Mon-Fri 9:00am 5:00pm Arabic Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

197

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Kulairi, Zain, MDpq Internal Medicine License: 4301099025 NPI: 1578856456 Crittenton Hospital Medical Center Pc 57850 Van Dyke Ave Ste 150 Washington, MI 48094 (248) 652-5721 Mon-Fri 8:00am 5:00pm Arabic Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Kumar, Sarwan, MDpq Internal Medicine License: 4301091839 NPI: 1760772362 Ascension Crittenton Hospital 57850 Van Dyke Rd Ste 150 Washington, MI 48094 (586) 738-9400 Mon-Fri 9:00am 5:00pm Sindhi, Urdu Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Kumar, Sarwan, MDpq Internal Medicine License: 4301091839 NPI: 1760772362 Crittenton Hospital Medical Center Pc 57850 Van Dyke Ave Ste 150 Washington, MI 48094 (248) 652-5721 Mon-Fri 8:00am 5:00pm Sindhi, Urdu Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Mattoni, Nancy, NPpq Nurse Practitioner License: 4704109576 NPI: 1316020902 Crittenton Primary Care 57850 Van Dyke Ave Ste 600 Washington, MI 48094 (586) 738-9448 Mon-Fri 8:00am 5:00pm Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Natheer, Rose, MDpq Internal Medicine License: 4301104822 NPI: 1184030942 Ascension Crittenton Hosp Pc 58750 Van Dyke Rd Ste 250 Washington, MI 48094 (248) 601-6945 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Natheer, Rose, MDpq Internal Medicine License: 4301104822 NPI: 1184030942 Crittenton Hospital Medical Center Pc 57850 Van Dyke Ave Ste 150 Washington, MI 48094 (248) 652-5721 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Stachowiak, Katrina, PA p Physician Assistant License: 5601003460 NPI: 1801862842 Total Health Systems Inc 57911 Van Dyke Rd Washington, MI 48094 (586) 751-0800 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900
Syska Jr, Michael, PTp Physical Therapist License: 5501011361 NPI: 1649497876 Total Health Systems Inc 57911 Van Dyke Rd Washington, MI 48094 (586) 751-0800 Mon,Wed,Fri 8:00am 6:00pm, Tue,Thu 8:00am - 7:00pm, Sat 8:00am 1:00pm Group(s): Total Health Systems Inc 1265564900

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Macomb County continued

Proveedores de atención primaria (PCP)
Condado de Macomb continuación

Tegeltija, Vesna, MDpq Internal Medicine License: 4301103378 NPI: 1538504956 Ascension Crittenton Hospital 57850 Van Dyke Rd Ste 150 Washington, MI 48094 (586) 738-9400 Mon-Fri 9:00am 5:00pm Serbian Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Tegeltija, Vesna, MDpq Internal Medicine License: 4301103378 NPI: 1538504956 Crittenton Hospital Medical Center Pc 57850 Van Dyke Ave Ste 150 Washington, MI 48094 (248) 652-5721 Mon-Fri 8:00am 5:00pm Serbian Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Vercellone, Joseph, MDp q Internal Medicine License: 4301117229 NPI: 1114374964 Ascension Crittenton Hospital 57850 Van Dyke Rd Ste 150 Washington, MI 48094 (586) 738-9400 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
WASHINGTON TWP - 48095
Barker, William, MDp Family Medicine License: 5101013935 NPI: 1275554073 Henry Ford Health System 12150 30 Mile Rd Ste 105 Washington Twp, MI 48095 (586) 336-7333 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

Gadzinski, Nicholas, DO p Family Medicine License: 5101019544 NPI: 1013216068 Henry Ford Health System 12150 30 Mile Rd Ste 105 Washington Twp, MI 48095 (586) 336-7333 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Mecosta
BIG RAPIDS - 49307
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 20095 Gilbert Rd Ste B Big Rapids, MI 49307 (231) 408-3208 Mon-Fri 7:00am 7:00pm, Sat BY APPT BY APPT Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Kibler, Beckee, NPp Nurse Practitioner License: 4704278846 NPI: 1851991475 Michigan Primary Care Partners 20095 Gilbert Rd Ste B Big Rapids, MI 49307 (231) 592-1360 Mon-Fri 8:00am 5:00pm Group(s): Michigan Primary Care Partners 1366497380
Koning, Patricia, NPp Nurse Practitioner License: 4704160886 NPI: 1144274002 Baldwin Family Health Care Pc 730 Water Tower Road Big Rapids, MI 49307 (231) 527-7150 Mon-Fri 8:00am 5:00pm Group(s): Baldwin Family Health Care Pc 1558470567
Luna, Ryan, PTp Physical Therapist License: 5501011851 NPI: 1679605521 Ati Physical Therapy 20095 Gilbert Rd Ste B Big Rapids, MI 49307 (231) 408-3208 Mon-Fri 7:00am 7:00pm, Sat BY APPT BY APPT Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Mecosta County continued

Sharrard, Emily, PTp Physical Therapist License: 5501017235 NPI: 1073995858 Ati Physical Therapy 20095 Gilbert Rd Ste B Big Rapids, MI 49307 (231) 408-3208 Mon-Fri 7:00am 7:00pm, Sat BY APPT BY APPT Group(s): Ati Physical Therapy - 1669531166
Midland
MIDLAND - 48640
Aloff, Jennifer, MDp Family Medicine License: 4301072118 NPI: 1013001437 Physician Management Services Of Michigan 920 W Wackerly Midland, MI 48640 (888) 829-8550 Mon-Fri 9:00am 5:00pm Spanish Group(s): Physician Management Services Of Michigan Llc 1255996591

- 48642
Alfieri, Kristin, PAp Physician Assistant License: 5601006656 NPI: 1558706077 Prohealth Medical Fp Midland 111 E Wackery Ste D Midland, MI 48642 (989) 495-2050 Mon-Fri 10:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Prohealth Medical Fp Midland 1740841451
Bonk, Kimberly, PAp Physician Assistant License: 5601007904 NPI: 1578013397 Prohealth Medical Fp Midland 111 E Wackery Ste D Midland, MI 48642 (989) 495-2050 Mon-Fri 10:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Prohealth Medical Fp Midland 1740841451

Proveedores de atención primaria (PCP)
Condado de Mecosta continuación

Braun, Angela, PAp Physician Assistant License: 5601007991 NPI: 1215486733 Prohealth Medical Fp Midland 111 E Wackery Ste D Midland, MI 48642 (989) 495-2050 Mon-Fri 10:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Italian Certification: National Commission On Certification Of Physician Assistants Group(s): Prohealth Medical Fp Midland 1740841451
Briseno, Darren, PApq Physician Assistant License: 5601007837 NPI: 1538158415 Prohealth Medical Fp Midland 111 E Wackery Ste D Midland, MI 48642 (989) 495-2050 Mon-Fri 10:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Prohealth Medical Fp Midland 1740841451

Buttar, Nick, MDpq Family Medicine License: 4301068558 NPI: 1326085861 Prohealth Medical Fp Midland 111 E Wackery Ste D Midland, MI 48642 (989) 495-2050 Mon-Fri 10:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Punjabi Certification: Am Board Family Medicine Group(s): Prohealth Medical Fp Midland 1740841451
Elkins, Daniel, PAp Physician Assistant License: 5601008829 NPI: 1538644059 Prohealth Medical Fp Midland 111 E Wackery Ste D Midland, MI 48642 (989) 495-2050 Mon-Fri 10:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Prohealth Medical Fp Midland 1740841451

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Midland County continued

Proveedores de atención primaria (PCP)
Condado de Midland continuación

Jorkos, Bobbi, MDp Internal Medicine License: 4301075506 NPI: 1538160296 Mclaren Bay 801 Joe Mann Blvd Ste A Midland, MI 48642 (989) 794-4032 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Medical Group 1346396066
Keeler, Timothy, PApq Physician Assistant License: 5601002258 NPI: 1972728194 Prohealth Medical Fp Midland 111 E Wackery Ste D Midland, MI 48642 (989) 495-2050 Mon-Fri 10:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Group(s): Prohealth Medical Fp Midland 1740841451

Keller, Rhonda, NPp Family Nurse Practitioner License: 4704177598 NPI: 1376525170 Mclaren Bay 801 Joe Mann Blvd Ste A Midland, MI 48642 (989) 794-4032 Mon-Fri 8:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): Mclaren Medical Group 1346396066
Rizvi, Naheed, MDp Internal Medicine License: 4301082706 NPI: 1992817662 Mclaren Bay Region 111 East Wackerlty St Ste B Midland, MI 48642 (989) 486-9090 Mon-Fri 9:00am 5:00pm Hindi, Urdu Certification: Am Bd Internal Med Group(s): Mclaren Bay Region - Midland Internal Medicine

Rizvi, Naheed, MDp Internal Medicine License: 4301082706 NPI: 1992817662 Mclaren Bay Region 801 Joe Mann Boulevard Ste C Midland, MI 48642 (989) 486-9090 Mon-Fri 9:00am 5:00pm Hindi, Urdu Certification: Am Bd Internal Med Group(s): Mclaren Bay Region - Midland Internal Medicine, Mclaren Medical Group - 1346396066
Rizvi, Naheed, MDp Internal Medicine License: 4301082706 NPI: 1992817662 Mclaren Bay Region Pc 111 E Wackerly St Ste B Midland, MI 48642 (989) 486-9090 Hindi, Urdu Certification: Am Bd Internal Med Group(s): Mclaren Bay Region - Midland Internal Medicine

Trebilcock, Elizabeth, PA p Physician Assistant License: 5601004642 NPI: 1841237641 Mclaren Bay 801 Joe Mann Blvd Midland, MI 48642 (989) 486-9090 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Mclaren Bay Region - Midland Internal Medicine
Trebilcock, Elizabeth, PA p Physician Assistant License: 5601004642 NPI: 1841237641 Mclaren Bay Region 111 East Wackerlty St Ste B Midland, MI 48642 (989) 486-9090 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Mclaren Bay Region Pc - 1508131087, Mclaren Bay Region Midland Internal Medicine

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Midland County continued

Proveedores de atención primaria (PCP)
Condado de Midland continuación

Trebilcock, Elizabeth, PA p Physician Assistant License: 5601004642 NPI: 1841237641 Mclaren Bay Region 801 Joe Mann Boulevard Ste C Midland, MI 48642 (989) 486-9090 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Mclaren Bay Region - Midland Internal Medicine
Wright, Eric, PAp Physician Assistant License: 5601008464 NPI: 1568973675 Mclaren Bay 801 Joe Mann Blvd Midland, MI 48642 (989) 486-9090 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Mclaren Bay Region - Midland Internal Medicine, Mclaren Medical Group - 1346396066

Missaukee
MC BAIN - 49657
Barton, Amanda, NPp Family Nurse Practitioner License: 4704216141 NPI: 1962595405 Baldwin Family Health Care 117 N Roland St Mc Bain, MI 49657 (231) 825-2643 Mon,Wed,Fri 8:30am 4:30pm, Tue 1:00pm 4:30pm Group(s): Baldwin Family Health Care Pc 1871799791
Borton, Jonathon, PAp Physician Assistant License: 5601005077 NPI: 1548453681 Baldwin Family Health Care 117 N Roland St Mc Bain, MI 49657 (231) 825-2643 Mon,Wed,Fri 8:30am 4:30pm, Tue 1:00pm 4:30pm Group(s): Baldwin Family Health Care Pc 1689783698

Monroe
CARLETON - 48117
South, Regina, PAp Physician Assistant License: 5601003551 NPI: 1497704142 Family Medical Center Of Michigan Inc 130 Medical Center Dr Carleton, MI 48117 (734) 654-2169 Mon-Tue,Fri 8:00am 5:00pm, Wed-Thu 8:00am - 8:00pm Spanish Group(s): Family Medical Center Of Michigan Pc 1043501539, Family Medical Center Of Michigan Inc Pc 1265591812
DUNDEE - 48131
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 119 Waterstradt-Commerce Dr Ste 1 Dundee, MI 48131 (734) 823-7900 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

LAMBERTVILLE - 48144
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 7300 Secor Rd Lambertville, MI 48144 (734) 854-1260 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
MONROE - 48162
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 1515 N Telegraph Rd Monroe, MI 48162 (734) 242-4866 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Monroe County continued

Proveedores de atención primaria (PCP)
Condado de Monroe continuación

Jain, Sandhya, NPp Nurse Practitioner License: 4704275287 NPI: 1023500972 Family Medical Center Of Michigan Inc 901 N Macomb St Ste 109 Monroe, MI 48162 (734) 654-2169 Hindi Group(s): Family Medical Ctr Monroe Main Pc - 1023655149, Family Medical Center Of Michigan Inc Pc 1265591812
Khaghany, Azadeh, MDp Pediatric License: 4301070712 NPI: 1417065855 Azadeh Khaghany Md Pllc Pc 55 Cole Rd Monroe, MI 48162 (734) 244-5560 Mon-Fri 9:00am 5:00pm Group(s): Azadeh Khaghany Md Pllc Pc 1417065855

Mata, Jennifer, NPp Gerontologist Nurse Practitioner License: 4704305266 NPI: 1831738079 Advanced Heart And Vascular Care Pllc 1414 Stewart Rd Monroe, MI 48162 (734) 242-8880 Mon-Tue 9:00am 12:00pm, Wed-Thu 9:00am - 3:30pm Certification: American Academy Of Nurse Practitioners Group(s): Advanced Heart And Vascular Care Pllc - 1437511573
Powell, Gerald, PTp Physical Therapist License: 5501013845 NPI: 1699937763 Ati Physical Therapy 1515 N Telegraph Rd Monroe, MI 48162 (734) 242-4866 Mon-Fri 7:00am 7:00pm Group(s): Ati Physical Therapy - 1669531166

Steckmeyer, Robert, NPp Family Nurse Practitioner License: 4704253894 NPI: 1104194638 Family Medical Center Of Michigan Inc 901 N Macomb St Ste 109 Monroe, MI 48162 (734) 654-2169 Group(s): Family Medical Ctr Monroe Main Pc - 1023655149, Family Medical Center Of Michigan Inc Pc 1265591812
Steckmeyer, Robert, NPp Family Nurse Practitioner License: 4704253894 NPI: 1104194638 Family Medical Center Of Michigan Inc Pc 901 N Macomb St Monroe, MI 48162 (734) 654-2169 Mon-Fri 9:00am 5:30pm Group(s): Family Medical Center Of Michigan Inc Pc 1265591812

NEWPORT - 48166
Ackers, Kathryn, NPp Family Nurse Practitioner License: 4704299003 NPI: 1457780546 Ohc Newport 3132 Newport Rd Newport, MI 48166 (734) 586-9120 Mon-Thu 8:30am 5:00pm, Fri 8:30am 3:00pm Group(s): Oakwood Ambulatory Llc Pc 1003829441
Boggs, Nicholas, DOp Family Medicine License: 5101019010 NPI: 1043523954 Oakwood Ambulatory Llc 3132 Newport Rd Ste 107 Newport, MI 48166 (734) 586-9120 Mon-Thu 8:30am 4:30pm, Fri 8:30am 3:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Monroe County continued

Proveedores de atención primaria (PCP)
Condado de Monroe continuación

Cohen, Zivit, MDp Family Medicine License: 4301083987 NPI: 1134326507 Oakwood Ambulatory Llc 3132 Newport Rd Ste 107 Newport, MI 48166 (734) 586-9120 Mon-Thu 8:30am 4:30pm, Fri 8:30am 3:30pm Spanish, German, Hebrew Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
Dona, Danilo, MDp Family Medicine License: 4301044130 NPI: 1922024637 Danilo Dona Md Pc 7505 Grafton Rd Ste 1 Newport, MI 48166 (734) 586-3543 Mon-Fri 9:00am 5:00pm Tagalog Group(s): Danilo Dona Md Pc

Hehl-Bisson, Anna, MDp Family Medicine License: 4301095034 NPI: 1336379569 Ohc Newport 3132 Newport Rd Newport, MI 48166 (734) 586-9120 Mon-Thu 8:30am 5:00pm, Fri 8:30am 3:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
TEMPERANCE - 48182
Altamash, Amy, NPp Family Nurse Practitioner License: 4704316352 NPI: 1003288457 Pamela J Hackl Do Plc 7443 Jackman Rd Temperance, MI 48182 (734) 850-0100 Mon-Wed 8:00am 5:00pm, Thu 8:00am 6:00pm, Fri 8:00am 12:30pm Group(s): Pamela J Hackl Do Plc

Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 6654 Lewis Ave Temperance, MI 48182 (734) 847-1295 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Callicotte, Marissa, PAp Physician Assistant License: 5601009570 NPI: 1588225338 Family Medical Center Of Michigan Inc 8765 Lewis Ave Temperance, MI 48182 (734) 847-3802 Mon-Tue,Fri 8:00am 5:00pm, Wed-Thu 8:00am - 8:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Family Medical Center Of Michigan Inc Pc 1265591812

Callicotte, Marissa, PAp Physician Assistant License: 5601009570 NPI: 1588225338 Family Medical Center Of Michigan Inc 8765 Lewis Ave Temperance, MI 48182 (734) 654-2169 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Family Medical Center Of Michigan Inc Pc 1265591812
Hackl, Pamela, DOp Family Medicine License: 5101011928 NPI: 1134125024 Pamela J Hackl Do Plc 7443 Jackman Rd Temperance, MI 48182 (734) 850-0100 Mon-Wed 8:00am 5:00pm, Thu 8:00am 6:00pm, Fri 8:00am 12:30pm Certification: Am Os Bd Family Physicians & Omt Group(s): Pamela J Hackl Do Plc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Monroe County continued

Proveedores de atención primaria (PCP)
Condado de Monroe continuación

Koehl, Mark, MDp Family Medicine License: 4301055332 NPI: 1053399220 Family Medical Center Of Michigan Inc 8765 Lewis Ave Temperance, MI 48182 (734) 847-3802 Mon-Tue,Fri 8:00am 5:00pm, Wed-Thu 8:00am - 8:00pm Spanish, Chinese, Hindi Certification: Am Board Family Medicine Group(s): Family Medical Center Of Michigan Inc Pc 1265591812
Koehl, Mark, MDp Family Medicine License: 4301055332 NPI: 1053399220 Family Medical Center Of Michigan Inc 8765 Lewis Ave Temperance, MI 48182 (734) 654-2169 Mon-Fri 8:00am 5:00pm Spanish, Chinese, Hindi Certification: Am Board Family Medicine Group(s): Family Medical Center Of Michigan Inc Pc 1265591812

Wilson, Nicholas, PAp Physician Assistant License: 5601005306 NPI: 1407871262 Family Medical Center Of Michigan Inc 8765 Lewis Ave Temperance, MI 48182 (734) 654-2169 Mon-Fri 8:00am 5:00pm Group(s): Family Medical Center Of Michigan Inc Pc 1265591812
Montcalm
GREENVILLE - 48838
Bush, Marc, PAp Physician Assistant License: 5601001779 NPI: 1043391154 Cherry Health 1003 N Lafayette St Greenville, MI 48838 (616) 225-9650 Mon-Tue,Thu 8:00am 8:00pm, Wed 8:00am 6:00pm, Fri 8:00am 5:00pm Group(s): Cherry Street Health Services Pc 1558459164

Peterson, Stephen, DOp Family Medicine License: 5101021164 NPI: 1114331535 Cherry Health 1003 N Lafayette St Greenville, MI 48838 (616) 225-9650 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Cherry Street Health Services Pc 1558459164
Montmorency
HILLMAN - 49746
Dziesinski, Monica, PAp Physician Assistant License: 5601006794 NPI: 1992130926 Thunder Bay Community Health Service Inc 15774 State St Hillman, MI 49746 (989) 742-4583 Mon-Fri 8:00am 5:00pm Group(s): Thunder Bay Community Health Service Inc Pc 1942253851

Muskegon
NORTON SHORES - 49444
Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 5251 Harvey St Ste 100 Norton Shores, MI 49444 (231) 769-0695 Mon-Sat 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Newaygo
GRANT - 49327
Hunter, Lindsey, PAp Physician Assistant License: 5601006300 NPI: 1801169404 Baldwin Family Health Care 11 N Maple St Grant, MI 49327 (231) 834-0444 Mon-Thu 8:00am 7:00pm, Fri 8:00am 5:00pm, Sat 9:00am 1:00pm Group(s): Baldwin Family Health Care Pc 1689783698

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Newaygo County continued

Proveedores de atención primaria (PCP)
Condado de Newaygo continuación

WHITE CLOUD - 49349
Koning, Patricia, NPp Nurse Practitioner License: 4704160886 NPI: 1144274002 Baldwin Family Health Care 1035 E Wilcox Ave White Cloud, MI 49349 (231) 689-5943 Mon-Fri 8:00am 7:00pm Group(s): Baldwin Family Health Care Pc 1558470567
Weers, Sarah, MDp Family Medicine License: 4301500595 NPI: 1457881948 Baldwin Family Health Care 1035 E Wilcox Ave White Cloud, MI 49349 (231) 689-5943 Mon-Fri 8:00am 7:00pm Certification: Am Board Family Medicine Group(s): Baldwin Family Health Care Pc 1558470567

Weers, Sarah, MDp Family Medicine License: 4301500595 NPI: 1457881948 Baldwin Family Health Care 555 E Wilcox White Cloud, MI 49349 (231) 689-3268 Certification: Am Board Family Medicine Group(s): Baldwin Family Health Care 1790067338
Oakland
AUBURN HILLS - 48326
Barkho, Wafa, MDpq Family Medicine License: 4301094713 NPI: 1033349626 Seton Health Corporation Of Se Michigan 2251 N Squirrel Rd Auburn Hills, MI 48326 (248) 844-4500 Mon-Sun 8:00am 8:00pm Arabic Certification: Am Board Family Medicine Group(s): Seton Health Corporation Of Se Michigan - 1598177065

Greve, Jacita, NPp Family Nurse Practitioner License: 4704220559 NPI: 1972053098 Seton Health Corporation Of Se Michigan 2251 N Squirrel Rd Auburn Hills, MI 48326 (248) 844-4500 Mon-Sun 8:00am 8:00pm Certification: American Academy Of Nurse Practitioners Group(s): Seton Health Corporation Of Se Michigan - 1598177065
Hull, Adam, MDpq Internal Medicine License: 5101021299 NPI: 1851719033 Auburn Hills Primary Care 2251 N Squirrel Rd Ste 201 Auburn Hills, MI 48326 (248) 652-5020 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Jaffery-Khalil, Shehla,
MD Internal Medicine License: 4301057909 NPI: 1265591507 Henry Ford Health System 800 Chrysler Dr Tech Center - W2001 Auburn Hills, MI 48326 (248) 944-1639 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Johnson, Elizabeth, DOp Pediatric License: 5101022813 NPI: 1760877005 Country Creek Pediatrics Pllc 2240 N Opdyke Rd Auburn Hills, MI 48326 (248) 289-7400 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Country Creek Pediatrics Pllc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Naji, Noor, MDpq Internal Medicine License: 4301107686 NPI: 1073900965 Auburn Hills Primary Care 2251 N Squirrel Rd Ste 201 Auburn Hills, MI 48326 (248) 652-5020 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Regan, Charles, PApq Physician Assistant License: 5601005151 NPI: 1386609824 Seton Health Corporation Of Se Michigan 2251 N Squirrel Rd Auburn Hills, MI 48326 (248) 844-4500 Mon-Sun 8:00am 8:00pm Spanish Certification: National Commission On Certification Of Physician Assistants Group(s): Seton Health Corporation Of Se Michigan - 1598177065

Samuels, Lasharon, MDp Pediatric License: 4301070962 NPI: 1760743009 Country Creek Pediatrics Pllc 2240 N Opdyke Rd Auburn Hills, MI 48326 (248) 289-7400 Mon-Fri 9:00am 5:00pm French, Korean Group(s): Country Creek Pediatrics Pllc
BERKLEY - 48072
Benson, Paul, DOp Family Medicine License: 5101007480 NPI: 1174554364 Michigan Healthcare Professionals, Pc 1964 W. 11 Mile Rd, Ste 1 Berkley, MI 48072 (248) 544-9300 Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547
Bullough, Leonp Nurse Practitioner License: 4704345605 NPI: 1396285862 Michigan Healthcare Professionals, Pc 1964 W. 11 Mile Rd, Ste 1 Berkley, MI 48072 (248) 544-9300 Group(s): Michigan Healthcare Professionals Pc - 1295023547

Gerhardt, Sara, MDp Internal Medicine License: 4301108011 NPI: 1437530516 Beaumont Professional Services 1949 W 12 Mile Rd Ste 100 Berkley, MI 48072 (248) 551-0615 Mon-Fri 9:00am 5:00pm German Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Gerhardt, Sara, MDp Internal Medicine License: 4301108011 NPI: 1437530516 Oakwood Ambulatory Llc Pc 1949 12 Mile Rd Ste 100 Berkley, MI 48072 (248) 551-0615 Mon-Fri 8:00am 5:30pm German Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441

Gupta, Neelum, MDp Internal Medicine License: 4301066816 NPI: 1811901309 Associates In Medicine Pc 1695 W 12 Mile Rd Ste 200 Berkley, MI 48072 (248) 548-9090 Mon-Fri 8:30am 4:30pm Hindi Group(s): Associates In Medicine Pc
Hanson, Danette, NPp Nurse Practitioner License: 4704156459 NPI: 1275779308 Beaumont Professional Services 1949 W 12 Mile Rd Ste 200 Berkley, MI 48072 (248) 545-0070 Mon-Fri 9:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878
Hanson, Danette, NPp Nurse Practitioner License: 4704156459 NPI: 1275779308 Beaumont Professional Services 27901 Woodward Ave Ste 300 Berkley, MI 48072 (248) 545-0070 Mon-Fri 8:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Hartkop, Sarah, MDp Internal Medicine License: 4301107274 NPI: 1508247875 Beaumont Professional Services 1949 W 12 Mile Rd Ste 100 Berkley, MI 48072 (248) 551-0615 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Hartkop, Sarah, MDp Internal Medicine License: 4301107274 NPI: 1508247875 Oakwood Ambulatory Llc Pc 1949 12 Mile Rd Ste 100 Berkley, MI 48072 (248) 551-0615 Mon-Fri 8:00am 5:30pm Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441

Holmes, Brett, DOp Internal Medicine License: 5101020318 NPI: 1306284666 Beaumont Professional Services 1949 W 12 Mile Rd Ste 100 Berkley, MI 48072 (248) 551-0615 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Beaumont Medical Group Hospital Based Services 1427567858
Maddens, Nicholas, MDp Internal Medicine License: 4301094694 NPI: 1841420445 Beaumont Professional Services 1949 W 12 Mile Rd Ste 100 Berkley, MI 48072 (248) 551-0615 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

Mansour, Yousif, MDp Internal Medicine License: 4301044148 NPI: 1154330355 Yousif S Mansour 1695 W 12 Mile Rd Ste 200 Berkley, MI 48072 (248) 559-2280 Mon-Fri 10:00am 5:00pm Certification: Am Bd Internal Med Group(s): Yousif S Mansour Md Pc
Misho, Vian, MDp Family Medicine License: 4301085887 NPI: 1023224664 Berkley Medical Center 3345 Coolidge Hwy Berkley, MI 48072 (248) 544-7110 Mon-Tue,Fri 9:00am 4:00pm, Wed 11:00am 7:00pm, Sat 9:00am 12:00pm Arabic Group(s): Berkley Medical Center

Polevoy, Rimma, MDp Internal Medicine License: 4301105454 NPI: 1134547862 Beaumont Professional Services 1949 W 12 Mile Rd Ste 100 Berkley, MI 48072 (248) 551-0615 Mon-Fri 9:00am 5:00pm Russian Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Rollinger, Kathleen, DOp Family Medicine License: 5101009605 NPI: 1912908245 Beaumont Professional Services 27901 Woodward Ave Ste 300 Berkley, MI 48072 (248) 545-0070 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Rosen, Mark, PAp Physician Assistant License: 5601008082 NPI: 1588101091 Michigan Healthcare Professionals, Pc 1964 W. 11 Mile Rd, Ste 1 Berkley, MI 48072 (248) 544-9300 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Shoichet, Sandor, MDp Internal Medicine License: 4301053749 NPI: 1093776726 Oakwood Ambulatory Llc Pc 1949 12 Mile Rd Ste 100 Berkley, MI 48072 (248) 551-0615 Mon-Fri 8:00am 5:30pm Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441
Youngblood, Caleb, PAp Physician Assistant License: 5601006038 NPI: 1235366014 Michigan Healthcare Professionals, Pc 1964 W. 11 Mile Rd, Ste 1 Berkley, MI 48072 (248) 544-9300 Group(s): Michigan Healthcare Professionals Pc - 1295023547

BEVERLY HILLS
- 48025
Deryavoush, Tara, DOp Internal Medicine License: 5101020870 NPI: 1851718092 Beaumont Beverly Hills Internal Medicine 17392 W 13 Mile Rd Beverly Hills, MI 48025 (248) 646-8166 Mon-Fri 7:30am 5:00pm Assyrian, Chaldean Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Mumtaz, Samar, MDp Internal Medicine License: 4301091757 NPI: 1346403243 Beaumont Beverly Hills Internal Medicine 17392 W 13 Mile Rd Beverly Hills, MI 48025 (248) 646-8166 Mon-Fri 7:30am 5:00pm Urdu Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

BINGHAM FARMS - 48025
Abboud, Ryan, DOp Family Medicine License: 5101025222 NPI: 1104353077 Michigan Healthcare Professionals Pc 31500 Telegraph Rd Ste 130 Bingham Farms, MI 48025 (248) 737-0091 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Kolender, Brian, MDp Internal Medicine License: 4301065408 NPI: 1417931015 Michigan Healthcare Professionals Pc 31500 Telegraph Rd Ste 130 Bingham Farms, MI 48025 (248) 737-0091 Group(s): Michigan Healthcare Professionals Pc - 1295023547

Lutskovsky, Andrey, DO p Internal Medicine License: 5101016687 NPI: 1932390317 Better Care Company Pc 31000 Telegraph Rd Ste 140 Bingham Farms, MI 48025 (248) 480-0895 Mon-Fri 9:00am 5:00pm Group(s): Better Care Company Pc 1124441258
BLOOMFIELD HILLS - 48302
Al-Taieb, Khaled, MD Internal Medicine License: 4301094021 NPI: 1003144643 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Arabic Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Allen, Nakia, MD Pediatric License: 4301090397 NPI: 1659556181 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318

Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 1940 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 409-0490 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 43700 Woodward Ave Ste 106 Bloomfield Hills, MI 48302 (248) 335-2000 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Azeez, Nasser, MDp Family Medicine License: 4301087087 NPI: 1750556999 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Hindi, Kannada, Tamil Group(s): Henry Ford Medical Center Fairlane - 1952485351

Beg, Mirza, MDp Family Medicine License: 4301074036 NPI: 1841364452 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Bd Internal Med (Geriatric Medicine) Group(s): Henry Ford Medical Center Fairlane - 1952485351
Blanchard-Brown, Mollie, MD Pediatric License: 4301117098 NPI: 1437500774 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Brown, Indigo, DOp Family Medicine License: 5101022333 NPI: 1740638535 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Century 2 Therapyp Physical Therapy Clinic NPI: 1326089178 2045 Franklin Rd Bloomfield Hills, MI 48302 (248) 332-3600 Mon-Fri 8:00am 4:30pm Group(s): Century 2 Therapy
Cherri, Catherine, MDp Family Medicine License: 4301103625 NPI: 1053750356 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Cosma, Cecilia, MDp Internal Medicine License: 4301086469 NPI: 1992973721 M N Khan Md Pc 43344 Woodward Ave Bloomfield Hills, MI 48302 (248) 758-0730 Mon-Fri 9:00am 5:00pm Group(s): M N Khan Md Pc - 1053553107
Cybinski, Katherine, DO p Family Medicine License: 5101021001 NPI: 1023420585 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

Dado, Lynn, MD Internal Medicine License: 4301115729 NPI: 1689940322 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Daiza, Renap Family Medicine License: 4301108370 NPI: 1235526112 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Elsarawy, Zainab, MDp Family Medicine License: 4301101905 NPI: 1902130545 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Evola, Debra, PApq Physician Assistant License: 5601002394 NPI: 1457492761 Physician Universe Pllc 3800 Lakeland Ln Bloomfield Hills, MI 48302 (248) 973-3660 Mon-Fri 8:00am 5:00pm Group(s): Physician Universe Pllc 1023435856
Fatima, Farvah, MDp Family Medicine License: 4301104723 NPI: 1346583796 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Ferrans, Diana, MD Family Medicine License: 4301058323 NPI: 1851469662 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Spanish Group(s): Henry Ford Medical Center Fairlane - 1952485351
Ferrarer-Blair, Hilda, MDp Family Medicine License: 4301085592 NPI: 1487868121 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Fox, Kelita, MDp Family Medicine License: 4301501395 NPI: 1518279827 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Gavino, Belinda, MDp Family Medicine License: 4301500706 NPI: 1750711636 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Gjurashaj, Nik, MDp Family Medicine License: 4301101531 NPI: 1366705949 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Spanish, Albanian Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Gumma, Rhonda, DOp Family Medicine License: 5101017051 NPI: 1487868600 Sjmh Medical Practice 43097 Woodward Ave Ste 204 Bloomfield Hills, MI 48302 (248) 836-0040 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Sjmh Medical Practice Pc - 1346284684

Gupta, Badri, MDp Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Hospital Pc - 1891702833
Hackel, Gregory, DO Internal Medicine License: 5101011844 NPI: 1891723185 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Hua, Wenhui, MD Pediatric License: 4301067764 NPI: 1316094113 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Jayatilake, Prasani, MD p Family Medicine License: 4301075100 NPI: 1548211832 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Singalese Group(s): Henry Ford Medical Center Fairlane - 1952485351

Johnson, Tisa, MD Pediatric License: 4301075433 NPI: 1134276934 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Kanmantha Reddy, Jayakar, MDp Internal Medicine License: 4301068131 NPI: 1629086244 Professional Primary Care Services 43996 Woodward Ave Ste 104 Bloomfield Hills, MI 48302 (248) 977-4138 Mon-Fri 9:00am 5:00pm Hindi, Punjabi, Telugu Certification: Am Bd Internal Med, Am Bd Internal Med (Geriatric Medicine) Group(s): Professional Primary Care Services 1588852933

Kappy, Irvin, MDq Pediatric License: 4301041399 NPI: 1932244084 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Kohler, Aliya, MDp Family Medicine License: 4301072057 NPI: 1811099559 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351

Kopyrina, Mariya, MD Family Medicine License: 4301080257 NPI: 1164402160 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Kuhl, Shirlee, DO Pediatric License: 5101008622 NPI: 1225185036 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm French Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Leff, Carrie, DO Internal Medicine License: 5101015020 NPI: 1902819295 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Mansour, Faiz, MDp Internal Medicine License: 4301059179 NPI: 1508974999 Faiz Mansour Md Pc 10 W Square Lake Rd Ste 301 Bloomfield Hills, MI 48302 (248) 452-9500 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Faiz Mansour Md Pc - 1770769630

Meyer, Christine, MD Internal Medicine License: 4301050509 NPI: 1710979257 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Moghaddam, Marjan, DOp Family Medicine License: 5101019748 NPI: 1457615247 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Munir, Nazia, MDp Family Medicine License: 4301104866 NPI: 1053739797 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Panchagnula, Soumya, MDp Family Medicine License: 4301090433 NPI: 1770740045 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Pandrangi, Lakshmi, MD p Family Medicine License: 4301077786 NPI: 1043384555 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Parekh, Vneshe, DOp Family Medicine License: 5101024441 NPI: 1134411747 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Passerman, Daniel, DOp Family Medicine License: 5101015988 NPI: 1043366842 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Pernick, Rebecca, DO Family Medicine License: 5101010408 NPI: 1285708792 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Pfefferkorn, Tassia, MD p Internal Medicine License: 4301100187 NPI: 1467716514 Sjmh Medical Practice 43097 Woodward Ave Ste 204 Bloomfield Hills, MI 48302 (248) 836-0040 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Sjmh Medical Practice Pc - 1346284684
Postell, Lonetta, MD Pediatric License: 4301103317 NPI: 1770826984 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Prasad, Sujatha, MDp Family Medicine License: 4301060650 NPI: 1942206545 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Prude Hall, Poala, MDp Family Medicine License: 4301058586 NPI: 1093889503 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Qamar, Shazia, MDp Family Medicine License: 4301085442 NPI: 1902015290 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Roychoudhury, Promita, MDp Family Medicine License: 4301079465 NPI: 1083614002 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Hindi Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Rudraraju, Sudha, MD Pediatric License: 4301062364 NPI: 1568519379 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Savalli, Rachelle, DOp Family Medicine License: 5101022495 NPI: 1770933848 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Selitsky, Mark, MD Internal Medicine License: 4301050678 NPI: 1831267368 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm French Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Shah, Kunjesh, MDp Family Medicine License: 4301090856 NPI: 1720287386 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Shamsuddoha, Abul, MD p Internal Medicine License: 4301037481 NPI: 1265503031 Abul H M Shamsuddoha Pc 43750 Woodward Ave Ste 107 Bloomfield Hills, MI 48302 (248) 652-9450 Bengali Certification: Am Bd Internal Med, Am Bd Internal Med (Gastroenterology) Group(s): Abul H M Shamsuddoha Pc 1649441593
Shamsuddoha, Abul, MD p Internal Medicine License: 4301037481 NPI: 1265503031 Jolly Neurological Clinic Pc 43494 Woodward Ave Ste 103 Bloomfield Hills, MI 48302 (248) 338-8400 Mon-Fri 9:00am 5:00pm Bengali Certification: Am Bd Internal Med, Am Bd Internal Med (Gastroenterology) Group(s): Abul H M Shamsuddoha Pc 1649441593

Siddiqi, Raffat, MD Pediatric License: 4301052229 NPI: 1003963810 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318
Stockard, Frances, MDp Family Medicine License: 4301071901 NPI: 1821162330 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Tajuddin, Syed, MDp Family Medicine License: 4301108853 NPI: 1700228038 Physician Universe Pllc 3800 Lakeland Ln Bloomfield Hills, MI 48302 (248) 973-3660 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Physician Universe Pllc 1023435856

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Ul Hassan, Jawad, DOp Family Medicine License: 5101020498 NPI: 1629417928 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351
Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351

Zenieh, Lucienne, MD Internal Medicine License: 4301102799 NPI: 1477990851 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Zimmer, Michael, MDp Family Medicine License: 4301094070 NPI: 1881825743 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Hills, MI 48302 (248) 319-6210 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

- 48304
Ali, Zulekha, MDp Internal Medicine License: 4301067791 NPI: 1720079601 Zulekha Ali Md 1578 Threadneedle Bloomfield Hills, MI 48304 (248) 856-7100 Mon,Thu 9:00am 4:00pm, Tue 9:00am 1:00pm, Wed 12:00pm 6:00pm Hindi, Urdu Group(s): Zulekha Ali Md Pc
Mansoor, Imad, MDp Internal Medicine License: 4301407249 NPI: 1699883082 Imad Mansoor Md Pc 42557 Woodward Ave Ste 110 Bloomfield Hills, MI 48304 (248) 333-1170 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Imad Mansoor Md Pc

Mansoor, Imad, MDp Internal Medicine License: 4301407249 NPI: 1699883082 Michigan Healthcare Professionals, Pc 42557 Woodward Ave Ste 110 Bloomfield Hills, MI 48304 (248) 253-1468 Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Matthews, Kimberly, MD p Family Medicine License: 4301063310 NPI: 1033283551 Henry Ford Health System Blm Hills Sports Medicine 37000 Woodward Ave Ste 300 Bloomfield Hills, MI 48304 (248) 952-9200 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Patel, Dipti, NPp Nurse Practitioner License: 4704282470 NPI: 1821488370 Serenity Pediatrics 71 E Long Lake Rd Bloomfield Hills, MI 48304 (248) 533-0000 Mon 8:00am - 6:00pm, Tue-Fri 8:00am 8:00pm, Sat 8:00am 12:00pm Gujarati, Hindi Group(s): Serenity Pediatrics - 1669922977
Phillips, Arianna, NPp Nurse Practitioner License: 4704336683 NPI: 1073109997 Serenity Pediatrics 71 E Long Lake Rd Bloomfield Hills, MI 48304 (248) 533-0000 Mon 8:00am - 6:00pm, Tue-Fri 8:00am 8:00pm, Sat 8:00am 12:00pm Group(s): Serenity Pediatrics - 1669922977

Revankar, Varsha, MDp Internal Medicine License: 4301087980 NPI: 1124196548 Michigan Healthcare Professionals, Pc 42557 Woodward Ave Ste 110 Bloomfield Hills, MI 48304 (248) 253-1468 Hindi, Kannada Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
BLOOMFIELD TOWNSHIP - 48301
Atto, Ghazwan, MDp Internal Medicine License: 4301068489 NPI: 1578553301 Ghazwan Atto Md Pc 6090 Hickory Tree Trail Bloomfield Township, MI 48301 (734) 246-5705 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Downriver Medical Associates 1669554903

- 48302
Forster, Ryan, MDp Pediatric License: 4301114641 NPI: 1184854564 Bloomfield Pediatric Care 43205 Woodward Ave Bloomfield Township, MI 48302 (248) 451-0600 Mon,Wed,Fri 9:00am 5:30pm, Tue,Thu 9:00am - 5:00pm, Sat 9:00am 12:00pm Spanish Certification: Am Board Pediatrics Group(s): Bloomfield Pediatric Care 1700884814
Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Health System 1961 S Telegraph Rd Bloomfield Township, MI 48302 (248) 319-6210 Group(s): Henry Ford Macomb Family Medicine - 1134265986

CLARKSTON - 48346
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 7083 Dixie Highway Clarkston, MI 48346 (248) 620-8980 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 7164 N Main St Clarkston, MI 48346 (248) 625-6400 Mon-Fri 7:00am 7:00pm, Sat BY APPT BY APPT Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

C.O.R.E Physical
Therapy & Sports Performance Pllcp Physical Therapy Clinic License: D27067 NPI: 1437380847 5896 Dixie Hwy Ste B Clarkston, MI 48346 (248) 461-6674 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): C.O.R.E Physical Therapy & Sports Performance Pllc
Chawla, Nisha, MDp Family Medicine License: 4301104893 NPI: 1841604618 Sjmh Medical Practice 6770 Dixie Hwy Ste 303 Clarkston, MI 48346 (248) 625-0030 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Sjmh Medical Practice Pc - 1346284684

Dietz, Lisa, DO Internal Medicine License: 5101011820 NPI: 1629067541 Hospital Health Care 6507 Town Center Dr Ste A Clarkston, MI 48346 (248) 922-9975 Mon-Thu 8:00am 5:00pm, Fri 8:00am 3:30pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc - 1790055143
Dietz, Lisa, DOp Internal Medicine License: 5101011820 NPI: 1629067541 Mclaren Oakland Pc 6507 Town Center Dr Ste A Clarkston, MI 48346 (248) 922-9975 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc - 1053463778

Dietz, Lisa, DOp Internal Medicine License: 5101011820 NPI: 1629067541 Mclaren Oakland Pc 6507 Town Ctr Dr Ste A Clarkston, MI 48346 (248) 922-9975 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc - 1790055143
Harding, Erica, MDp Internal Medicine License: 4301086153 NPI: 1538374236 Michigan Healthcare Professionals Pc 5290 Maybee Rd Clarkston, MI 48346 (248) 625-2621 German Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Michigan Healthcare Professionals Pc - 1295023547

Harding, Erica, MDp Internal Medicine License: 4301086153 NPI: 1538374236 Michigan Healthcare Professionals Pc 5565 Pink Knob Rd Clarkston, MI 48346 (248) 625-2621 German Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Michigan Healthcare Professionals Pc - 1295023547
Harding, Erica, MDp Internal Medicine License: 4301086153 NPI: 1538374236 Michigan Healthcare Professionals, Pc 5290 Maybee Road Clarkston, MI 48346 (248) 623-4100 German Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Harding, Erica, MDp Internal Medicine License: 4301086153 NPI: 1538374236 Michigan Healthcare Professionals, Pc 5565 Pine Knob Road Clarkston, MI 48346 (248) 623-4200 German Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Michigan Healthcare Professionals Pc - 1295023547
Mcnaughton, David, MD p Family Medicine License: 4301116348 NPI: 1568843142 Sjmh Medical Practice 6770 Dixie Hwy Ste 303 Clarkston, MI 48346 (248) 625-0030 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684
Moghul, Ramla, MDp Family Medicine License: 4301072679 NPI: 1538464953 Sjmh Medical Practice 6770 Dixie Hwy Ste 303 Clarkston, MI 48346 (248) 625-0030 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684

Palffy, Carl, MDp Internal Medicine License: 4301052322 NPI: 1144228917 Michigan Healthcare Professionals Pc 5701 Bow Pointe Dr Ste 100 Clarkston, MI 48346 (248) 625-2621 Mon,Thu 7:00am 8:00pm, Tue-Wed 7:00am - 6:00pm, Fri 7:00am - 5:00pm, Sat 8:00am - 12:00pm German Group(s): Michigan Healthcare Professionals Pc - 1295023547
Palffy, Carl, MDp Internal Medicine License: 4301052322 NPI: 1144228917 Michigan Healthcare Professionals Pc 6815 Dixie Hwy, Ste 4 Clarkston, MI 48346 (248) 384-8360 Mon-Fri 9:00am 5:00pm German Group(s): Michigan Healthcare Professionals Pc - 1295023547

Patel, Bhupendranath, MDp Family Medicine License: 4301040083 NPI: 1932143971 Sjmh Medical Practice 6770 Dixie Hwy Ste 303 Clarkston, MI 48346 (248) 625-0030 Mon-Fri 9:00am 5:00pm Gujarati Certification: Am Board Family Medicine Group(s): Sjmh Medical Practice Pc - 1346284684
Rizk, Abdallah, MDp Internal Medicine License: 4301086821 NPI: 1689641664 Mclaren Oakland Pc 5625 Water Tower Pl Ste 210 Clarkston, MI 48346 (248) 625-1011 Mon-Sun 8:00am 5:00pm Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc - 1790055143
Rizk, Abdallah, MDp Internal Medicine License: 4301086821 NPI: 1689641664 Mclaren Oakland Pc 5625 Water Tower Pl Ste 210 Clarkston, MI 48346 (248) 625-1011 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Oakland Pc - 1053463778

Rosenfeld, Andrew, DOp Internal Medicine License: 5101011194 NPI: 1518929843 Mclaren Oakland 5625 Water Tower Place Ste 210 Clarkston, MI 48346 (248) 625-1011 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med (Gastroenterology) Group(s): Mclaren Oakland Pc - 1790055143
Saluja, Manveen, MDp Internal Medicine License: 4301056405 NPI: 1386635084 Michigan Healthcare Professionals Pc 5701 Bow Pointe Dr Ste 100 Clarkston, MI 48346 (248) 625-2621 Mon,Thu 7:00am 8:00pm, Tue-Wed 7:00am - 6:00pm, Fri 7:00am - 5:00pm, Sat 8:00am - 12:00pm Hindi Certification: Am Bd Internal Med, Am Bd Internal Med (Rheumatology) Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Spyridakis, Kathrina, DO p Internal Medicine License: 5101012062 NPI: 1396872628 Michigan Healthcare Professionals Pc 5701 Bow Pointe Dr Ste 100 Clarkston, MI 48346 (248) 625-2621 Mon,Thu 7:00am 8:00pm, Tue-Wed 7:00am - 6:00pm, Fri 7:00am - 5:00pm, Sat 8:00am - 12:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
CLAWSON - 48017
Zelch, James, MDp Family Medicine License: 4301058783 NPI: 1457487472 Clawson Medical Centers Pllc 1224 W 14 Mile Rd Clawson, MI 48017 (248) 543-6400 Mon-Fri 8:00am 5:00pm Group(s): Clawson Medical Ctr Pllc

COMMERCE TOWNSHIP - 48382
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 3050 Union Lake Rd Ste 3C Commerce Township, MI 48382 (248) 363-8267 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Baver-Neff, Beth, MDp Pediatric License: 4301052847 NPI: 1184731697 Edgewood Center Pediatrics 8896 Commerce Rd Ste 5 Commerce Township, MI 48382 (248) 360-9241 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Edgewood Center Pediatrics Pc 1295831550

Burgess, Jennifer, DOp Family Medicine License: 5101017695 NPI: 1952561565 Henry Ford Macomb Hospital Clinton Twp Pc 8391 Commerce Rd Ste 108 Commerce Township, MI 48382 (248) 360-8100 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Dhar, Sudipta, MDp Pediatric License: 4301074233 NPI: 1013925858 Commerce Pediatrics Associates Pc 2900 Union Lake Rd Ste 130 Commerce Township, MI 48382 (248) 366-0101 Mon-Fri 9:00am 5:00pm Bengali, Hindi Certification: Am Board Pediatrics Group(s): Commerce Pediatric Associates Pc

Feldman, Alan, DOp General Practice License: 5101006423 NPI: 1760448179 Alan L Feldman Do Pc 1965 Union Lake Rd Commerce Township, MI 48382 (248) 363-4151 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Alan L Feldman Do Pc
Friedman, Rachel, DOp Family Medicine License: 5101025167 NPI: 1962865246 Henry Ford Macomb Hospital Clinton Twp Pc 8391 Commerce Rd Ste 108 Commerce Township, MI 48382 (248) 360-8100 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Gannon, Cheryl, MDp Pediatric License: 4301049043 NPI: 1447368998 Edgewood Center Pediatrics 8896 Commerce Rd Ste 5 Commerce Township, MI 48382 (248) 360-9241 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Edgewood Center Pediatrics Pc 1295831550
Gendelman, Brian, MDp Pediatric License: 4301051241 NPI: 1316055866 Edgewood Center Pediatrics 8896 Commerce Rd Ste 5 Commerce Township, MI 48382 (248) 360-9241 Mon-Fri 8:00am 5:00pm Group(s): Edgewood Center Pediatrics Pc 1295831550

Gorman, Stacey, MDp Pediatric License: 4301056348 NPI: 1457361156 Sjmh Medical Practice 2630 Union Lake Rd Ste 100 Commerce Township, MI 48382 (248) 360-1200 Mon,Wed 9:00am 8:00pm, Tue,Thu-Fri 9:00am - 5:00pm, Sat 9:00am - 12:00pm Group(s): Sjmh Medical Practice Pc - 1346284684
Jonnalagadda, Samuel, MDp Internal Medicine License: 4301076908 NPI: 1427147628 Commerce Primary Care Pc 8800 Commerce Rd Commerce Township, MI 48382 (248) 363-7500 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Commerce Primary Care Pc

Kang, Mohammad, MDp Geriatric Medicine License: 4301083859 NPI: 1598904690 University Physician Group 1 Williams Carl Dr Ste 230 Commerce Township, MI 48382 (248) 937-4211 Mon-Fri 9:00am 5:00pm Urdu Certification: Am Bd Internal Med (Geriatric Medicine) Group(s): Wayne Health Pc - 1447299797
Karchon, Mark, DOp Family Medicine License: 5101008912 NPI: 1699861088 Henry Ford Medical Center 2630 Union Lake Rd Ste 220 Commerce Township, MI 48382 (248) 360-6000 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford West Bloomfield Physicians - 1215333976, Henry Ford Hospital Pc - 1134144801

Kowalski, Amy, MDp Pediatric License: 4301406717 NPI: 1386655702 Sjmh Medical Practice 2630 Union Lake Rd Ste 100 Commerce Township, MI 48382 (248) 360-1200 Mon,Wed 9:00am 8:00pm, Tue,Thu-Fri 9:00am - 5:00pm, Sat 9:00am - 12:00pm Certification: Am Board Pediatrics Group(s): Sjmh Medical Practice Pc - 1346284684
Kozlowski, Ruth, DOp Internal Medicine License: 5101008620 NPI: 1174598270 Vhs Physicians Of Michigan 2455 Union Lake Rd Ste 101 Commerce Township, MI 48382 (248) 363-2239 Mon-Fri 8:00am 4:00pm Certification: Am Os Bd Internal Medicine, Am Os Bd Internal Medicine (Rheumatology) Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Kozlowski, Ruth, DOp Internal Medicine License: 5101008620 NPI: 1174598270 Vhs Physicians Of Michigan Inc 2455 Union Lake Rd Ste 102 Commerce Township, MI 48382 (248) 363-2239 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine, Am Os Bd Internal Medicine (Rheumatology) Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Marchese, Adriane, MDp Family Medicine License: 4301502552 NPI: 1265952543 Vhs Physicians Of Michigan 2455 Union Lake Rd Ste 101 Commerce Township, MI 48382 (248) 363-2239 Mon-Fri 9:00am 5:00pm Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

Nair, Geetha, MDp Pediatric License: 4301055381 NPI: 1235149972 Sjmh Medical Practice 2520 S Telegraph Rd Ste 100 Commerce Township, MI 48382 (248) 360-1200 Mon,Wed 8:30am 8:00pm, Tue,Thu 8:30am - 5:00pm, Fri 8:00am 5:00pm, Sat 9:00am 1:00pm Hindi Certification: Am Board Pediatrics Group(s): Sjmh Medical Practice Pc - 1346284684
Nair, Geetha, MDp Pediatric License: 4301055381 NPI: 1235149972 Sjmh Medical Practice 2630 Union Lake Rd Ste 100 Commerce Township, MI 48382 (248) 360-1200 Mon,Wed 9:00am 8:00pm, Tue,Thu-Fri 9:00am - 5:00pm, Sat 9:00am - 12:00pm Hindi Certification: Am Board Pediatrics Group(s): Sjmh Medical Practice Pc - 1346284684

Ompt Specialists Inc 1205865961p Physical Therapy Clinic NPI: 1205865961 Ompt Specialists Inc 2455 Union Lake Rd Ste 104 Ste 104 Commerce Township, MI 48382 (248) 353-1234 Mon-Thu 7:00am 7:00pm Group(s): Ompt Specialists Inc 1205865961
Pensler, Rachel, MDp Family Medicine License: 5101020892 NPI: 1104244185 Henry Ford Macomb Hospital Clinton Twp Pc 8391 Commerce Rd Ste 108 Commerce Township, MI 48382 (248) 360-8100 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Rafaill, Dennis, MDp Internal Medicine License: 4301056023 NPI: 1326013533 Vhs Physicians Of Michigan 2455 Union Lake Rd Ste 101 Commerce Township, MI 48382 (248) 363-2239 Mon-Fri 8:00am 4:00pm Certification: Am Bd Internal Med Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Rafaill, Dennis, MDp Internal Medicine License: 4301056023 NPI: 1326013533 Vhs Physicians Of Michigan Inc 2455 Union Lake Rd Ste 102 Commerce Township, MI 48382 (248) 363-2239 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Savalli, Rachelle, DOp Family Medicine License: 5101022495 NPI: 1770933848 Henry Ford Macomb Hospital Clinton Twp Pc 8391 Commerce Rd Ste 108 Commerce Township, MI 48382 (248) 360-8100 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Skelton, Kelsey, PAp Physician Assistant License: 5601004812 NPI: 1679736722 Vhs Physicians Of Michigan Inc 2455 Union Lake Rd Ste 102 Commerce Township, MI 48382 (248) 363-2239 Mon-Fri 9:00am 5:00pm Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

Tervo, Kristina, DOp Family Medicine License: 5101010740 NPI: 1659321024 Henry Ford Macomb Hospital Clinton Twp Pc 8391 Commerce Rd Ste 108 Commerce Township, MI 48382 (248) 360-8100 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351
Turner, Lisa, MDp Pediatric License: 4301071720 NPI: 1205857729 Edgewood Center Pediatrics 8896 Commerce Rd Ste 5 Commerce Township, MI 48382 (248) 360-9241 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Edgewood Center Pediatrics Pc 1295831550

Vella, David, MD Internal Medicine License: 4301054177 NPI: 1427126960 Henry Ford Macomb Hospital Clinton Twp Pc 8391 Commerce Rd Ste 108 Commerce Township, MI 48382 (248) 360-8100 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
DAVISBURG - 48350
Chawla, Nisha, MDp Family Medicine License: 4301104893 NPI: 1841604618 Sjmh Medical Practice 10740 Dixie Hwy Davisburg, MI 48350 (248) 625-7007 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Sjmh Medical Practice Pc - 1346284684

Mcnaughton, David, MD p Family Medicine License: 4301116348 NPI: 1568843142 Sjmh Medical Practice 10740 Dixie Hwy Davisburg, MI 48350 (248) 625-7007 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684
Moghul, Ramla, MDp Family Medicine License: 4301072679 NPI: 1538464953 Sjmh Medical Practice 10740 Dixie Hwy Davisburg, MI 48350 (248) 625-7007 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

FARMINGTN HLS - 48334
Citron, Alissa, DOp Family Medicine License: 5101014828 NPI: 1487638755 Beaumont Professional Services 29645 W 14 Mile Rd Ste 110 Farmingtn Hls, MI 48334 (248) 254-6000 Mon-Fri 8:00am 4:30pm Spanish, Hebrew Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878
Gupta Riley, Deepshikha, MDpq Internal Medicine License: 4301107838 NPI: 1700264231 Ascension Medical Group Michigan 32255 Northwestern Hwy Ste 170 Farmingtn Hls, MI 48334 (248) 932-1250 Group(s): Ascension Medical Group Michigan Pc 1376644922

Gupta Riley, Deepshikha, MDpq Internal Medicine License: 4301107838 NPI: 1700264231 Mi Healthcare Professionals Pc 32255 Northwestern Hwy Ste 170 Farmingtn Hls, MI 48334 (248) 932-8725 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Klausner, Mitchell, MDp Internal Medicine License: 4301075569 NPI: 1083698682 Mi Healthcare Professionals Pc 32255 Northwestern Hwy Ste 170 Farmingtn Hls, MI 48334 (248) 932-8725 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Lerner, Sandra, DOp Family Medicine License: 5101015209 NPI: 1225018781 Beaumont Professional Services 29645 W 14 Mile Rd Ste 110 Farmingtn Hls, MI 48334 (248) 254-6000 Mon-Fri 8:00am 4:30pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878
Minkin, Richard, MDp Internal Medicine License: 4301039817 NPI: 1629053954 Mi Healthcare Professionals Pc 32255 Northwestern Hwy Ste 170 Farmingtn Hls, MI 48334 (248) 932-8725 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Moss, Elliotte, MDp Internal Medicine License: 4301029998 NPI: 1548245632 Mi Healthcare Professionals Pc 32255 Northwestern Hwy Ste 170 Farmingtn Hls, MI 48334 (248) 932-8725 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
FARMINGTON - 48331
D R Physical Therapy & Rehab Llcp Rehabilitation Clinic NPI: 1942259072 24380 Orchard Lake Rd Ste 102 Farmington, MI 48331 (248) 987-6681 Mon-Fri 9:00am 5:00pm Group(s): D R Physical Therapy & Rehab Llc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

- 48334
Ahmad, Mutahhar, MDp Family Medicine License: 4301065663 NPI: 1134168388 Southfield Family Practice Llc 29930 W 12 Mile Rd Ste 6 Farmington, MI 48334 (248) 862-5482 Mon-Thu 9:00am 5:00pm Punjabi, Urdu Certification: Am Board Family Medicine Group(s): Southfield Family Practice Llc 1306195730
Alosachie, Iyad, MDq Internal Medicine License: 4301064763 NPI: 1457335713 Michigan Healthcare Prof Pc 27970 Orchard Lake Rd Farmington, MI 48334 (248) 626-1999 Mon-Fri 8:30am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

Bettman, Elliott, MD Internal Medicine License: 4301063064 NPI: 1144325804 Wellhealth Medical Associates Pc 29940 Orchard Lake Rd Farmington, MI 48334 (248) 432-7367 Mon-Fri 9:00am 5:00pm Spanish Certification: Am Bd Internal Med Group(s): Wellhealth Medical Associates Pc 1902187008
Gappy, Musib, MDpq Internal Medicine License: 4301057989 NPI: 1477544088 Michigan Healthcare Prof Pc 27970 Orchard Lake Rd Farmington, MI 48334 (248) 626-1999 Mon-Fri 8:30am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

Gastman, Irvin, DOp Family Medicine License: 5101007321 NPI: 1942263843 Michigan Healthcare Prof Pc 32255 Northwestern Hwy Ste 150 Farmington, MI 48334 (248) 419-3456 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547
Kojamanian, Lynne, NPp Family Nurse Practitioner License: 4704288318 NPI: 1780111948 Samina Ansar Ghazi Md 33110 W 12 Mile Rd Farmington, MI 48334 (248) 489-9070 Mon,Wed-Fri 10:00am 5:00pm, Tue 12:00am 7:00pm Group(s): Samina Ansar Ghazi Md

Remer, Stanley, DOp Family Medicine License: 5101006446 NPI: 1235113374 Michigan Healthcare Professionals Pc 29992 Northwestern Hwy Ste C Farmington, MI 48334 (248) 851-1434 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547
- 48335
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 33566 W 8 Mile Rd Farmington, MI 48335 (248) 478-7330 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Kuzdak, Ron, DOp Family Medicine License: 5101013354 NPI: 1689618449 Botsford General Hospital Pc 32754 Grand River Farmington, MI 48335 (248) 476-3280 Mon-Tue,Thu 8:00am 5:00pm, Wed 8:00am 6:00pm, Fri 8:00am 2:00pm French Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153
Schoeps, Peter, DOp General Practice License: 5101008985 NPI: 1225065063 Botsford General Hospital Pc 32754 Grand River Farmington, MI 48335 (248) 476-3280 Mon-Tue,Thu 8:00am 5:00pm, Wed 8:00am 6:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153

Shih, Jenny, DOp Family Medicine License: 5101017681 NPI: 1457511040 St Mary Mercy Physician Prac 36650 Grand River Ave Ste 101 Farmington, MI 48335 (734) 655-8220 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): St Mary Mercy Physician Practices - 1568630077
Trate, Toni, DOp Family Medicine License: 5101010018 NPI: 1164468690 Toni Ballitch Trate Do Pc 38215 W 10 Mile Rd Ste 8 Farmington, MI 48335 (248) 474-0955 Mon-Fri 9:00am 5:00pm, Sat 9:00am 3:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Toni Ballitch Trate Do Pc 1932396538

Tuxhari, Snezhana, DOp Family Medicine License: 5101019119 NPI: 1053603076 Botsford General Hospital Pc 32754 Grand River Farmington, MI 48335 (248) 476-3280 Mon-Tue,Thu 8:00am 5:00pm, Wed 8:00am 6:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153
- 48336
Alvir, Barbra, DOp Family Medicine License: 5101016731 NPI: 1376664813 St Joes Medical Group East Farmington Hills 30852 W 10 Mile Rd Farmington, MI 48336 (734) 743-4414 Tagalog Certification: Am Os Bd Family Physicians & Omt Group(s): St Mary Mercy Physician Practices - 1568630077

Bronsteen, Kyle, DOp Family Medicine License: 5101025620 NPI: 1396195863 Farmington Village Family Practice 28100 Grand River Ave Ste 313 Farmington, MI 48336 (947) 521-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441
Cameron, Mary, MDp Family Medicine License: 4301076620 NPI: 1780637876 Kamran F Sheikh Md Pc 22821 Orchard Lake Rd Farmington, MI 48336 (248) 615-6600 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Kamran F Sheikh Md Pc 1205862513

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Craib, Annie, DO Family Medicine License: 5101020873 NPI: 1811317878 Beaumont Hospital Farmington Hills 28050 Grand River Ave Farmington, MI 48336 (248) 471-8000 Mon-Sun 12:00am 12:00am Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Farmington Hills 1609311794
Craib, Annie, DOp Family Medicine License: 5101020873 NPI: 1811317878 Botsford General Hospital Pc 21800 Grand River Ave Ste 313 Farmington, MI 48336 (248) 476-3280 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153

Craib, Annie, DOp Family Medicine License: 5101020873 NPI: 1811317878 Botsford General Hospital Pc 28100 Grand River Ave Ste 313 Farmington, MI 48336 (248) 615-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153
Craib, Annie, DOp Family Medicine License: 5101020873 NPI: 1811317878 Farmington Village Family Practice 28100 Grand River Ave Ste 313 Farmington, MI 48336 (947) 521-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

Deland, Abigail, DOp Family Medicine License: 5101020894 NPI: 1942611470 Botsford General Hospital Pc 21800 Grand River Ave Ste 313 Farmington, MI 48336 (248) 476-3280 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153
Deland, Abigail, DOp Family Medicine License: 5101020894 NPI: 1942611470 Botsford General Hospital Pc 28100 Grand River Ave Ste 313 Farmington, MI 48336 (248) 615-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153, Beaumont Medical Group Specialty Serv Pc - 1578072906

Deland, Abigail, DOp Family Medicine License: 5101020894 NPI: 1942611470 Farmington Village Family Practice 28100 Grand River Ave Ste 313 Farmington, MI 48336 (947) 521-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441
Gabbara, Sam, MDp Pediatric License: 4301076223 NPI: 1083709612 Botsford General Hospital Pc 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Gabbara, Sam, MD Pediatric License: 4301076223 NPI: 1083709612 Botsford Pediatric Associates 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Thu 8:00am 6:00pm, Fri 8:00am 5:00pm, Sat 9:00am 12:00pm Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947
Garada, Tarek, MDp Pediatric License: 4301056867 NPI: 1962444679 Botsford General Hospital Pc 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Fri 9:00am 5:00pm Arabic Group(s): Botsford General Hospital Pc 1437191947

Greenwell, Alyson, MDp Pediatric License: 4301118931 NPI: 1831548221 Botsford General Hospital Pc 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947
Jalil, Jabin, MDp Family Medicine License: 4301065247 NPI: 1982676391 Bloomfield Medical Center 23900 Orchard Lake Rd Ste 150 Farmington, MI 48336 (248) 427-8000 Mon-Tue,Fri 9:00am 9:00pm, Wed-Thu 9:00am - 5:00pm, Sat-Sun 9:00am - 1:00pm Hindi, Urdu Group(s): Bloomfield Medical Center 1265523328

Kuzdak, Ron, DOp Family Medicine License: 5101013354 NPI: 1689618449 Farmington Village Family Practice 32754 Grand River Ave Farmington, MI 48336 (248) 476-3280 Mon,Wed 8:00am 8:00pm, Tue,Thu 8:00am - 6:00pm, Fri 8:30am 3:00pm French Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153, Botsford General Hospital Pc 1114935566
Kuzdak, Ron, DOp Family Medicine License: 5101013354 NPI: 1689618449 Oakwood Ambulatory Llc Pc 32754 Grand River Ave Farmington, MI 48336 (248) 476-3280 French Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

Lemon, Zachary, DOp Internal Medicine License: 5101016803 NPI: 1740497510 Botsford General Hospital Pc 28100 Grand River Ave Ste 206 Farmington, MI 48336 (248) 888-2710 Mon-Thu 8:00am 4:30pm, Fri 8:00am 12:00pm Certification: Am Os Bd Internal Medicine Group(s): Botsford General Hospital Pc 1538103395
Martinez, Jesse, DOp Internal Medicine License: 5101012766 NPI: 1699762567 Bloomfield Medical Center 23900 Orchard Lake Rd Ste 150 Farmington, MI 48336 (248) 427-8000 Mon-Tue,Fri 9:00am 9:00pm, Wed-Thu 9:00am - 5:00pm, Sat-Sun 9:00am - 1:00pm Spanish Certification: Am Os Bd Internal Medicine Group(s): Bloomfield Medical Center 1265523328

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Medical Rehab Servicesp Physical Therapy Clinic NPI: 1144438565 21000 Middlebelt Farmington, MI 48336 (248) 442-7300 Mon-Fri 9:00am 5:00pm Group(s): Medical Rehab Services
Millman, Neil, DOp Family Medicine License: 5101005482 NPI: 1912911447 Kamran F Sheikh Md Pc 22821 Orchard Lake Rd Farmington, MI 48336 (248) 615-6600 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Kamran F Sheikh Md Pc 1205862513

Nelson, Carolyn, DO General Practice License: 5101008650 NPI: 1164464301 Botsford General Hospital Pc 28100 Grand River Ave Ste 313 Farmington, MI 48336 (248) 615-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153
Nelson, Carolyn, DO General Practice License: 5101008650 NPI: 1164464301 Farmington Village Family Practice 28100 Grand River Ave Ste 313 Farmington, MI 48336 (947) 521-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

Nelson, Carolyn, DOp General Practice License: 5101008650 NPI: 1164464301 Farmington Village Family Practice 32754 Grand River Ave Farmington, MI 48336 (248) 476-3280 Mon,Wed 8:00am 8:00pm, Tue,Thu 8:00am - 6:00pm, Fri 8:30am 3:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153, Botsford General Hospital Pc 1114935566
Nelson, Carolyn, DOp General Practice License: 5101008650 NPI: 1164464301 Oakwood Ambulatory Llc Pc 32754 Grand River Ave Farmington, MI 48336 (248) 476-3280 Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

Oska Gerak, Carla, DOp Pediatric License: 5101017544 NPI: 1619107133 Botsford General Hospital Pc 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947
Oska Gerak, Carla, DO Pediatric License: 5101017544 NPI: 1619107133 Botsford Pediatric Associates 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Thu 8:00am 6:00pm, Fri 8:00am 5:00pm, Sat 9:00am 12:00pm Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Performance Rehab Inc Pc - 1801954508p Physical Therapy Clinic NPI: 1801954508 Performance Rehab Inc 21111 Middlebelt Rd Ste D Farmington, MI 48336 (313) 246-0809 Mon-Fri 8:30am 5:00pm, Sat 8:30am 12:00pm Group(s): Performance Rehab Inc Pc 1801954508
Ramesh, Dilli, MDp Pediatric License: 4301061211 NPI: 1194767194 Botsford General Hospital Pc 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Fri 9:00am 5:00pm Group(s): Botsford General Hospital Pc 1437191947

Reddy, Sumati, MDp Pediatric License: 4301073673 NPI: 1699711903 Botsford General Hospital Pc 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Fri 9:00am 5:00pm Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947
Schoeps, Peter, DOp General Practice License: 5101008985 NPI: 1225065063 Botsford General Hospital Pc 28100 Grand River Ave Ste 313 Farmington, MI 48336 (248) 615-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153

Schoeps, Peter, DOp General Practice License: 5101008985 NPI: 1225065063 Farmington Village Family Practice 32754 Grand River Ave Farmington, MI 48336 (248) 476-3280 Mon,Wed 8:00am 8:00pm, Tue,Thu 8:00am - 6:00pm, Fri 8:30am 3:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153, Botsford General Hospital Pc 1114935566
Schoeps, Peter, DOp General Practice License: 5101008985 NPI: 1225065063 Oakwood Ambulatory Llc Pc 32754 Grand River Ave Farmington, MI 48336 (248) 476-3280 Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

Sebastian, Matthew, DO p Family Medicine License: 5101019118 NPI: 1093007916 Botsford General Hospital Pc 28100 Grand River Ave Ste 313 Farmington, MI 48336 (248) 615-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153
Sebastian, Matthew, DO p Family Medicine License: 5101019118 NPI: 1093007916 Farmington Village Family Practice 28100 Grand River Ave Ste 313 Farmington, MI 48336 (947) 521-7150 Mon,Wed 8:00am 6:00pm, Tue,Thu 8:00am - 5:00pm, Fri 8:00am 2:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Sheikh, Kamran, MDp Family Medicine License: 4301055307 NPI: 1093793085 Kamran F Sheikh Md Pc 22821 Orchard Lake Rd Farmington, MI 48336 (248) 615-6600 Mon-Fri 8:00am 5:00pm Punjabi, Urdu Group(s): Kamran F Sheikh Md Pc 1205862513
Sheikh, Mohammad, MD p Internal Medicine License: 4301099709 NPI: 1821369794 Kamran F Sheikh Md Pc 22821 Orchard Lake Rd Farmington, MI 48336 (248) 615-6600 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Bd Preventive Med (Public Health & Gnrl Prevntv Medicine) Group(s): Kamran F Sheikh Md Pc 1205862513

Shih, Jenny, DOp Family Medicine License: 5101017681 NPI: 1457511040 St Joes Medical Group East Farmington Hills 30852 W 10 Mile Rd Farmington, MI 48336 (734) 743-4414 Certification: Am Os Bd Family Physicians & Omt Group(s): St Mary Mercy Physician Practices - 1568630077
Soler, Mirta, MDp Pediatric License: 4301407374 NPI: 1538101944 Botsford General Hospital Pc 23133 Orchard Lake Rd Ste 100 Farmington, MI 48336 (248) 477-0100 Mon-Fri 9:00am 5:00pm Spanish Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947

Tuxhari, Snezhana, DOp Family Medicine License: 5101019119 NPI: 1053603076 Farmington Village Family Practice 32754 Grand River Ave Farmington, MI 48336 (248) 476-3280 Mon,Wed 8:00am 8:00pm, Tue,Thu 8:00am - 6:00pm, Fri 8:30am 3:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153
Tuxhari, Snezhana, DOp Family Medicine License: 5101019119 NPI: 1053603076 Oakwood Ambulatory Llc Pc 32754 Grand River Ave Farmington, MI 48336 (248) 476-3280 Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

Williams, Joe, MD Family Medicine License: 5101011913 NPI: 1073534491 Williams Family And Sports Medical Center 23366 Farmington Rd Farmington, MI 48336 (248) 476-3333 Certification: Am Board Family Medicine Group(s): Williams Family And Sports Medical Center
FARMINGTON HILLS - 48334
Abhari, Farnaz, MDp Internal Medicine License: 4301065718 NPI: 1508993882 Farnaz S Abhari Md Pc 33110 W 12 Mile Rd Farmington Hills, MI 48334 (248) 489-9070 Mon-Fri 9:00am 5:00pm Group(s): Farnaz S Abhari Md Pc 1629182886

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Ahmad, Mutahhar, MDp Family Medicine License: 4301065663 NPI: 1134168388 Southfield Family Practice, Pllc 29930 West 12 Mile Rd Unit Ste 6 Farmington Hills, MI 48334 (248) 353-4777 Mon,Thu 8:30am 5:00pm, Tue 9:00am 5:30pm, Wed 8:30am 6:00pm, Fri 8:30am 1:00pm Punjabi, Urdu Certification: Am Board Family Medicine Group(s): Southfield Family Practice Llc 1306195730
Alosachie, Iyad, MDpq Internal Medicine License: 4301064763 NPI: 1457335713 Farmington Hills Medical Group 27970 Orchard Lake Rd Ste 1 Farmington Hills, MI 48334 (248) 626-1999 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1730117805

Banno, Mark, MDpq Family Medicine License: 4301094729 NPI: 1669600219 Farmington Hills Medical Group 27970 Orchard Lake Rd Ste 1 Farmington Hills, MI 48334 (248) 626-1999 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1730117805
Berdy, Erno, MDp Internal Medicine License: 4301053168 NPI: 1851376941 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 130 Ste 130B Farmington Hills, MI 48334 (248) 354-9666 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Chintalapally, Radhika, MDpq Family Medicine License: 4301086143 NPI: 1326251620 Oakland Family Medicine 30055 Northwestern Hwy Ste 240 Farmington Hills, MI 48334 (248) 865-4242 Mon-Fri 9:00am 5:00pm Hindi Group(s): Providence Hospital And Med Center Pc - 1922063213
Citron, Alissa, DOp Family Medicine License: 5101014828 NPI: 1487638755 Beaumont Professional Services 29645 14 Mile Rd Ste 200 Farmington Hills, MI 48334 (248) 932-3700 Mon-Fri 9:00am 5:00pm Spanish, Hebrew Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

Dolson, Michelle, NPp Family Nurse Practitioner License: 4704186908 NPI: 1598048464 Avalon Consultants Pllc 31301 W 13 Mile Rd Farmington Hills, MI 48334 (888) 882-3783 Mon-Fri 8:00am 5:00pm Group(s): Avalon Consultants Pllc 1265859920
Efros, Arthur, MDp Internal Medicine License: 4301040008 NPI: 1972672103 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 130 Ste 130B Farmington Hills, MI 48334 (248) 354-9666 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Feldman, Barry, MDp Internal Medicine License: 4301044524 NPI: 1972588259 Millennium Affiliated Physicians 32255 Northwestern Hwy Ste 130A Farmington Hills, MI 48334 (248) 723-5880 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Finn, Julie, MDp Internal Medicine License: 4704286459 NPI: 1679557300 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 130 Ste 130B Farmington Hills, MI 48334 (248) 354-9666 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Gappy, Musib, MDpq Internal Medicine License: 4301057989 NPI: 1477544088 Farmington Hills Medical Group 27970 Orchard Lake Rd Ste 1 Farmington Hills, MI 48334 (248) 626-1999 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1730117805
Herman, Eugene, MDpq Internal Medicine License: 4301049218 NPI: 1801876164 Farmington Hills Internists 30055 Northwestern Hwy Ste 160 Farmington Hills, MI 48334 (248) 865-4160 Mon-Fri 8:00am 5:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213

Khraizat, Hussein, DOp Family Medicine License: 5101021793 NPI: 1932588381 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 180 Farmington Hills, MI 48334 (248) 355-0880 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Klausner, Mitchell, MD Internal Medicine License: 4301075569 NPI: 1083698682 Mhp 32255 Northwestern Hwy Ste 170 Farmington Hills, MI 48334 (248) 932-1250 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Klausner, Mitchell, MDp Internal Medicine License: 4301075569 NPI: 1083698682 Millenium Medical Group 32255 Northwestern Hwy Ste 170 Farmington Hills, MI 48334 (248) 932-1250 Group(s): Michigan Healthcare Professionals Pc - 1295023547

Kremer, Laura, NPp Adult Nurse Practitioner License: 4704270529 NPI: 1376055723 Avalon Consultants Pllc 31301 W 13 Mile Rd Farmington Hills, MI 48334 (888) 882-3783 Mon-Fri 8:00am 5:00pm Group(s): Avalon Consultants Pllc 1265859920
Lerner, Sandra, DOp Family Medicine License: 5101015209 NPI: 1225018781 Beaumont Professional Services 29645 14 Mile Rd Ste 200 Farmington Hills, MI 48334 (248) 932-3700 Mon-Fri 9:00am 5:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Levine Blase, Barbara, DOp Family Medicine License: 5101008931 NPI: 1376523597 Lawrence E Blase 30335 W 13 Mile Rd Ste 100 Farmington Hills, MI 48334 (248) 626-6500 Mon-Fri 9:00am 5:00pm Group(s): Lawrence E Blase Md - 1275144586
Lewis, Scott, MDp Internal Medicine License: 4301046235 NPI: 1245215573 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 180 Farmington Hills, MI 48334 (248) 355-0880 Group(s): Michigan Healthcare Professionals Pc - 1295023547

Lipsky, Jeffrey, MDp Internal Medicine License: 4301062055 NPI: 1528083037 Millennium Affiliated Physicians 32255 Northwestern Hwy Ste 130A Farmington Hills, MI 48334 (248) 723-5880 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Michigan Healthcare Professionals Pc - 1295023547
Lipson, Peter, MDp Internal Medicine License: 4301078674 NPI: 1396729737 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 180 Farmington Hills, MI 48334 (248) 355-0880 Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

Mccollum, Brooke, PAp Physician Assistant License: 5601008282 NPI: 1306362678 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 180 Farmington Hills, MI 48334 (248) 355-0880 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Meyers, Jeffrey, MDp Internal Medicine License: 4301079703 NPI: 1225013469 Millennium Affiliated Physicians 32255 Northwestern Hwy Ste 130A Farmington Hills, MI 48334 (248) 723-5880 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Minkin, Richard, MDp Internal Medicine License: 4301039817 NPI: 1629053954 Millenium Medical Group 32255 Northwestern Hwy Ste 170 Farmington Hills, MI 48334 (248) 932-1250 Group(s): Michigan Healthcare Professionals Pc - 1295023547

Moss, Elliotte, MD Internal Medicine License: 4301029998 NPI: 1548245632 Mhp 32255 Northwestern Hwy Ste 170 Farmington Hills, MI 48334 (248) 932-1250 Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Moss, Elliotte, MDp Internal Medicine License: 4301029998 NPI: 1548245632 Millenium Medical Group 32255 Northwestern Hwy Ste 170 Farmington Hills, MI 48334 (248) 932-1250 Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Oshiyoye, Adekunle, MD p General Practice License: 4301060924 NPI: 1780723064 First Ideal Enterprises Inc 31690 W 12 Mile Rd Ste 100 Farmington Hills, MI 48334 (248) 702-0838 Mon-Fri 9:00am 5:00pm Group(s): First Ideal Enterprises Inc Pc 1740478270
Panush, Daniel, MDp Internal Medicine License: 4301035149 NPI: 1669457909 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 130 Ste 130B Farmington Hills, MI 48334 (248) 354-9666 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Rozencweig, Harry, MDp Internal Medicine License: 4301038949 NPI: 1558346122 Millennium Affiliated Physicians 32255 Northwestern Hwy Ste 130A Farmington Hills, MI 48334 (248) 358-2310 Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Ryke, Nicole, MDp Family Medicine License: 4301086192 NPI: 1730349895 Millennium Affiliated Physicians 32255 Northwestern Hwy Ste 130A Farmington Hills, MI 48334 (248) 723-5880 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Sarafa, Gary, MDp Family Medicine License: 4301075307 NPI: 1174697684 Avalon Consultants Pllc 31301 W 13 Mile Rd Farmington Hills, MI 48334 (888) 882-3783 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Avalon Consultants Pllc 1265859920
Sills, Michael, MDp Internal Medicine License: 4301048897 NPI: 1437134533 Millennium Affiliated Physicians 32255 Northwestern Hwy Ste 130A Farmington Hills, MI 48334 (248) 723-5880 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Speck, Lisa, MDp Internal Medicine License: 4301039813 NPI: 1528059540 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy Ste 130B Farmington Hills, MI 48334 (248) 354-9666 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Speck, Lisa, MDp Internal Medicine License: 4301039813 NPI: 1528059540 Millennium Affiliated Physicians 32255 Northwestern Hwy Ste 130A Farmington Hills, MI 48334 (248) 723-5880 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Stober, Richard, MDpq Internal Medicine License: 4301045010 NPI: 1255332268 Farmington Hills Internists 30055 Northwestern Hwy Ste 150 Farmington Hills, MI 48334 (248) 865-4150 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Trivax, Geoffrey, MDp Internal Medicine License: 4301031978 NPI: 1164407730 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 130 Ste 130B Farmington Hills, MI 48334 (248) 354-9666 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

White, Michael, MDp Internal Medicine License: 4301404425 NPI: 1609851708 Michigan Healthcare Professionals, Pc 32255 Northwestern Hwy, Ste 130 Ste 130B Farmington Hills, MI 48334 (248) 354-9666 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Younan, Silvana, MDpq Internal Medicine License: 4301076358 NPI: 1952385098 Farmington Hills Medical Group 27970 Orchard Lake Rd Farmington Hills, MI 48334 (248) 626-1999 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1730117805

Younan, Silvana, MDpq Internal Medicine License: 4301076358 NPI: 1952385098 Farmington Hills Medical Group 27970 Orchard Lake Rd Ste 1 Farmington Hills, MI 48334 (248) 626-1999 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1730117805
- 48335
Alvir, Barbra, DOp Family Medicine License: 5101016731 NPI: 1376664813 St Joes Medical Group 36650 Grand River Ste 101 Farmington Hills, MI 48335 (734) 655-8220 Mon-Sun 12:00am 11:59pm Tagalog Certification: Am Os Bd Family Physicians & Omt Group(s): St Mary Mercy Physician Practices - 1568630077

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 33566 W 8 Mile Rd Ste A Farmington Hills, MI 48335 (248) 478-7330 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Berry, Neesha, MDp Internal Medicine License: 4301081792 NPI: 1134320930 St Joes Medical Group 36650 Grand River Ste 101 Farmington Hills, MI 48335 (734) 655-8220 Mon-Sun 12:00am 11:59pm Group(s): St Mary Mercy Physician Practices - 1568630077

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Walton Doyle, Erin, MD Internal Medicine License: 4301090758 NPI: 1427256460 St Joes Medical Group 36650 Grand River Ste 101 Farmington Hills, MI 48335 (734) 655-8220 Mon-Sun 12:00am 11:59pm Certification: Am Bd Internal Med Group(s): St Mary Mercy Physician Practices - 1568630077
- 48336
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 23800 Orchard Lake Rd Ste 101 Farmington Hills, MI 48336 (248) 474-5516 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Capaldi, Kristi, PAp Physician Assistant License: 5601004103 NPI: 1780999185 Michigan Healthcare Professionals, Pc 24300 Orchard Lake Road Farmington Hills, MI 48336 (248) 474-5601 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Fox, Michael, DO Family Medicine License: 5101007101 NPI: 1558444711 Arbor Medical M. Fox, Do 24300 Orchard Lake Rd Farmington Hills, MI 48336 (248) 474-5601 Certification: Am Os Bd Family Physicians & Omt, Am Os Bd Family Physicians (Addiction Medicine) Group(s): Michigan Healthcare Professionals Pc - 1295023547

Fox, Michael, DOp Family Medicine License: 5101007101 NPI: 1558444711 Michigan Healthcare Professionals, Pc 24300 Orchard Lake Road Farmington Hills, MI 48336 (248) 474-5601 Certification: Am Os Bd Family Physicians & Omt, Am Os Bd Family Physicians (Addiction Medicine) Group(s): Michigan Healthcare Professionals Pc - 1295023547
Ghassan, Alan, MDpq Internal Medicine License: 4301081430 NPI: 1760450811 Alan Ghassan, Md 24343 Orchard Lake Rd Ste A Farmington Hills, MI 48336 (248) 476-0660 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922

Ghassan, Alan, MDpq Internal Medicine License: 4301081430 NPI: 1760450811 Alan T Ghassan, Md 24343 Orchard Lake Rd Ste C Farmington Hills, MI 48336 (248) 476-0660 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922
Ghassan, Alan, MDpq Internal Medicine License: 4301081430 NPI: 1760450811 Ascension Medical Group Michigan 24333 Orchard Lake Rd Ste C Farmington Hills, MI 48336 (248) 476-0660 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Karmo, Brandon, DOpq Family Medicine License: 5101020274 NPI: 1831533645 Ascension Med Group Orchard Primary Care 30852 W 10 Mile Rd Farmington Hills, MI 48336 (248) 844-6010 Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1730117805
Lemon, Zachary, DO Internal Medicine License: 5101016803 NPI: 1740497510 Internal Medicine Associates Of Farmington Hills 28100 Grand River Ave Ste 206 Farmington Hills, MI 48336 (248) 888-2710 Certification: Am Os Bd Internal Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Mcmall, Madeleine, DOp q Family Medicine License: 5101025484 NPI: 1306373428 Ascension Med Group Orchard Primary Care 30852 W 10 Mile Rd Farmington Hills, MI 48336 (248) 844-6010 Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1730117805
Powers, William, DOp Family Medicine License: 5101020351 NPI: 1467792564 Powers Family Medicine Pllc 23700 Orchard Lake Rd Ste E Farmington Hills, MI 48336 (248) 482-6222 Mon-Fri 9:00am 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Powers Family Medicine Pllc 1003384819

Singh Pradhan, Rohini, MDpq Internal Medicine License: 4301094238 NPI: 1588962948 Ascension Medical Group Michigan 24333 Orchard Lake Rd Ste C Farmington Hills, MI 48336 (248) 476-0660 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922
Singh Pradhan, Rohini, MDpq Internal Medicine License: 4301094238 NPI: 1588962948 Rohini Singh 24343 Orchard Lake Rd Ste C Farmington Hills, MI 48336 (248) 476-0660 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922

Stone, Kerry, PAp Physician Assistant License: 5601004177 NPI: 1902970890 Botsford General Hospital Pc 27100 Grand River Ste 206 Farmington Hills, MI 48336 (248) 888-2710 Mon-Fri 7:00am 5:00pm Group(s): Botsford General Hospital Pc 1538103395
FERNDALE - 48220
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 23066 Woodward Ave Ferndale, MI 48220 (248) 630-3937 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Mammo, George, MDp Family Medicine License: 4301501687 NPI: 1659808053 Epic Primary Care Pllc Pc 911 E 9 Mile Rd Ferndale, MI 48220 (248) 336-4000 Mon-Fri 8:00am 6:00pm, Sat 8:00am 3:00pm Certification: Am Board Family Medicine Group(s): Epic Primary Care Pllc - 1811226749
Naman, Greg, MDp Internal Medicine License: 4301068499 NPI: 1265493498 Epic Primary Care Pllc Pc 911 E 9 Mile Rd Ferndale, MI 48220 (248) 336-4000 Mon-Fri 8:00am 6:00pm, Sat 8:00am 3:00pm Arabic Certification: Am Bd Internal Med Group(s): Epic Primary Care Pllc - 1811226749

Slim, Achraf, MDp Internal Medicine License: 4301098137 NPI: 1689962136 Epic Primary Care Pllc Pc 911 E 9 Mile Rd Ferndale, MI 48220 (248) 336-4000 Mon-Fri 8:00am 6:00pm, Sat 8:00am 3:00pm Arabic Group(s): Epic Primary Care Pllc - 1811226749
Valka, Pamela, DOp Family Medicine License: 5101013583 NPI: 1174521207 Epic Primary Care Pllc Pc 911 E 9 Mile Rd Ferndale, MI 48220 (248) 336-4000 Mon-Fri 8:00am 6:00pm, Sat 8:00am 3:00pm Certification: Am Board Family Medicine Group(s): Epic Primary Care Pllc - 1811226749

FRANKLIN - 48025
Abuashour, Basma, MDp Pediatric License: 4301064679 NPI: 1023033933 Primary Care Medicine Pc 31000 Telegraph Rd Ste 100 Franklin, MI 48025 (248) 865-0030 Mon-Fri 9:00am 5:00pm Arabic Group(s): Primary Care Medicine Pc
Blum, Natalie, DOp Pediatric License: 5101024630 NPI: 1689024606 Southfield Pediatric Physicians Pc 31500 Telegraph Rd Ste 105 Franklin, MI 48025 (248) 540-8700 Mon-Tue,Thu 8:00am 7:00pm, Wed 8:00am 6:00pm, Fri 8:00am 5:00pm, Sat 8:00am 1:00pm Group(s): Southfield Pediatric Physicians Pc 1548270424

Fawaz, Samuel, MDp Internal Medicine License: 4301084045 NPI: 1295945996 Beaumont Med Group Hosp Based Ser 17392 W 13 Mile Rd Franklin, MI 48025 (248) 646-8166 Mon-Fri 9:00am 5:00pm Group(s): Beaumont Medical Group Hospital Based Services 1427567858
Fawaz, Samuel, MDp Internal Medicine License: 4301084045 NPI: 1295945996 Bfs Beaumont Beverly Hills Internal Medicine 17392 W 13 Mile Rd Franklin, MI 48025 (248) 646-8166 Fri 12:00pm - 4:00pm Group(s): Beaumont Professional Services Pc 1811044878
Mumtaz, Samar, MDp Internal Medicine License: 4301091757 NPI: 1346403243 Bfs Beaumont Beverly Hills Internal Medicine 17392 W 13 Mile Rd Franklin, MI 48025 (248) 646-8166 Fri 12:00pm - 4:00pm Urdu Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Posar, Steven, MDp Internal Medicine License: 4301036005 NPI: 1154308575 Vanguard Eldercare Medical Group 30600 Telegraph Rd Ste 2345 Franklin, MI 48025 (885) 403-7246 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Vanguard Eldercare Medical Group Pc - 1518900620
Reap, Leo, MDp Internal Medicine License: 5101021783 NPI: 1568844082 Newland Medical Associates 31500 Telegraph Rd Ste 225 Franklin, MI 48025 (248) 344-2000 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension St John Hospital Pc 1922397058

HAZEL PARK - 48030
Agha, Jawad, MDp Internal Medicine License: 5601004492 NPI: 1235164872 Jawad Agha Md Pc 350 E 9 Mile Rd Ste 3 Hazel Park, MI 48030 (248) 629-9692 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Jawad Agha Md Pc - 1912309931
Alosachie, Iyad, MDpq Internal Medicine License: 4301064763 NPI: 1457335713 Michigan Healthcare Professionals Pc 23411 John R Hazel Park, MI 48030 (248) 399-8331 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

Alosachie, Iyad, MDpq Internal Medicine License: 4301064763 NPI: 1457335713 Neurodiagnostic & Sleep Disorder Ctr Nsd Pc 23411 John R Rd Hazel Park, MI 48030 (248) 399-8331 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Bustamante, Mark, MDp Internal Medicine License: 4301054000 NPI: 1871568402 Oak Street Health 1142 E 9 Mile Rd Hazel Park, MI 48030 (248) 817-4742 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Osh Mi Physicians Group Pc 1700236478

Czesnowski, Patrycja, MDp Family Medicine License: 4301084438 NPI: 1386831568 Primary Medical Services Pc 24503 John R Rd Hazel Park, MI 48030 (248) 629-6440 Mon-Fri 9:00am 10:00pm Polish Group(s): Primary Medical Services Pc
Gappy, Musib, MDpq Internal Medicine License: 4301057989 NPI: 1477544088 Michigan Healthcare Professionals Pc 23411 John R Hazel Park, MI 48030 (248) 399-8331 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Gasso, Lauren, PAp Physician Assistant License: 5601006651 NPI: 1104263052 Michigan Healthcare Professionals Pc 23411 John R Hazel Park, MI 48030 (248) 399-8331 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Hatta, Ami, MDp Pediatric License: 4301079539 NPI: 1144478470 Kids First Pediatrics Pllc 350 E 9 Mile Rd Ste 1 Hazel Park, MI 48030 (248) 397-8031 Japanese Certification: Am Board Pediatrics Group(s): Kids First Pediatrics Pllc
Hatta, Ami, MDp Pediatric License: 4301079539 NPI: 1144478470 Kids First Pediatrics Pllc 624 E 9 Mile Rd Ste 4 Hazel Park, MI 48030 (248) 397-8031 Mon-Thu 9:00am 5:00pm, Fri 9:00am 12:00pm Japanese Certification: Am Board Pediatrics Group(s): Kids First Pediatrics Pllc
Kammo, Revark, MDp Internal Medicine License: 4301098278 NPI: 1326335241 Michigan Healthcare Professionals Pc 23411 John R Rd Hazel Park, MI 48030 (248) 399-8331 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

Mitchell, Michele, MDp Family Medicine License: 4301116042 NPI: 1174505325 Oak Street Health 1142 E 9 Mile Rd Hazel Park, MI 48030 (248) 817-4742 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Osh Mi Physicians Group Pc 1700236478
Rice, Katurah, NPp Family Nurse Practitioner License: 4704273562 NPI: 1275046047 Oak Street Health 1142 E 9 Mile Rd Hazel Park, MI 48030 (248) 817-4742 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478
Rogers, Esther, NPp Family Nurse Practitioner License: 4704195953 NPI: 1184998528 Oak Street Health 1142 E 9 Mile Rd Hazel Park, MI 48030 (248) 817-4742 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478

Saleh, Mohamed, MDp Family Medicine License: 4301100571 NPI: 1861566598 Mohamed G Saleh Md Pc 624 E 9 Mile Rd Hazel Park, MI 48030 (248) 629-7497 Group(s): Mohamed G Saleh Md Pc1861566598
Sinkoff, Jillian, MDp Internal Medicine License: 4301501744 NPI: 1457883720 Oak Street Health 1142 E 9 Mile Rd Hazel Park, MI 48030 (248) 817-4742 Mon-Fri 8:00am 5:00pm Group(s): Osh Mi Physicians Group Pc 1700236478
Surapaneni, Kiranmayi, MDp Internal Medicine License: 4301080888 NPI: 1376587683 Bi County Medical Center Pc 116 W 8 Mile Rd Hazel Park, MI 48030 (248) 541-7606 Mon-Fri 8:30am 4:00pm Hindi, Telugu Certification: Am Bd Internal Med Group(s): Bi County Medical Center Pc 1619023116

Westbury, Bernard, PAp Physician Assistant License: 5601006028 NPI: 1336436716 Michigan Healthcare Professionals Pc 23411 John R Hazel Park, MI 48030 (248) 399-8331 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Michigan Healthcare Professionals Pc - 1295023547
HIGHLAND - 48356
Hassane, Yasser, MDp Pediatric License: 4301073850 NPI: 1063563476 Huron Valley Pediatrics Pc 2632 S Milford Rd Highland, MI 48356 (248) 684-5510 Mon 9:00am - 5:00pm, Tue 10:00am - 6:00pm, Wed 11:00am - 6:00pm, Thu 1:00am - 7:00pm, Fri-Sat 9:00am - 1:00pm Arabic Certification: Am Board Pediatrics Group(s): Huron Valley Pediatrics Pc 1730393034

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

- 48357
Belgiano, Neil, DOp Internal Medicine License: 5101007043 NPI: 1073525507 North Valley Internal Medicine Pc 2330 S Milford Rd Ste 120 Highland, MI 48357 (248) 676-9060 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): North Valley Internal Medicine Pc
Genson, Brandon, DOp Internal Medicine License: 5301018908 NPI: 1548585045 North Valley Internal Medicine Pc 2330 S Milford Rd Ste 120 Highland, MI 48357 (248) 676-9060 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): North Valley Internal Medicine Pc

Lepley, Raghad, MDp Family Medicine License: 4301074581 NPI: 1093776684 Highland Milford Family Clinic 147 N Milford Ste 101 Highland, MI 48357 (248) 887-3900 Mon-Thu 8:30am 5:00pm, Fri 8:30am 1:00pm Arabic Certification: Am Board Family Medicine Group(s): Highland Milford Family Clinic Pc - 1669563821
HUNTINGTON WOODS - 48070
Mast, Alexander, DOp Pediatric License: 5101024607 NPI: 1679920755 Royal Oak Pediatrics Pc 26657 Woodward Ave Ste 200 Huntington Woods, MI 48070 (248) 398-8400 Mon-Wed 7:30am 5:00pm, Thu-Fri 7:30am - 5:30pm, Sat 8:30am 12:30pm Group(s): Royal Oak Pediatrics Pc 1629094172

Stahl, Elizabeth, PAp Physician Assistant License: 5601008923 NPI: 1518486182 Royal Oak Pediatrics Pc 26657 Woodward Ave Ste 200 Huntington Woods, MI 48070 (248) 398-8400 Mon-Wed 7:30am 5:00pm, Thu-Fri 7:30am - 5:30pm, Sat 8:30am 12:30pm Group(s): Royal Oak Pediatrics Pc 1629094172
KEEGO HARBOR - 48320
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 2700 Orchard Lake Rd Keego Harbor, MI 48320 (248) 683-0185 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

LAKE ORION - 48359
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 4950 Baldwin Rd Lake Orion, MI 48359 (248) 409-0576 Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Barjaktarovich, Nicholas, MDp Family Medicine License: 5101021847 NPI: 1265826804 Mclaren Oakland 3003 S Baldwin Rd Lake Orion, MI 48359 (248) 391-9210 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Medical Group 1346396066

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Glasson, Cynthia, DOp Family Medicine License: 5101011459 NPI: 1932209061 Waldon Family Medicine 3003 S Baldwin Rd Lake Orion, MI 48359 (248) 391-9090 Mon,Wed 8:00am 6:00pm, Tue,Fri 8:00am 4:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Waldon Family Medicine
- 48360
Buttar, Nick, MDpq Family Medicine License: 4301068558 NPI: 1326085861 Prohealth Medical Fp Midland 3003 S Baldwin Rd Ste B Lake Orion, MI 48360 (248) 301-1090 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Punjabi Certification: Am Board Family Medicine Group(s): Prohealth Medical Fp Midland 1740841451

Cohen, Richard, DOp Family Medicine License: 5101010348 NPI: 1386668333 Mclaren Oakland Pc 1240 S Lapeer Rd Ste 101A Lake Orion, MI 48360 (248) 656-0472 Mon-Fri 9:00am 5:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc 1790055143, Mclaren Oakland Pc 1376564088, Mclaren Medical Group 1346396066
Cohen, Richard, DOp Family Medicine License: 5101010348 NPI: 1386668333 Pontiac Osteopathic Hospital Pc 1240 S Lapeer Rd Ste 101A Lake Orion, MI 48360 (248) 656-0472 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc - 1790055143

Dickson, Timothy, MDp Internal Medicine License: 4301059494 NPI: 1366448896 Sjmh Medical Practice 1375 S Lapeer Rd Ste 210 Lake Orion, MI 48360 (248) 693-5700 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684
Gorz, Joseph, DOp Family Medicine License: 5101020477 NPI: 1306286893 Neighborhood Primary Care Pllc Pc 1261 S Lapeer Rd Ste 202 Lake Orion, MI 48360 (248) 690-9181 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Neighborhood Primary Care Pllc Pc 1366097263

Holloway, Gary, DOp Family Medicine License: 5101012531 NPI: 1982625976 Mclaren Oakland Pc 1240 S Lapeer Rd Ste 101A Lake Orion, MI 48360 (248) 656-0472 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc - 1790055143
Holloway, Gary, DOp Family Medicine License: 5101012531 NPI: 1982625976 Pontiac Osteopathic Hospital Pc 1240 S Lapeer Rd Ste 101A Lake Orion, MI 48360 (248) 656-0472 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc - 1790055143

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Laprise, Allison, NPp Nurse Practitioner License: 4704281288 NPI: 1962866533 Mclaren Oakland Pc 1240 S Lapeer Rd Ste 101A Lake Orion, MI 48360 (248) 656-0472 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc 1790055143, Mclaren Oakland Pc - 1376564088
Laprise, Allison, NPp Nurse Practitioner License: 4704281288 NPI: 1962866533 Pontiac Osteopathic Hospital Pc 1240 S Lapeer Rd Ste 101A Lake Orion, MI 48360 (248) 656-0472 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc - 1790055143

Larsen, Theresa, MDp Internal Medicine License: 4301407146 NPI: 1477551166 Sjmh Medical Practice 1375 S Lapeer Rd Ste 210 Lake Orion, MI 48360 (248) 693-5700 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684
Mackool, Alaina, PAp Physician Assistant License: 5601009697 NPI: 1083258412 Pro Health Medical Inc 3003 S Baldwin Rd Ste B Lake Orion, MI 48360 (248) 301-1090 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Pro Health Medical Inc 1649781733
Mc Carthy, Amy, MDp Internal Medicine License: 4301051681 NPI: 1972509404 Sjmh Medical Practice 1375 S Lapeer Rd Ste 210 Lake Orion, MI 48360 (248) 693-5700 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Sjmh Medical Practice Pc - 1346284684

Rice, Kathryn, MDp Pediatric License: 4301502609 NPI: 1245684190 Sjmh Medical Practice 1375 S Lapeer Rd Ste 210 Lake Orion, MI 48360 (248) 693-5700 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Sjmh Medical Practice Pc - 1346284684
- 48362
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 425 N Park Blvd Ste 100 Lake Orion, MI 48362 (248) 693-6835 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Janineh Eager, Jouliana, DOp Internal Medicine License: 5101018814 NPI: 1508186404 Eager Internal Medicine Pllc 720 N Lapeer Rd Ste 101 Lake Orion, MI 48362 (248) 783-7060 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Eager Internal Medicine Pllc
Khambete, Devyani, MD p Pediatric License: 4301064393 NPI: 1518916147 Devyani Khambete Md Pc 1408 Lapeer Rd Lake Orion, MI 48362 (248) 628-0800 Mon-Fri 9:00am 4:30pm Certification: Am Board Pediatrics Group(s): Devyani Khambete Md Pc 1114136462

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Sivaramakrishnan, Parvathi, MDp Pediatric License: 4301066648 NPI: 1790872711 Devyani Khambete Md Pc 1408 Lapeer Rd Lake Orion, MI 48362 (248) 628-0800 Mon-Fri 9:00am 4:30pm Certification: Am Board Allergy & Immunology Group(s): Devyani Khambete Md Pc 1114136462
LATHRUP VILLAGE - 48076
Ghassan, Alan, MDpq Internal Medicine License: 4301081430 NPI: 1760450811 Ascension Medical Group Michigan Pc 18161 W 12 Mile Rd Ste 2 Lathrup Village, MI 48076 (248) 569-0288 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922

Iskenderian, Ziyad, MDp q Internal Medicine License: 4301098933 NPI: 1588956254 Southfield Radiology Associates Pc 18161 W 12 Mile Rd Ste 2 Ste 2 Lathrup Village, MI 48076 (248) 552-1200 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922
Singh Pradhan, Rohini, MDpq Internal Medicine License: 4301094238 NPI: 1588962948 Ascension Medical Group Michigan Pc 18161 W 12 Mile Rd Ste 2 Lathrup Village, MI 48076 (248) 569-0288 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922

Zebari, Samira, MDp Pediatric License: 4301046484 NPI: 1467548891 Samira Zebari Md 28500 Southfield Rd Lathrup Village, MI 48076 (248) 557-0160 Mon-Fri 9:30am 5:00pm, Sat 10:30am 1:00pm Arabic Certification: Am Board Pediatrics Group(s): Samira Zebari Md
MADISON HEIGHTS - 48071
Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 1432 E 12 Mile Rd Madison Heights, MI 48071 (248) 543-4886 Mon-Fri 7:00am 7:00pm, Sat BY APPT BY APPT Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Belkin, Alan, DOp Family Medicine License: 5101005017 NPI: 1184608093 Michigan Healthcare Professionals Pc 1385 E 12 Mile Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Dubin, Howard, DO Internal Medicine License: 5101005576 NPI: 1326052820 Howard L Dubin Do Pc 27483 Dequindre Ste 205 Madison Heights, MI 48071 (248) 548-9860 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): St John Macomb Oakland Hospital Pc - 1083872923

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Dubin, Howard, DOp Internal Medicine License: 5101005576 NPI: 1326052820 Michigan Healthcare Professionals Pc 1385 E 12 Mile Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Michigan Healthcare Professionals Pc - 1295023547
Federman, Alexis, DOpq Internal Medicine License: 5101016164 NPI: 1346433422 Michigan Healthcare Prof Pc 1385 E 12 Mile Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Michigan Healthcare Professionals Pc - 1295023547

Federman, Alexis, DOpq Internal Medicine License: 5101016164 NPI: 1346433422 Michigan Healthcare Prof Pc 28180 John R Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Michigan Healthcare Professionals Pc - 1295023547
Federman, Alexis, DOpq Internal Medicine License: 5101016164 NPI: 1346433422 Michigan Healthcare Professionals Pc 1385 E 12 Mile Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Michigan Healthcare Professionals Pc - 1295023547

Federman, Robert, MDp q Internal Medicine License: 4301074380 NPI: 1316922685 Michigan Healthcare Prof Pc 1385 E 12 Mile Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547, Ascension Medical Group Michigan Pc 1174537500
Federman, Robert, MDp q Internal Medicine License: 4301074380 NPI: 1316922685 Michigan Healthcare Prof Pc 28180 John R Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

Gennaoui, Habib, MDp Internal Medicine License: 4301047821 NPI: 1437140225 John R Medical Clinic 26505 John R Rd Madison Heights, MI 48071 (248) 547-3100 Mon 12:00pm - 5:00pm, Tue 12:00pm - 4:00pm, Wed 11:00am - 3:00pm, Thu 9:00am - 5:00pm, Fri 8:00am - 2:00pm, Sat 9:00am - 11:00am Arabic Certification: Am Bd Internal Med Group(s): John R Medical Clinic Pc
Gupta, Neelum, MDp Internal Medicine License: 4301066816 NPI: 1811901309 John R Clinic 30855 John R Rd Madison Heights, MI 48071 (248) 583-0100 Mon-Thu 9:00am 5:00pm Hindi Group(s): Michigan Physicians Group Pc 1518041052

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Gupta, Sapna, DOpq Family Medicine License: 5101021471 NPI: 1780086769 Medical Resources Group 26393 Dequindre Rd Madison Heights, MI 48071 (248) 544-8326 Tue 9:00am - 6:00pm, Wed-Fri 7:00am 5:00pm, Sat 9:00am 1:00pm Spanish, Hindi Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1174537500
Hasbany, Robert, MDp Family Medicine License: 4301064166 NPI: 1760473094 Robert Hasbany Md Pllc 28200 John R Madison Heights, MI 48071 (248) 547-1400 Mon-Wed,Fri 9:00am 5:00pm, Sat 8:30am 12:00pm Certification: Am Board Family Medicine Group(s): Robert Hasbany Md Pc 1669778759

Hetzner, Rachel, NPp Nurse Practitioner License: 4704265462 NPI: 1154729960 Michigan Healthcare Prof Pc 28180 John R Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Hussain, Asima, MDp Family Medicine License: 4301053641 NPI: 1780696567 Ascension Macomb Oakland Hospital 27351 Dequindre Rd 4th Fl Madison Heights, MI 48071 (248) 395-6697 Telugu Certification: Am Board Family Medicine Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472

Hussain, Asima, MDp Family Medicine License: 4301053641 NPI: 1780696567 St John Macomb Oakland Hospital 27351 Dequindre Rd Madison Heights, MI 48071 (248) 967-7807 Mon-Fri 9:00am 5:00pm Telugu Certification: Am Board Family Medicine Group(s): Ascension Macomb Oakland Hospital Pc - 1134176472
Iyer, Chandrika, MDpq Family Medicine License: 4301070354 NPI: 1306895065 Ascension St John Hospital Pc 27351 Dequindre Rd Madison Heights, MI 48071 (248) 967-7807 Group(s): Ascension St John Hospital Pc 1457663197

Kohlenberg, James, MDp Internal Medicine License: 4301038982 NPI: 1720079437 John R Medical Clinic 26505 John R Rd Madison Heights, MI 48071 (248) 547-3100 Mon 12:00pm - 5:00pm, Tue 12:00pm - 4:00pm, Wed 11:00am - 3:00pm, Thu 9:00am - 5:00pm, Fri 8:00am - 2:00pm, Sat 9:00am - 11:00am Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Langnas, Gary, DOp Internal Medicine License: 5101009201 NPI: 1063496818 Michigan Healthcare Prof Pc 27483 Dequindre Ste 302 Madison Heights, MI 48071 (248) 547-6600 Mon-Fri 8:30am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Lewerenz, James, DOp Family Medicine License: 4301046235 NPI: 1952385700 Michigan Healthcare Professionals, Pc 1467 E. 12 Mile Road, Bldg 1 Madison Heights, MI 48071 (248) 548-3060 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Michel, Doreen, MDpq Family Medicine License: 4301115801 NPI: 1366638249 Macomb Medical And Wellness Center Pllc 1431 E 12 Mile Rd Madison Heights, MI 48071 (248) 951-8928 Mon-Fri 9:00am 3:00pm Group(s): Macomb Medical And Wellness Center Pllc - 1356876106

Narrett, Jessica, NPp Gerontologist Nurse Practitioner License: 4704303949 NPI: 1053832790 Michigan Healthcare Professionals Pc 1385 E 12 Mile Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Rageh, Noureyah, NPp Nurse Practitioner License: 4704256182 NPI: 1518479559 The Wellness Plan Medical Centers 27321 Hampden St Madison Heights, MI 48071 (248) 965-9900 Certification: American Nurses Credentialing Center Group(s): The Wellness Plan Medical Centers

Remer, Stanley, DOp Family Medicine License: 5101006446 NPI: 1235113374 Michigan Healthcare Professionals Pc 1385 E 12 Mile Rd Ste 100 Madison Heights, MI 48071 (248) 399-6090 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547
Stashefsky, Evan, MDp Internal Medicine License: 4301082957 NPI: 1699828632 Michigan Healthcare Prof Pc 27483 Dequindre Ste 302 Madison Heights, MI 48071 (248) 547-6600 Mon-Fri 8:30am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Stashefsky, Evan, MDp Internal Medicine License: 4301082957 NPI: 1699828632 Michigan Healthcare Professionals, Pc 27483 Dequindre Ste 302 Madison Heights, MI 48071 (248) 647-6600 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Toma, Nabeel, MDp Pediatric License: 4301063312 NPI: 1982795126 Madison Heights Pediatrics Pc 28037 Dequindre Bldg B Madison Heights, MI 48071 (248) 546-7300 Mon-Fri 9:00am 5:00pm Arabic Group(s): Madison Heights Pediatrics Pc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

MADISON HTS - 48071
Colvin, Randall, MDpq Family Medicine License: 4301098835 NPI: 1306133863 Madison Heights Primary Care 27483 Dequindre Rd Ste 303 Madison Hts, MI 48071 (248) 548-9860 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): St John Macomb Oakland Hospital - 1720390453
Colvin, Randall, MDpq Family Medicine License: 4301098835 NPI: 1306133863 St John Macomb Oakland Hospital 27483 Dequindre Rd Ste 205 Madison Hts, MI 48071 (248) 548-9860 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): St John Macomb Oakland Hospital - 1720390453

Jarbo, Merna, DOp Family Medicine License: 5101023244 NPI: 1841726833 Madison Heights Primary Care 27483 Dequindre Rd Ste 303 Madison Hts, MI 48071 (248) 548-9860 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): St John Macomb Oakland Hospital - 1720390453
MILFORD - 48381
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 1501 N Milford Rd Ste 201 Milford, MI 48381 (248) 676-0666 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Kostecke, Rekha, MDp Pediatric License: 4301055825 NPI: 1285676940 Rekha Kostecke Md Pc 1550 N Milford Rd Ste 307 Milford, MI 48381 (248) 676-0991 Mon 9:30am - 4:30pm, Tue,Thu 1:30pm 7:00pm, Wed 2:00pm 6:00pm, Fri 12:00pm 5:00pm, Sat 9:30am 12:30pm Hindi, Marathi Certification: Am Board Pediatrics Group(s): Rekha Kostecke Md Pc
Larson, Andrew, MDp Family Medicine License: 4301111600 NPI: 1336407774 Henry Ford Medical Center 1265 N Milford Rd Milford, MI 48381 (248) 685-3600 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Luttenbacher, Emily, PA p Physician Assistant License: 5601004554 NPI: 1831180090 Providence Hospital & Medical Center Pc 1050 Corporate Office Dr Ste 100 Milford, MI 48381 (248) 684-6155 Certification: National Commission On Certification Of Physician Assistants Group(s): Providence Hospital Med Center Pc - 1538123963
Mckenna, Matthew, MD p Family Medicine License: 4301501546 NPI: 1992225882 Vhs Physicians Of Michigan Inc 1501 N Milford Rd Ste 200 Milford, MI 48381 (248) 717-0545 Certification: Am Board Family Medicine Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Rafaill, Dennis, MDp Internal Medicine License: 4301056023 NPI: 1326013533 Vhs Physicians Of Michigan Inc 1501 N Milford Rd Ste 200 Milford, MI 48381 (248) 717-0545 Certification: Am Bd Internal Med Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Yovan, Alexis, DOp Family Medicine License: 5101009056 NPI: 1386603694 Henry Ford Medical Center 1265 N Milford Rd Milford, MI 48381 (248) 685-3600 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

NEW HUDSON - 48165
Landefeld, Christian, PA Physician Assistant License: 5601009780 NPI: 1245862481 Healthy Primary Care 30488 Milford Rd New Hudson, MI 48165 (248) 437-4625 Mon-Fri 8:00am 10:00pm, Sat-Sun 8:00am - 8:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Healthy Primary Care 1386889954
Powell, Austin, PAp Physician Assistant License: 5601009517 NPI: 1215586656 Healthy Primary Care 30488 Milford Rd New Hudson, MI 48165 (248) 437-4625 Mon-Fri 8:00am 10:00pm, Sat-Sun 8:00am - 8:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Healthy Primary Care 1386889954

Taweel, Jamie, MDp Internal Medicine License: 5101016530 NPI: 1386775419 Grand River Med Associates Pllc 55840 Grand River Ave Ste 300 New Hudson, MI 48165 (248) 264-6169 Mon 9:00am - 4:00pm, Tue-Fri 9:00am - 5:00pm Arabic, French Group(s): Grand River Medical Associates Pllc
NORTHVILLE - 48167
Barish, Ryan, MDp Family Medicine License: 4301078264 NPI: 1689664005 Henry Ford Health System Novi Family Medicine 40000 W Eight Mile Road Northville, MI 48167 (248) 380-6200 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Ferrarer-Blair, Hilda, MDp Family Medicine License: 4301085592 NPI: 1487868121 Henry Ford Health System Novi Family Medicine 40000 W Eight Mile Road Northville, MI 48167 (248) 380-6200 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Fried, Steven, MDp Family Medicine License: 4301083049 NPI: 1295809705 Henry Ford Health System Novi Family Medicine 40000 W Eight Mile Road Northville, MI 48167 (248) 380-6200 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Geppert, Pamela, DOp Family Medicine License: 5101007684 NPI: 1073591608 Envision Medical Group Pc 422 N Center St Northville, MI 48167 (248) 348-1131 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Envision Medical Group Pc 1578891750
Kenney, Anne, NP Nurse Practitioner License: 4704208273 NPI: 1184722852 Envision Medical Group Pc 422 N Center St Northville, MI 48167 (248) 348-1131 Mon-Fri 9:00am 5:00pm Certification: American Nurses Credentialing Center Group(s): Envision Medical Group Pc 1578891750

Kuet, Eileen, MDp Family Medicine License: 4301086380 NPI: 1386853463 Henry Ford Health System Novi Family Medicine 40000 W Eight Mile Road Northville, MI 48167 (248) 380-6200 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Leff, Carrie, DO Internal Medicine License: 5101015020 NPI: 1902819295 Henry Ford Health System Novi Family Medicine 40000 W Eight Mile Road Northville, MI 48167 (248) 380-6200 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833

Mcgrew, Christopher, PA p Physician Assistant License: 5601004790 NPI: 1821309097 Envision Medical Group Pc 422 N Center St Northville, MI 48167 (248) 348-1131 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Envision Medical Group Pc 1578891750
Siddiqui, Afaaq, MDp Family Medicine License: 4301100953 NPI: 1215203237 Henry Ford Health System Novi Family Medicine 40000 W Eight Mile Road Northville, MI 48167 (248) 380-6200 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine (Hospice & Palliative Medicine) Group(s): Henry Ford Medical Center Fairlane - 1952485351

- 48168
Kawar, Lora, PAp Medical - Physician Assistant License: 5601006832 NPI: 1275963803 Ananda Medical Clinic & Healing Center Plc 44548 Springhill Road Northville, MI 48168 (313) 565-6700 Mon-Fri 9:00am 5:00pm Arabic Certification: National Commission On Certification Of Physician Assistants Group(s): Ananda Medical Clinic
NOVI - 48374
Saini, Anvita, MDp Internal Medicine License: 4301085474 NPI: 1558461392 Karma Internists Pc 26850 Providence Pkwy Ste 420 Novi, MI 48374 (248) 308-2011 Wed 1:00pm - 5:00pm Group(s): Karma Internists Pc 1699957472

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Saini, Anvita, MDp Internal Medicine License: 4301085474 NPI: 1558461392 Karma Internists Pc 47601 Grand River Ave Ste A205 Ste A205 Novi, MI 48374 (248) 308-2011 Fri 11:00am - 4:00pm Group(s): Karma Internists Pc 1699957472
Singhi, Usha, MDpq Internal Medicine License: 4301062197 NPI: 1023098001 Park Internal Medicine 26850 Providence Pkwy Ste 505 Novi, MI 48374 (248) 465-4163 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Stennett, Chad, MDp Internal Medicine License: 4301501787 NPI: 1679001291 Ascension Providence Hosp Novi 47601 Grand River Ave Ste B230 Novi, MI 48374 (248) 465-4193 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213

Tolia, Ketan, MDpq Internal Medicine License: 4301054022 NPI: 1710988688 Providence Internal Medicine, Endocrinology, Diabetes Center 47601 Grand River Avenue Ste A218 Novi, MI 48374 (248) 465-4010 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213
- 48375
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 43443 Grand River Ave Ste 200 Novi, MI 48375 (248) 305-9200 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:30pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 3950 W Ten Mile Rd Ste 108 Novi, MI 48375 (248) 888-6800 Mon-Sat 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Dolson, Michelle, NPp Family Nurse Practitioner License: 4704186908 NPI: 1598048464 Avalon Consultants Pllc 39550 Orchard Hill Pl Novi, MI 48375 (888) 882-3783 Mon-Fri 8:00am 5:00pm Group(s): Avalon Consultants Pllc 1265859920

Sack, Marshall, DOp Family Medicine License: 5101007596 NPI: 1629071170 Family Care Physicians Pc 39500 W 10 Mile Rd Ste 105 Novi, MI 48375 (248) 476-0035 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Family Care Physicians Pc
Sack, Marshall, DOp Family Medicine License: 5101007596 NPI: 1629071170 Family Care Physicians Pc 39500 W Ten Mile Rd Ste 100 Novi, MI 48375 (248) 476-0035 Mon-Tue,Thu 8:30am 6:00pm, Wed 9:00am 6:00pm, Fri 9:00am 4:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Family Care Physicians Pc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Sarafa, Gary, MDp Family Medicine License: 4301075307 NPI: 1174697684 Avalon Consultants Pllc 39550 Orchard Hill Pl Novi, MI 48375 (888) 882-3783 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Avalon Consultants Pllc 1265859920
- 48377
Abbas, Saadia, MDxp Family Medicine License: 4301092191 NPI: 1619136868 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Medical Center Fairlane - 1952485351

Acharya, Neelima, MD Pediatric License: 4301059649 NPI: 1760696884 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi, Persain (Farsi), Sindhi Group(s): Henry Ford Hospital Pc - 1003990318
Al-Taieb, Khaled, MD Internal Medicine License: 4301094021 NPI: 1003144643 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Arabic Group(s): Henry Ford Hospital Pc - 1891702833
Al-Taieb, Khaled, MD Internal Medicine License: 4301094021 NPI: 1003144643 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-7393 Mon-Fri 8:00am 5:00pm Arabic Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Hospital Pc - 1134144801

Alam, Zarina, MD Internal Medicine License: 4301086837 NPI: 1811010135 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Health System 1306368923
Alam, Zarina, MD Internal Medicine License: 4301086837 NPI: 1811010135 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Alam, Zarina, MD Internal Medicine License: 4301086837 NPI: 1811010135 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Alam, Zarina, MD Internal Medicine License: 4301086837 NPI: 1811010135 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-7393 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923, Henry Ford Hospital Pc - 1134144801

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Allen, Nakia, MD Pediatric License: 4301090397 NPI: 1659556181 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc 1003990318, Henry Ford Health Sys School Based Initiative - 1104010578

Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Anderson, David, MD Internal Medicine License: 4301051552 NPI: 1710055249 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Anderson, David, MD Internal Medicine License: 4301051552 NPI: 1710055249 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923
Arul, Meenakshi, MD Internal Medicine License: 4301059775 NPI: 1538237060 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi, Tamil Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Askar, Faiz, MD Internal Medicine License: 4301089680 NPI: 1881860823 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 46325 12 Mile Rd Ste 125 Novi, MI 48377 (248) 869-3999 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Azeez, Nasser, MDp Family Medicine License: 4301087087 NPI: 1750556999 Henry Ford Health System 39450 West 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Hindi, Kannada, Tamil Group(s): Henry Ford Medical Center Fairlane - 1952485351
Azeez, Nasser, MDp Family Medicine License: 4301087087 NPI: 1750556999 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi, Kannada, Tamil Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Azeez, Nasser, MDp Family Medicine License: 4301087087 NPI: 1750556999 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Hindi, Kannada, Tamil Group(s): Henry Ford Medical Center Fairlane - 1952485351
Baker-Genaw, Kimberly,
MD Internal Medicine License: 4301061224 NPI: 1356419881 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Baker-Genaw, Kimberly,
MD Internal Medicine License: 4301061224 NPI: 1356419881 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923
Beg, Mirza, MDp Family Medicine License: 4301074036 NPI: 1841364452 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Bd Internal Med (Geriatric Medicine) Group(s): Henry Ford Medical Center Fairlane - 1952485351

Behl, Suchitra, MD Internal Medicine License: 4301108909 NPI: 1184082000 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Benedix, Matthew, DOp Family Medicine License: 5101016058 NPI: 1780885087 Botsford Family Care Of Novi 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441
Benedix, Matthew, DOp Family Medicine License: 5101016058 NPI: 1780885087 Botsford General Hospital Pc 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153

Billes, Marsha, DOp Family Medicine License: 5101010572 NPI: 1376679399 Envision Medical Group Pllc 39475 Lewis Dr Ste 110 Novi, MI 48377 (248) 741-6909 Certification: Am Os Bd Family Physicians & Omt Group(s): Envision Medical Group Pc 1578891750
Brown, Indigo, DOp Family Medicine License: 5101022333 NPI: 1740638535 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Burgess, Jennifer, DOp Family Medicine License: 5101017695 NPI: 1952561565 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Cassen, Elaine, MD Internal Medicine License: 4301046844 NPI: 1962570499 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm French, Hebrew Certification: Am Bd Internal Med Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1891702833

Cassen, Elaine, MD Internal Medicine License: 4301046844 NPI: 1962570499 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm French, Hebrew Certification: Am Bd Internal Med Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Hospital Pc 1891702833
Cham, Veena, MD Internal Medicine License: 4301041965 NPI: 1861560393 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Chandarana, Aarthi, DO p Family Medicine License: 5101020843 NPI: 1295006765 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Cherri, Catherine, MDp Family Medicine License: 4301103625 NPI: 1053750356 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Clarin, Arnel, MDp Family Medicine License: 4301068021 NPI: 1023182532 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Collins, Joshua, MD Internal Medicine License: 4301097129 NPI: 1023321809 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Collins, Joshua, MD Internal Medicine License: 4301097129 NPI: 1023321809 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923
Crow, Joseph, MDp Family Medicine License: 4301083886 NPI: 1134241110 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Crowl Jr, David, DOp Internal Medicine License: 5101016787 NPI: 1205044252 Botsford General Hospital Pc 14430 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Botsford General Hospital Pc 1538103395
Crowl Jr, David, DOp Internal Medicine License: 5101016787 NPI: 1205044252 Botsford General Hospital Pc 14430 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Botsford General Hospital Pc 1871521153

Cybinski, Katherine, DO p Family Medicine License: 5101021001 NPI: 1023420585 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351
Cykiert, Andrew, DOp Internal Medicine License: 5101010933 NPI: 1629011572 Botsford General Hospital Pc 14430 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Botsford General Hospital Pc 1538103395

Cykiert, Andrew, DOp Internal Medicine License: 5101010933 NPI: 1629011572 Botsford General Hospital Pc 14430 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Botsford General Hospital Pc 1871521153
Dabaja, Fauzieh, MD Internal Medicine License: 4301500464 NPI: 1386095321 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Elsarawy, Zainab, MDp Family Medicine License: 4301101905 NPI: 1902130545 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Fatima, Farvah, MDp Family Medicine License: 4301104723 NPI: 1346583796 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Federman, Robert, MDq Internal Medicine License: 4301074380 NPI: 1316922685 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Ferrans, Diana, MD Family Medicine License: 4301058323 NPI: 1851469662 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Spanish Group(s): Henry Ford Medical Center Fairlane - 1952485351

Ferrarer-Blair, Hilda, MDp Family Medicine License: 4301085592 NPI: 1487868121 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Fleece, Louise, MD Internal Medicine License: 4301045068 NPI: 1942378484 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Fleece, Louise, MD Internal Medicine License: 4301045068 NPI: 1942378484 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Fox, Kelita, MDp Family Medicine License: 4301501395 NPI: 1518279827 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-8865 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Fried, Steven, MDp Family Medicine License: 4301083049 NPI: 1295809705 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Gavino, Belinda, MDp Family Medicine License: 4301500706 NPI: 1750711636 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Gibson, Stefanie, DO Internal Medicine License: 5101025153 NPI: 1801240585 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

259

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Gisslen, Daniel, MD Pediatric License: 4301087701 NPI: 1679607287 West Bloomfield Pediatrics Pllc 46325 W 12 Mile Rd Ste 240 Novi, MI 48377 (248) 596-1000 Mon-Thu 8:30am 6:00pm, Fri 8:30am 5:00pm, Sat 9:00am 1:00pm Certification: Am Board Pediatrics Group(s): West Bloomfield Pediatrics Pllc - 1871660324
Gjurashaj, Nik, MDp Family Medicine License: 4301101531 NPI: 1366705949 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Spanish, Albanian Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Grewal, Monika, MD Internal Medicine License: 4301072464 NPI: 1114095650 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Grewal, Monika, MD Internal Medicine License: 4301072464 NPI: 1114095650 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Gupta, Anupam, MDp Internal Medicine License: 4301085802 NPI: 1780832063 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Gupta, Badri, MDp Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986, Henry Ford Hospital Pc - 1891702833

Hackel, Gregory, DO Internal Medicine License: 5101011844 NPI: 1891723185 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Haddad-Khoury, Mouna, MDp Internal Medicine License: 4301064167 NPI: 1578631016 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

260

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Haftka-George, Alexis,
MD Internal Medicine License: 4301102741 NPI: 1609219815 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923
Haftka-George, Alexis, MD Internal Medicine License: 4301102741 NPI: 1609219815 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Heidemann, Danielle,
MD Internal Medicine License: 4301100926 NPI: 1952677544 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923
Heidemann, Danielle, MD Internal Medicine License: 4301100926 NPI: 1952677544 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Hendrick, Keiko Anne, MDp Family Medicine License: 4301096027 NPI: 1851617799 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Hua, Wenhui, MD Pediatric License: 4301067764 NPI: 1316094113 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Ibrahim, Dina, MD Family Medicine License: 4301098221 NPI: 1134412679 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Spanish, Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Jaffery-Khalil, Shehla, MD Internal Medicine License: 4301057909 NPI: 1265591507 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

261

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Johnson, Tisa, MD Pediatric License: 4301075433 NPI: 1134276934 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Kamienecki, Ruth, DOp Family Medicine License: 5101009199 NPI: 1336116235 Botsford Family Care Of Novi 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 German Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441

Kamienecki, Ruth, DOp Family Medicine License: 5101009199 NPI: 1336116235 Botsford General Hospital Pc 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Mon-Fri 9:00am 5:00pm German Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153
Kappy, Irvin, MDq Pediatric License: 4301041399 NPI: 1932244084 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Karmally, Rachel, MD Internal Medicine License: 4301108563 NPI: 1568717916 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Karmally, Rachel, MD Internal Medicine License: 4301108563 NPI: 1568717916 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923

Keimig, William, MD Internal Medicine License: 4301035917 NPI: 1730257288 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923
Keimig, William, MD Internal Medicine License: 4301035917 NPI: 1730257288 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

262

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Kennerly, Marlene, MDp Family Medicine License: 4301070554 NPI: 1679541239 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Khan, Nilofar, MD Internal Medicine License: 4301046752 NPI: 1376611822 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Khasileva, Vera, MD Internal Medicine License: 4301068541 NPI: 1669442505 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Kobylak, Lester, MD Internal Medicine License: 4301034510 NPI: 1811065360 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Polish Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Kobylak, Lester, MD Internal Medicine License: 4301034510 NPI: 1811065360 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Polish Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923

Kopyrina, Mariya, MD Family Medicine License: 4301080257 NPI: 1164402160 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Krebsbach, Paul, MDp Family Medicine License: 4301047450 NPI: 1245304757 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Kuet, Eileen, MDp Family Medicine License: 4301086380 NPI: 1386853463 Henry Ford Health System 39450 West 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Kuet, Eileen, MDp Family Medicine License: 4301086380 NPI: 1386853463 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Kuhl, Shirlee, DO Pediatric License: 5101008622 NPI: 1225185036 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm French Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Mahmood, Ayesha, MD Internal Medicine License: 4301077895 NPI: 1891863346 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Mahmood, Ayesha, MD Internal Medicine License: 4301077895 NPI: 1891863346 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Massaro, Brian, MD Internal Medicine License: 4301050419 NPI: 1528136074 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Mc Evoy, James, MD Family Medicine License: 4301044994 NPI: 1053485565 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Mehock, Courtney, DOp Family Medicine License: 5101015776 NPI: 1326085721 Botsford Family Care Of Novi 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441
Mehock, Courtney, DOp Family Medicine License: 5101015776 NPI: 1326085721 Botsford General Hospital Pc 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153

Mirza, Arshiya, DO Internal Medicine License: 5101017528 NPI: 1295980159 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Moghaddam, Marjan, DOp Family Medicine License: 5101019748 NPI: 1457615247 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Moore, Daniel, MD Internal Medicine License: 4301087116 NPI: 1346265196 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Board Radiology (Diagnostic Radiology) Group(s): Henry Ford Health System 1306368923
Moore, Daniel, MD Internal Medicine License: 4301087116 NPI: 1346265196 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Board Radiology (Diagnostic Radiology) Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Muhammad, Zafarullah,
MD Internal Medicine License: 4301058080 NPI: 1427126978 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Hindi, Urdu Group(s): Henry Ford Hospital Pc - 1891702833
Muma, Bruce, MD Internal Medicine License: 4301049178 NPI: 1336217884 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Munir, Nazia, MDp Family Medicine License: 4301104866 NPI: 1053739797 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351, Henry Ford Health System 1306368923
Murray, William, MDp Internal Medicine License: 4301047148 NPI: 1972526259 Botsford Family Care Of Novi 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441

Murray, William, MDp Internal Medicine License: 4301047148 NPI: 1972526259 Botsford General Hospital Pc 39475 Lewis Drive Ste 140 Novi, MI 48377 (248) 489-0766 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Botsford General Hospital Pc 1871521153
Nair, Anupama, MD Internal Medicine License: 4301071712 NPI: 1063580512 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Nair, Anupama, MD Internal Medicine License: 4301071712 NPI: 1063580512 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923
Nemes, Margaret, DO Pediatric License: 5101008955 NPI: 1740492016 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318
Norwood, Earlexia, MDp Family Medicine License: 4301052833 NPI: 1225102734 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-8078 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Oneal, Reginald, DO Internal Medicine License: 5101007335 NPI: 1669401493 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-2385 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Henry Ford Hospital Pc - 1891702833
Oska Gerak, Carla, DOp Pediatric License: 5101017544 NPI: 1619107133 Twelve Oaks Pediatrics Pllc 44070 W 12 Mile Rd Ste 100 Novi, MI 48377 (248) 347-8040 Mon-Fri 8:00am 7:00pm, Sat 8:30am 11:30pm Certification: Am Board Pediatrics Group(s): Twelve Oaks Pediatrics Pllc 1700123817

Otto, Mira, MD Internal Medicine License: 4301105094 NPI: 1851719553 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-6261 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Panchagnula, Soumya, MDp Family Medicine License: 4301090433 NPI: 1770740045 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Pandrangi, Lakshmi, MD p Family Medicine License: 4301077786 NPI: 1043384555 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Paragi, Kavita, MD Internal Medicine License: 4301068238 NPI: 1417025966 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Passerman, Daniel, DOp Family Medicine License: 5101015988 NPI: 1043366842 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Patel, Ajit, MD Internal Medicine License: 4301046857 NPI: 1235207788 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Perkins, Denise, MD Family Medicine License: 4301069356 NPI: 1124192646 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Pernick, Rebecca, DO Family Medicine License: 5101010408 NPI: 1285708792 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Pittala, Umadevi, MD Internal Medicine License: 4301077078 NPI: 1497823926 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Postell, Lonetta, MD Pediatric License: 4301103317 NPI: 1770826984 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Prabhu, Laxmi, MD Pediatric License: 4301062996 NPI: 1669529475 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Prasad, Sujatha, MDp Family Medicine License: 4301060650 NPI: 1942206545 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Qamar, Shazia, MDp Family Medicine License: 4301085442 NPI: 1902015290 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Rabbaig, Siyadath, MD Internal Medicine License: 4301056513 NPI: 1033287560 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi, Telugu, Urdu Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Rajan, Kanthi, MD Pediatric License: 4301069868 NPI: 1104973916 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi, Tamil Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Rizvi, Nessreen, MD Internal Medicine License: 4301097600 NPI: 1275718793 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Arabic Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Robinson, Vanessa, MD Internal Medicine License: 4301048298 NPI: 1588732010 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Bd Internal Med Group(s): Henry Ford Health System 1306368923
Robinson, Vanessa, MD Internal Medicine License: 4301048298 NPI: 1588732010 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Spanish Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Roychoudhury, Promita, MDp Family Medicine License: 4301079465 NPI: 1083614002 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi Group(s): Henry Ford Medical Center Fairlane - 1952485351
Rs Physical Therapy Incp Physical Therapy Clinic NPI: 1386608131 Rs Physical Therapy 45023 W Pontiac Trail Novi, MI 48377 (248) 960-2334 Mon-Fri 9:00am 5:00pm Group(s): Rs Physical Therapy Inc
Rudraraju, Sudha, MD Pediatric License: 4301062364 NPI: 1568519379 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Samona, Tassia, MDp Internal Medicine License: 4301107769 NPI: 1891175048 Associates In Internal Medicine 28455 Haggerty Rd Ste 102 Novi, MI 48377 (248) 553-0050 Mon-Fri 9:00am 6:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Samuel, Maria, MD Internal Medicine License: 4301065813 NPI: 1669540191 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Scher, Eric, MD Internal Medicine License: 4301049092 NPI: 1487722914 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Sekaran, Jayashree, MD p Internal Medicine License: 4301077533 NPI: 1013085547 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Selitsky, Mark, MD Internal Medicine License: 4301050678 NPI: 1831267368 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm French Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Selitsky, Mark, MD Internal Medicine License: 4301050678 NPI: 1831267368 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm French Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Shah, Kunjesh, MDp Family Medicine License: 4301090856 NPI: 1720287386 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Shah, Vinay, MD Internal Medicine License: 4301063213 NPI: 1740358274 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Shah, Vinay, MD Internal Medicine License: 4301063213 NPI: 1740358274 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Health System 1306368923
Shi, Fang, MDp Family Medicine License: 4301068007 NPI: 1710996913 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0723 Mon-Fri 8:00am 5:00pm Chinese Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Shi, Fang, MDp Family Medicine License: 4301068007 NPI: 1710996913 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Chinese Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Shi, Fang, MDp Family Medicine License: 4301068007 NPI: 1710996913 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Chinese Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Siddiqi, Raffat, MD Pediatric License: 4301052229 NPI: 1003963810 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318
Smereck, Susan, MD Family Medicine License: 4301071790 NPI: 1437223948 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Stockard, Frances, MDp Family Medicine License: 4301071901 NPI: 1821162330 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

269

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Sulaka, William, MDp Internal Medicine License: 4301095182 NPI: 1639309131 Associates In Internal Medicine 28455 Haggerty Rd Ste 102 Novi, MI 48377 (248) 553-0050 Mon-Fri 9:00am 6:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Syed, Hina, MDp Family Medicine License: 4301099634 NPI: 1487740312 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Hindi, Urdu Group(s): Henry Ford Medical Center Fairlane - 1952485351

Syed, Hina, MDp Family Medicine License: 4301099634 NPI: 1487740312 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Hindi, Urdu Group(s): Henry Ford Medical Center Fairlane - 1952485351
Ul Hassan, Jawad, DOp Family Medicine License: 5101020498 NPI: 1629417928 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

Vangel, Joan, MD Internal Medicine License: 4301031600 NPI: 1790853232 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Vangel, Joan, MD Internal Medicine License: 4301031600 NPI: 1790853232 Henry Ford Hospital 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-0710 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Vella, David, MD Internal Medicine License: 4301054177 NPI: 1427126960 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

Whitlow, Kevin, MD Internal Medicine License: 4301090065 NPI: 1437311032 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923
Willens, David, MD Internal Medicine License: 4301100852 NPI: 1962688713 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (248) 661-5475 Mon-Thu 8:00am 5:00pm, Fri 7:30am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

270

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Willens, David, MD Internal Medicine License: 4301100852 NPI: 1962688713 Henry Ford Health System 39450 W 12 Mile Rd Novi, MI 48377 (313) 916-2600 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Health System 1306368923
Willens, David, MD Internal Medicine License: 4301100852 NPI: 1962688713 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc 1891702833, Henry Ford Health System 1306368923

Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986, Henry Ford Medical Center Fairlane 1952485351
Wozniak, Gary, MDp Family Medicine License: 4301044913 NPI: 1851465371 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Spanish Certification: Am Board Family Medicine, Am Board Family Medicine (Geriatric Medicine) Group(s): Henry Ford Medical Center Fairlane - 1952485351

Zaban, Rana, DOp Family Medicine License: 5101022544 NPI: 1578913711 Botsford Family Care Of Novi 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Arabic Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441
Zaban, Rana, DOp Family Medicine License: 5101022544 NPI: 1578913711 Botsford General Hospital Pc 44130 W Twelve Mile Rd Novi, MI 48377 (248) 380-8811 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Os Bd Family Physicians & Omt Group(s): Botsford General Hospital Pc 1871521153

Zimmer, Michael, MDp Family Medicine License: 4301094070 NPI: 1881825743 Henry Ford Health System Columbus 39450 W 12 Mile Rd Novi, MI 48377 (248) 344-6677 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
OAK PARK - 48237
Alsabti, Reem, MDp Internal Medicine License: 4301070274 NPI: 1073548541 Michigan Healthcare Prof Pc 23350 Greenfield Rd Ste 200 Oak Park, MI 48237 (248) 808-6225 Mon-Fri 8:30am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Cuff, Yolanda, NPp Nurse Practitioner License: 4704241873 NPI: 1215385851 Laz Medical Group 10350 W 9 Mile Rd Oak Park, MI 48237 (248) 569-7550 Mon-Sat 9:00am 5:00pm Group(s): Laz Medical Group PEIRXT
Dass, Ramsay, MDp Internal Medicine License: 4301045484 NPI: 1518900901 Ramsay F Dass Md Pllc 24601 Coolidge Oak Park, MI 48237 (248) 546-9100 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Ramsay F Dass Md Pllc
Israel, Nejla, MDpq Family Medicine License: 4301065962 NPI: 1821045311 Oak Park Medical Center Pc 15300 W 9 Mile Rd Ste 1 Oak Park, MI 48237 (248) 968-2003 Mon-Thu 9:00am 5:00pm, Fri 9:00am 12:00pm Arabic, Chaldean Group(s): Ascension Medical Group Michigan Pc 1376644922

Kaura, Surinder, MDp Internal Medicine License: 4301036001 NPI: 1750387056 S M Kaura 13801 W Nine Mile Rd Oak Park, MI 48237 (248) 547-3535 Mon-Fri 9:00am 5:00pm Hindi Certification: Am Bd Internal Med Group(s): S M Kaura Md Pllc
Kironde, Sarah, NPp Family Nurse Practitioner License: 4704240894 NPI: 1316372980 The Wellness Plan Pc 21040 Greenfield Rd Oak Park, MI 48237 (248) 967-6500 Mon-Fri 9:00am 5:00pm Group(s): The Wellness Plan Pc - 1043373244

Thwainey, Bassam, MDp q Family Medicine License: 4301066393 NPI: 1871821389 Oak Park Medical Center Pc 15300 W 9 Mile Rd Ste 1 Oak Park, MI 48237 (248) 968-2003 Mon-Thu 9:00am 5:00pm, Fri 9:00am 12:00pm Arabic Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1376644922, Ascension Medical Group Michigan Pc 1730117805
Wright, Teniesha, DOpq Family Medicine License: 5101015647 NPI: 1699710640 Oakland Family Medical Center Pllc 13361 W Ten Mile Rd Oak Park, MI 48237 (248) 591-9049 Mon-Fri 9:00am 8:00pm, Sat 9:00am 4:30pm Certification: Am Board Family Medicine Group(s): Ascension Medical Group Michigan Pc 1730117805

Young, Deatra, MDp Family Medicine License: 4301060589 NPI: 1528187838 The Wellness Plan Pc 21040 Greenfield Rd Oak Park, MI 48237 (248) 967-6500 Mon-Fri 9:00am 5:00pm Group(s): The Wellness Plan Pc - 1043373244
Zechar, Katie, MDp Internal Medicine License: 4301111118 NPI: 1306070172 The Wellness Plan Pc 21040 Greenfield Rd Oak Park, MI 48237 (248) 967-6500 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): The Wellness Plan Pc - 1043373244
ORCHARD LAKE - 48323
Mcturk, Christian, MDp Internal Medicine License: 4301052544 NPI: 1437112166 Michigan Healthcare Prof Pc 2300 Haggerty Rd Ste 2150 Orchard Lake, MI 48323 (248) 926-6610 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Yuzon, Dana, MDp Internal Medicine License: 4301070003 NPI: 1114982659 Michigan Healthcare Prof Pc 2300 Haggerty Rd Ste 2150 Orchard Lake, MI 48323 (248) 926-6610 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
ORION - 48359
Barjaktarovich, Nicholas, MDp Family Medicine License: 5101021847 NPI: 1265826804 Mclaren Oakland 3003 S Baldwin Rd Orion, MI 48359 (248) 391-9090 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Medical Group 1346396066

ORTONVILLE - 48462
Durie, Kimberly, PTp Physical Therapist License: 5501019258 NPI: 1750939609 Ivyrehab Michigan Llc 1764 S Ortonville Rd Ortonville, MI 48462 (248) 793-5730 Mon-Thu 7:00am 7:00pm, Fri 8:00am 5:00pm Group(s): Ivyrehab Michigan Llc Pc 1104337120
Pinelli, David, DOp Internal Medicine License: 5101012677 NPI: 1417971375 Mclaren Oakland 180 N Ortonville Rd Ortonville, MI 48462 (248) 627-3535 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Oakland Pc - 1790055143
Pinelli, David, DOp Internal Medicine License: 5101012677 NPI: 1417971375 Mclaren Oakland Pc 180 N Ortonville Rd Ortonville, MI 48462 (248) 627-3535 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Oakland Pc - 1053463778

Taylor, Tara, PAp Physician Assistant License: 5601004211 NPI: 1154512374 Mclaren Oakland 180 N Ortonville Rd Ortonville, MI 48462 (248) 627-3535 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Oakland Pc - 1790055143
Taylor, Tara, PAp Physician Assistant License: 5601004211 NPI: 1154512374 Mclaren Oakland Pc 180 N Ortonville Rd Ortonville, MI 48462 (248) 627-3535 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Oakland Pc - 1053463778
Young, Rachel, DOp Family Medicine License: 5101021582 NPI: 1386027746 Mclaren Oakland 180 N Ortonville Rd Ortonville, MI 48462 (248) 627-3535 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc - 1790055143

Young, Rachel, DOp Family Medicine License: 5101021582 NPI: 1386027746 Mclaren Oakland Pc 180 N Ortonville Rd Ortonville, MI 48462 (248) 627-3535 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc - 1053463778
OXFORD - 48371
Baker, Michael, MDp Internal Medicine License: 4301041192 NPI: 1114926946 Clarkston Medical Group 51 S Washington St Ste G Oxford, MI 48371 (248) 384-8320 Mon 10:00am - 7:00pm, Tue 9:00am - 5:00pm, Wed 8:00am - 1:00pm, Thu-Fri 8:00am - 4:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Baker, Michael, MDp Internal Medicine License: 4301041192 NPI: 1114926946 Michigan Healthcare Professionals, Pc 51 S. Washington St., Ste G Oxford, MI 48371 (248) 384-8320 Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Basak, Robert, DOp Family Medicine License: 5101017311 NPI: 1528258761 Mclaren Oakland 385 N Lapeer Rd Oxford, MI 48371 (248) 969-7354 Mon-Fri 9:00am 5:00pm Polish Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc - 1790055143

Basak, Robert, DOp Family Medicine License: 5101017311 NPI: 1528258761 Mclaren Oakland Pc 385 N Lapeer Rd Oxford, MI 48371 (248) 969-7354 Mon-Fri 9:00am 5:00pm Polish Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc - 1790055143
Basak, Robert, DOp Family Medicine License: 5101017311 NPI: 1528258761 Poh Medical Center 385 N Lapeer Oxford, MI 48371 (248) 628-3000 Mon-Fri 8:00am 5:00pm Polish Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc - 1053463778
Breitenbach, Ray, MDp Family Medicine License: 4301404572 NPI: 1679541940 Poh Medical Center 385 N Lapeer Oxford, MI 48371 (248) 628-3000 Mon-Fri 8:00am 5:00pm Group(s): Mclaren Oakland Pc - 1053463778

Crossley, Nancy, MD Internal Medicine License: 4301077877 NPI: 1336108943 Beaumont Professional Svcs 25 S Washington St Ste A Oxford, MI 48371 (248) 236-8549 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Beaumont Professional Services Pc 1811044878
Davenport, Lyndsi, DO Internal Medicine License: 5101020244 NPI: 1801230966 Mclaren Oakland 385 N Lapeer Rd Oxford, MI 48371 (248) 969-7354 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc 1053463778, Mclaren Oakland Pc - 1790055143

Davenport, Lyndsi, DOp Internal Medicine License: 5101020244 NPI: 1801230966 Mclaren Oakland Pc 385 N Lapeer Rd Oxford, MI 48371 (248) 969-7354 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc - 1053463778
Davenport, Lyndsi, DOp Internal Medicine License: 5101020244 NPI: 1801230966 Mclaren Oakland Pc 385 N Lapeer Rd Oxford, MI 48371 (248) 969-7354 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc - 1790055143

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Essak, Marina, DOp Family Medicine License: 5101024556 NPI: 1588012389 Beaumont Professional Svcs 25 S Washington St Ste A Oxford, MI 48371 (248) 236-8549 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Essak, Marina, DOp Family Medicine License: 5101024556 NPI: 1588012389 Oakwood Ambulatory Llc Pc 25 S Washington Ste A Oxford, MI 48371 (248) 236-8549 Mon-Wed,Fri 8:00am 5:00pm, Thu 7:00am 4:00pm Arabic Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

French, Katherine, DOp Family Medicine License: 5101012068 NPI: 1306952791 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Harding, Erica, MDp Internal Medicine License: 4301086153 NPI: 1538374236 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 German Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Michigan Healthcare Professionals Pc - 1295023547
Hinderer, Kathryn, DOp Internal Medicine License: 5101016503 NPI: 1124245352 Clarkston Medical Group 51 S Washington St Ste G Oxford, MI 48371 (248) 384-8320 Mon 10:00am - 7:00pm, Tue 9:00am - 5:00pm, Wed 8:00am - 1:00pm, Thu-Fri 8:00am - 4:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Hinderer, Kathryn, DOp Internal Medicine License: 5101016503 NPI: 1124245352 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Hoekstra, Kari, PAp Physician Assistant License: 5601005359 NPI: 1295983518 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Jacob, Christy, PApq Physician Assistant License: 5601003502 NPI: 1104893502 Ascension Providence Rochester Hospital Pc 72 S Washington Ste 204 Oxford, MI 48371 (248) 628-2233 Mon-Sun 8:00am 6:00pm Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Joslin, Christina, DOp Family Medicine License: 5101014276 NPI: 1457410987 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 Spanish Group(s): Michigan Healthcare Professionals Pc - 1295023547
Klamo, Rachel, DOpq Family Medicine License: 5101022084 NPI: 1497953533 Ascension Providence Rochester Hospital Pc 72 S Washington Ste 204 Oxford, MI 48371 (248) 628-2233 Mon-Sun 8:00am 6:00pm French Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Krull, Scott, PAp Physician Assistant License: 5601006895 NPI: 1528489176 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Malayev, Alexander, MD p Family Medicine License: 4301082525 NPI: 1992757645 Epic Primary Care Pllc 72 S Washington St Ste 206 Oxford, MI 48371 (248) 628-8200 Tue 7:00am - 5:00pm, Wed-Thu 9:00am 4:00pm, Fri 7:00am 1:00pm Russian Certification: Am Board Family Medicine Group(s): Epic Primary Care Pllc - 1811226749
Molnar, Sara, DOp Internal Medicine License: 5101021057 NPI: 1952716888 Clarkston Medical Group 51 S Washington St Ste G Oxford, MI 48371 (248) 384-8320 Mon 10:00am - 7:00pm, Tue 9:00am - 5:00pm, Wed 8:00am - 1:00pm, Thu-Fri 8:00am - 4:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Molnar, Sara, DOp Internal Medicine License: 5101021057 NPI: 1952716888 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Naber, Katherine, DOp Family Medicine License: 5101018240 NPI: 1881823573 Advanced Cardiology Associates Pc 72 S Washington Ste 202 Oxford, MI 48371 (248) 236-8320 Mon-Thu 8:00am 4:30pm, Fri 8:00am 3:30pm Group(s): Advanced Cardiology Associates Pc
Narula, Michael, MDp Internal Medicine License: 5101021042 NPI: 1548675531 Clarkston Medical Group 51 S Washington St Ste G Oxford, MI 48371 (248) 384-8320 Mon 10:00am - 7:00pm, Tue 9:00am - 5:00pm, Wed 8:00am - 1:00pm, Thu-Fri 8:00am - 4:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Narula, Michael, MDp Internal Medicine License: 5101021042 NPI: 1548675531 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Nolen, Katie, DOp Family Medicine License: 5101020381 NPI: 1447698998 Beaumont Professional Svcs 25 S Washington St Ste A Oxford, MI 48371 (248) 236-8549 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

Nolen, Katie, DOp Family Medicine License: 5101020381 NPI: 1447698998 Oakwood Ambulatory Llc Pc 25 S Washington Ste A Oxford, MI 48371 (248) 236-8549 Mon-Wed,Fri 8:00am 5:00pm, Thu 7:00am 4:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oakwood Ambulatory Llc Pc 1003829441
Palffy, Carl, MDp Internal Medicine License: 4301052322 NPI: 1144228917 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 German Group(s): Michigan Healthcare Professionals Pc - 1295023547

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Papakonstantinou, Katina, DOp Family Medicine License: 5101020361 NPI: 1629416193 Beaumont Professional Svcs 25 S Washington St Ste A Oxford, MI 48371 (248) 236-8549 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Papakonstantinou, Katina, DOp Family Medicine License: 5101020361 NPI: 1629416193 Oakwood Ambulatory Llc Pc 25 S Washington Ste A Oxford, MI 48371 (248) 236-8549 Mon-Wed,Fri 8:00am 5:00pm, Thu 7:00am 4:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Patel, Sagar, MDp Family Medicine License: 4301104816 NPI: 1720498843 Michigan Healthcare Professionals Pc 51 S. Washington St. Oxford, MI 48371 (248) 384-8320 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Pattullo, Karlee, PAp Physician Assistant License: 5601009509 NPI: 1841859196 Mclaren Oakland Pc 385 N Lapeer Rd Oxford, MI 48371 (248) 969-7354 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Mclaren Oakland Pc - 1053463778
Rivera, Aleida, MDp Family Medicine License: 4301059544 NPI: 1528022175 Beaumont Professional Svcs 25 S Washington St Ste A Oxford, MI 48371 (248) 236-8549 Mon-Fri 9:00am 5:00pm Spanish Group(s): Beaumont Professional Services Pc 1811044878

Rivera, Aleida, MDp Family Medicine License: 4301059544 NPI: 1528022175 Oakwood Ambulatory Llc Pc 25 S Washington Ste A Oxford, MI 48371 (248) 236-8549 Mon-Wed,Fri 8:00am 5:00pm, Thu 7:00am 4:00pm Spanish Group(s): Oakwood Ambulatory Llc Pc 1003829441
Romain, Deborah, NPpq Nurse Practitioner License: 4704195550 NPI: 1811201114 Ascension Providence Rochester Hospital Pc 72 S Washington Ste 204 Oxford, MI 48371 (248) 628-2233 Mon-Sun 8:00am 6:00pm Certification: American Nurses Credentialing Center Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Seabright, Angela, DOp Family Medicine License: 5101019104 NPI: 1013202399 Beaumont Professional Svcs 25 S Washington St Ste A Oxford, MI 48371 (248) 236-8549 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Stewart, Ronald, DOp Internal Medicine License: 5101005546 NPI: 1801889654 Advanced Cardiology Associates Pc 72 S Washington Ste 202 Oxford, MI 48371 (248) 236-8320 Mon-Thu 8:00am 4:30pm, Fri 8:00am 3:30pm Group(s): Advanced Cardiology Associates Pc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

277

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Titesworth, Brian, MDp Internal Medicine License: 4301076070 NPI: 1164590600 Clarkston Medical Group 51 S Washington St Ste G Oxford, MI 48371 (248) 384-8320 Mon 10:00am - 7:00pm, Tue 9:00am - 5:00pm, Wed 8:00am - 1:00pm, Thu-Fri 8:00am - 4:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Urek, Katherine, MDp Family Medicine License: 5101018733 NPI: 1760794721 Beaumont Professional Svcs 25 S Washington St Ste A Oxford, MI 48371 (248) 236-8549 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

Wissman, Sheryl, MDpq Internal Medicine License: 4301051927 NPI: 1386642056 Ascension Providence Rochester Hospital Pc 72 S Washington Ste 204 Oxford, MI 48371 (248) 628-2233 Mon-Sun 8:00am 6:00pm Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
PLEASANT RIDGE - 48069
George, Atif, MDp Internal Medicine License: 4301043083 NPI: 1124018627 Atif M George Md Pc 23760 Woodward Ave Pleasant Ridge, MI 48069 (248) 543-2800 Mon-Fri 10:00am 4:00pm Arabic Certification: Am Bd Internal Med Group(s): Atif M George Md Pc

PONTIAC - 48340
Alnajjar, Peter, MDp Pediatric License: 4301054725 NPI: 1033131859 Oihn Baldwin Family Medicine Center 1701 Baldwin Ave Pontiac, MI 48340 (248) 724-7600 Mon-Fri 9:00am 5:00pm Arabic Group(s): Oihn Baldwin Center Pc - 1457711202
Austin, Latoya, MDp Family Medicine License: 4301100864 NPI: 1760745434 Oihn Baldwin Family Medicine Center 1701 Baldwin Ave Pontiac, MI 48340 (248) 724-7600 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299, Oihn Baldwin Center Pc 1457711202

Mason, Kelly, DOp Family Medicine License: 5101016328 NPI: 1003848979 Mclaren Oakland 1701 Baldwin Ave Ste 102 Pontiac, MI 48340 (248) 334-4962 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc - 1053463778
Schury, Mark, DOp Family Medicine License: 5101013623 NPI: 1376510099 Oihn Baldwin Center Pc 1701 Baldwin Ave Ste 102 Pontiac, MI 48340 (248) 334-4962 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oihn Baldwin Center Pc - 1457711202

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Schury, Mark, DOp Family Medicine License: 5101013623 NPI: 1376510099 Oihn Baldwin Family Medicine Center 1701 Baldwin Ave Pontiac, MI 48340 (248) 724-7600 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc 1053463778, Oihn Baldwin Center Pc 1457711202, Oihn Baldwin Family Medicine Center 1053463778
Schury, Mark, DOp Family Medicine License: 5101013623 NPI: 1376510099 Oihn Baldwin Family Medicine Center 1701 Baldwin Ave Suite 102 Pontiac, MI 48340 (248) 334-4962 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Oihn Baldwin Family Medicine Center - 1053463778

Wade, Patrice, NPp Nurse Practitioner License: 4704263609 NPI: 1326475757 Oihn Baldwin Family Medicine Center 1701 Baldwin Ave Pontiac, MI 48340 (248) 724-7600 Mon-Fri 9:00am 5:00pm Group(s): Oihn Family Medicine Center Pc 1316214299, Oihn Baldwin Center Pc 1457711202
- 48341
Akhter, Nilufa, MDp Family Medicine License: 4301098430 NPI: 1962794628 Oak Street Health 462 N Telegraph Rd Pontiac, MI 48341 (248) 234-7540 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Osh Mi Physicians Group Pc 1700236478

Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 44200 Woodward Ave Ste 114 Pontiac, MI 48341 (248) 409-3300 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Austin, Latoya, MDp Family Medicine License: 4301100864 NPI: 1760745434 Oihn Family Medicine Center 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 8:30am 5:00pm Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299

Burgunder-Zdravkovski, Lorraine, MDp Family Medicine License: 4704209135 NPI: 1023641727 Oakland Intergrated Healthcare Network 1200 N Telegraph Bldg 87 Pontiac, MI 48341 (248) 724-7600 Mon-Fri 8:30am 5:00pm Group(s): Oakland Intergrated Healthcare Network Pc 1003206038
Clark, Letricia, NPp Nurse Practitioner License: 4704261814 NPI: 1255844023 Oihn Family Medicine Center 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 9:00am 5:00pm Group(s): Oihn Family Medicine Center Pc 1316214299

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Cosma, Cecilia, MDp Internal Medicine License: 4301086469 NPI: 1992973721 The Wellness Plan Pc 44405 Woodward Ave Ste H-13 Pontiac, MI 48341 (248) 858-3126 Mon-Fri 9:00am 5:00pm Group(s): The Wellness Plan Pc - 1447675434, The Wellness Plan Pc 1043373244
Dallo, Monica, NPp Nurse Practitioner License: 4704317110 NPI: 1932675899 Oihn Family Medicine Center 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 8:30am 5:00pm Group(s): Oihn Family Medicine Center Pc 1316214299
Diaczok, Benjamin, MDp Internal Medicine License: 4301050499 NPI: 1760480834 Sjmh Medical Practice 44405 Woodward Ave Ste 201 Pontiac, MI 48341 (248) 858-3490 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Sjmh Medical Practice Pc - 1346284684

Diaczok, Benjamin, MDp Internal Medicine License: 4301050499 NPI: 1760480834 The Wellness Plan Pc 44405 Woodward Ave Ste H-13 Pontiac, MI 48341 (248) 858-3126 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): The Wellness Plan Pc - 1447675434, The Wellness Plan Pc 1043373244
Garg, Tilak, MDp General Practice License: 4301036931 NPI: 1164516001 Garg & Associates Inc 983 Orchard Lake Rd Pontiac, MI 48341 (248) 681-4200 Punjabi Group(s): Harbor Pines Walk In Clinic 1174617948
Gupta, Somil, MDp Family Medicine License: 4301091405 NPI: 1326253105 Oakland Physicians Medical Center Llc 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 9:00am 5:00pm Group(s): Oakland Physicians Medical Center Llc 1689825200

Hemady, Nikhil, MDp Family Medicine License: 4301067423 NPI: 1457441461 Oihn Family Medicine Center 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299
Hemady, Nikhil, MDp Family Medicine License: 4301067423 NPI: 1457441461 Oihn Family Medicine Center Pc 461 W. Huron Street Ste. 107 Pontiac, MI 48341 (248) 724-7600 Mon-Fri 8:30am 5:00pm Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299

Kapadia, Anuja, MDp Family Medicine License: 4301090526 NPI: 1376743526 Oakland Physicians Medical Center Llc 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 9:00am 5:00pm Group(s): Oakland Physicians Medical Center Llc 1689825200
Krishnamoorthy, Geetha, MDp Internal Medicine License: 4301062031 NPI: 1790723625 The Wellness Plan Pc 44405 Woodward Ave Ste H-13 Pontiac, MI 48341 (248) 858-6469 Mon-Fri 8:30am 5:00pm Group(s): The Wellness Plan Pc - 1447675434
Kulick, Matthew, DOp Family Medicine License: 5101010353 NPI: 1497776835 Opdyke Medcial Pllc 3959 Centerpoint Parkway Ste 100 Pontiac, MI 48341 (248) 333-2600 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Opdyke Medical Pllc 1154664688

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Leclercq, Sarah, NPp Family Nurse Practitioner License: 4704248877 NPI: 1588040455 Opdyke Medcial Pllc 3959 Centerpoint Parkway Ste 100 Pontiac, MI 48341 (248) 333-2600 Mon-Fri 8:00am 5:00pm Group(s): Opdyke Medical Pllc 1154664688
Mitchell, Michele, MDp Family Medicine License: 4301116042 NPI: 1174505325 Oak Street Health 462 N Telegraph Rd Pontiac, MI 48341 (248) 234-7540 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Osh Mi Physicians Group Pc 1700236478

Mitchell, Molly, NPp Nurse Practitioner License: 4704242334 NPI: 1780044131 Oihn Childrens Village 1200 N Telegraph Rd Bldg 87 Pontiac, MI 48341 (248) 724-7600 Mon-Fri 7:30am 4:30pm Group(s): Oihn Family Medicine Center Pc 1316214299, Oihn Childrens Village Pc 1003206038
Nicola, Monica, MDp Internal Medicine License: 4301077426 NPI: 1477522357 Sjmh Medical Practice 44405 Woodward Ave Ste 201 Pontiac, MI 48341 (248) 858-3490 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684
Osman, Farhat, MDp Pediatric License: 4301057017 NPI: 1407825243 Sjmh Medical Practice 44405 Woodward Ave Pontiac, MI 48341 (248) 858-6104 Mon-Fri 9:00am 5:00pm Punjabi, Urdu Certification: Am Board Pediatrics Group(s): Sjmh Medical Practice Pc - 1346284684

Pullukat, Annamma, MD p Pediatric License: 4301043370 NPI: 1952419400 Annamma S Pullukat Md 44200 Woodward Ave Ste 103 Pontiac, MI 48341 (248) 253-9600 Mon-Fri 9:00am 5:00pm Malayalam Group(s): Annamma S Pullukat Pc 1952419400, Annamma S Pullukat Md Pc 1932694767
Ramos, Jason, MDp Family Medicine License: 4301086387 NPI: 1558554998 Mclaren Macomb Pc 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 724-7600 Mon-Fri 9:00am 5:00pm Group(s): Mclaren Macomb Pc 1396014601

Ramos, Jason, MDp Family Medicine License: 4301086387 NPI: 1558554998 Oihn Family Medicine Center 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 9:00am 5:00pm Group(s): Oihn Family Medicine Center Pc 1316214299, Oihn Honor Community Health Family Med Ctr
Ramos, Jason, MDp Family Medicine License: 4301086387 NPI: 1558554998 Oihn Family Medicine Center Pc 461 W. Huron Street Ste. 107 Pontiac, MI 48341 (248) 724-7600 Mon-Fri 8:30am 5:00pm Group(s): Oihn Family Medicine Center Pc 1316214299, Oihn Honor Community Health Family Med Ctr

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Robertson, Kay, MDp Internal Medicine License: 4301068781 NPI: 1649262080 Kay Robertson Md Pc 44200 Woodward Ave Ste 205 Pontiac, MI 48341 (248) 858-9400 Mon-Tue,Thu-Fri 11:00am - 5:00pm Group(s): Kay Robertson Md Pc 1154460830
Robinson-Thomas, Florence, MDp Family Medicine License: 4301074204 NPI: 1649289083 Oak Street Health 462 N Telegraph Rd Pontiac, MI 48341 (248) 234-7540 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Osh Mi Physicians Group Pc 1700236478
Seifeldin, Raouf, MDp Family Medicine License: 4301055306 NPI: 1649468554 Oakland Physicians Medical Center Llc 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 9:00am 5:00pm Group(s): Oakland Physicians Medical Center Llc 1689825200

Seifeldin, Raouf, MDp Family Medicine License: 4301055306 NPI: 1649468554 Oihn Family Medicine Center 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 9:00am 5:00pm Group(s): Oihn Family Medicine Center Pc 1316214299
Shareefuddin, Faisal, MD p Family Medicine License: 4301082421 NPI: 1538212485 Oakland Integrated Healthcare Network 114 Orchard Lake Road Pontiac, MI 48341 (248) 724-7600 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299

Shareefuddin, Faisal, MD p Family Medicine License: 4301082421 NPI: 1538212485 Oihn Family Medicine Center 461 W Huron St Pontiac, MI 48341 (248) 857-7432 Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299
Shareefuddin, Faisal, MD p Family Medicine License: 4301082421 NPI: 1538212485 Oihn Family Medicine Center 461 W Huron St Ste 107 Pontiac, MI 48341 (248) 857-7432 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299

Shareefuddin, Faisal, MD p Family Medicine License: 4301082421 NPI: 1538212485 Oihn Orchard Lake Center 114 Orchard Lk Rd Pontiac, MI 48341 (248) 724-7620 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299, Oihn Orchard Lake Center Pc - 1962765529
Thomas, Michelle, NPp Family Nurse Practitioner License: 4704130444 NPI: 1306994090 Oihn Orchard Lake Center 114 Orchard Lk Rd Pontiac, MI 48341 (248) 724-7620 Mon-Fri 9:00am 5:00pm Group(s): Oihn Family Medicine Center Pc 1316214299

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

282

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Wash, David, MDpq Family Medicine License: 4301079200 NPI: 1548211592 The Wellness Plan Pc 44405 Woodward Ave Ste H-13 Pontiac, MI 48341 (248) 858-6469 Mon-Fri 8:30am 5:00pm Group(s): The Wellness Plan Pc - 1447675434
- 48342
Cosma, Cecilia, MDp Internal Medicine License: 4301086469 NPI: 1992973721 M N Khan Md Pc 44200 Woodward Ave Ste 101 Pontiac, MI 48342 (248) 454-0588 Mon-Fri 9:00am 5:00pm Group(s): M N Khan Md Pc - 1053553107
Cowsill, Lawrence, DOp Internal Medicine License: 5101006463 NPI: 1598788176 Poh Medical Center 950 University Dr Pontiac, MI 48342 (248) 628-3000 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc - 1053463778

Cowsill, Lawrence, DOp Internal Medicine License: 5101006463 NPI: 1598788176 Poh Medical Center 950 University Dr Pontiac, MI 48342 (248) 334-0947 Mon-Thu 9:00am 5:00pm, Fri 10:00am 12:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc - 1790055143
Cowsill, Lawrence, DOp Internal Medicine License: 5101006463 NPI: 1598788176 Z 950 University Pontiac, MI 48342 (248) 334-0947 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc - 1790055143
Davenport, Lyndsi, DOp Internal Medicine License: 5101020244 NPI: 1801230966 Poh Medical Center 950 University Dr Pontiac, MI 48342 (248) 628-3000 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Mclaren Oakland Pc - 1053463778

Ezeugwa, Erinma, NPp Family Nurse Practitioner License: 4704299407 NPI: 1245775683 The Wellness Plan 45156 Woodward Ave Pontiac, MI 48342 (248) 897-0900 Group(s): The Wellness Plan Pc - 1235651381
Gordon, Konwre, NPp Family Nurse Practitioner License: 4704257255 NPI: 1871048470 The Wellness Plan 45156 Woodward Ave Pontiac, MI 48342 (248) 897-0900 Group(s): The Wellness Plan Pc - 1235651381
Haq, Junaed, MDp Family Medicine License: 4301086147 NPI: 1730341868 Oakland Phys Medical Center Llc 461 W Huron St Pontiac, MI 48342 (248) 857-7440 Certification: Am Board Family Medicine (Geriatric Medicine) Group(s): Oakland Physicians Medical Center Llc 1689825200

Isaac Ii, Herbert, MDp Family Medicine License: 4301073786 NPI: 1841231941 Herbert L Isaac Ii Md 989 University Dr Ste 101 Pontiac, MI 48342 (248) 334-4773 Mon-Tue,Thu-Fri 9:00am - 4:00pm, Wed 9:00am - 1:00pm Certification: Am Board Ob/Gyn Group(s): Herbert L Isaac Ii Md 1
Khan, Muhammad, MDp Internal Medicine License: 4301063986 NPI: 1861461451 M N Khan Md Pc 44200 Woodward Ave Ste 101 Pontiac, MI 48342 (248) 454-0588 Mon-Fri 9:00am 5:00pm Arabic, Hindi, Punjabi, Urdu Group(s): M N Khan Md Pc - 1053553107
Moghul, Ramla, MDp Family Medicine License: 4301072679 NPI: 1538464953 Sjmh Medical Practice 55 Clinton St Pontiac, MI 48342 (248) 333-0840 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

283

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Pasupulati, Ratnavalli, MDp Internal Medicine License: 4301082285 NPI: 1831394873 Sjmh Medical Practice 55 Clinton St Pontiac, MI 48342 (248) 333-0840 Mon-Fri 9:00am 5:00pm Telugu Certification: Am Bd Internal Med Group(s): Sjmh Medical Practice Pc - 1346284684
Sanford, Tiffany, MDpq Internal Medicine License: 4301097104 NPI: 1659683753 The Wellness Plan 45156 Woodward Ave Pontiac, MI 48342 (248) 897-0900 Group(s): The Wellness Plan Pc - 1235651381
Schury, Mark, DOp Family Medicine License: 5101013623 NPI: 1376510099 Mclaren Oakland Outpatient Clinic 50 N Perry St Pontiac, MI 48342 (248) 338-5328 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Mclaren Oakland Pc - 1053463778

Swilley, Bryan, DOp Family Medicine License: 5101010362 NPI: 1861409302 Perry Mlk Medical Center Pc 673 Martin Luther King Blvd N Pontiac, MI 48342 (248) 338-2793 Mon-Tue,Thu-Fri 9:00am - 5:00pm, Wed 9:00am - 12:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Perry Mlk Medical Center Pc 1407942394
Thomas, Kingsley, MDp Pediatric License: 4301033138 NPI: 1700987088 Kingsley A Thomas Md Pc 989 University Dr Ste 105 Pontiac, MI 48342 (248) 373-2720 Mon-Fri 9:00am 5:00pm Spanish Group(s): Kingsley A Thomas Md Pc

United Rehab Services Pc p Physical Therapy Clinic NPI: 1568495083 989 University Dr Pontiac, MI 48342 (248) 370-8092 Mon-Fri 9:00am 5:00pm Group(s): United Rehab Services Pc
ROCHESTER - 48306
Prada, Arturo, MDp Internal Medicine License: 4301034898 NPI: 1427030147 Arturo Prada Md Pc 6700 N Rochester Rd Ste 110 Rochester, MI 48306 (248) 652-1202 Mon-Wed 9:00am 5:00pm, Thu 9:00am 6:00pm, Fri 9:00am 1:30pm, Sat 9:00am 12:30pm Spanish Certification: Am Bd Internal Med Group(s): Arturo Prada Md Pc

- 48307
Atassi, Racheed, MDp Internal Medicine License: 4301094667 NPI: 1710969639 Precise Medical Care Llc 1701S Blvd E Ste 160 Rochester, MI 48307 (248) 598-5081 Arabic Certification: Am Bd Internal Med Group(s): Precise Medical Care Llc 1982891222
Ati Physical Therapy 1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 2672 S Rochester Rd Rochester, MI 48307 (248) 289-1785 Mon-Fri 9:00am 5:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Azharuddin, Tahera, MD p Family Medicine License: 4301089681 NPI: 1720265754 Ascension Crittenton Hospital 1135 W University Dr Ste 225 Rochester, MI 48307 (248) 824-2570 Mon-Fri 8:00am 5:00pm Hindi, Telugu, Urdu Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Balasz, Jade, DOpq Family Medicine License: 5101023197 NPI: 1780122036 Ascension Crittenton Hospital 1135 W University Dr Ste 225 Rochester, MI 48307 (248) 824-2570 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Bettman, Elliott, MDp Internal Medicine License: 4301063064 NPI: 1144325804 Wellhealth Medical Associates Pc 1202 Walton Blvd Ste 205 Ste 205 Rochester, MI 48307 (248) 266-6073 Mon-Tue,Thu-Sat 8:00am - 5:30pm Spanish Certification: Am Bd Internal Med Group(s): Wellhealth Medical Associates Pc 1902187008
Brege, David, MDp Pediatric License: 4301051390 NPI: 1770550709 Ascension Crittenton Hospital 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 652-5000 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266

Chahin, Lourin, MDp Internal Medicine License: 4301079583 NPI: 1902816333 Lourin Chahin Md Pllc 940 W Avon Rd Ste 7 Rochester, MI 48307 (248) 740-8000 Mon-Fri 9:00am 5:00pm Group(s): Lourin Chahin Md Pllc
Cheema, Saif, MDp Family Medicine License: 4301058744 NPI: 1912908302 Ascension Crittenton Hospital 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 652-5000 Mon-Fri 8:00am 5:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Church, Sage, DOpq Pediatric License: 5101019349 NPI: 1902185598 Ascension St John Hospital Pediatrics Rochester 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 844-6030 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Ascension St John Hospital Pc 1912965088
Considine, Colleen, MDp q Pediatric License: 4301117222 NPI: 1861842353 Ascension St John Hospital Pediatrics Rochester 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 844-6030 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension St John Hospital Pc 1912965088

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

285

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Cybinski, Katherine, DO p Family Medicine License: 5101021001 NPI: 1023420585 Michigan Healthcare Professionals Pc 3950 S Rochester Rd Rochester, MI 48307 (248) 299-0000 Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547
Degraw, Marcus, MDpq Pediatric License: 4301074121 NPI: 1750375002 Ascension St John Hospital Pediatrics Rochester 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 844-6030 Mon-Fri 8:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088

Elghoroury, Mahmoud, MDp Pediatric License: 4301054826 NPI: 1124048848 Regal Pediatrics Pc 2502 S Rochester Rd Rochester, MI 48307 (248) 852-5177 Mon-Thu 9:30am 5:00pm, Sat 9:30am 2:00pm Arabic Group(s): Regal Pediatrics Pc
Folden, Giacomo, DOpq Family Medicine License: 5101021551 NPI: 1215310073 Ascension Crittenton Hospital 1135 W University Dr Ste 225 Rochester, MI 48307 (248) 824-2570 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Hertz, Ronald, DOpq Internal Medicine License: 5101010791 NPI: 1053304816 Ascension St John Hospital Pediatrics Rochester 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 844-6030 Mon-Fri 8:00am 5:00pm Group(s): Ascension St John Hospital Pc 1912965088
Kessler, Susan, MDpq Pediatric License: 4301406679 NPI: 1437170750 Ascension St John Hospital Pediatrics Rochester 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 844-6030 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension St John Hospital Pc 1912965088

Khaira, Amarbir, MDp Internal Medicine License: 4301407306 NPI: 1366464315 Amarbir Singh Khaira Md 75 Barclay Circle Ste 208 Rochester, MI 48307 (248) 856-6800 Mon-Fri 8:00am 2:00pm Hindi, Punjabi Certification: Am Bd Internal Med Group(s): Amarbir Singh Khaira Md
King, Eleanor, MDpq Family Medicine License: 4301108182 NPI: 1104213867 Ascension Crittenton Hospital 1135 W University Dr Ste 225 Rochester, MI 48307 (248) 824-2570 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

King, Eleanor, MDpq Family Medicine License: 4301108182 NPI: 1104213867 Ascension Crittenton Hospital 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon,Thu-Fri 8:00am 5:00pm, Tue 8:00am 4:00pm, Wed 8:00am 7:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
King, Eleanor, MDpq Family Medicine License: 4301108182 NPI: 1104213867 Ascension Crittenton Hospital Pc 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

King, Eleanor, MDpq Family Medicine License: 4301108182 NPI: 1104213867 Crittenton Hospital Medical Center 1135 W University Dr Ste 225 Rochester, MI 48307 (248) 824-2570 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Kontos, Natalie, DOpq Pediatric License: 5101017823 NPI: 1053571885 Ascension St John Hospital Pediatrics Rochester 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 844-6030 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Pediatrics Group(s): Ascension St John Hospital Pc 1912965088

Lewandowski, Alyssa, MDp Family Medicine License: 5101021829 NPI: 1053791848 Ascension Crittenton Hospital Pc 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Mattoni, Nancy, NPpq Nurse Practitioner License: 4704109576 NPI: 1316020902 Crittenton Hospital Medical Center 1135 W University Dr Ste 225 Rochester, MI 48307 (248) 824-2570 Mon-Fri 8:00am 5:00pm Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Mccready, Tess, DOpq Family Medicine License: 5101022625 NPI: 1093058786 Ascension Crittenton Hospital Pc 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Milne, Andrea, MDpq Family Medicine License: 4301104953 NPI: 1659787000 Ascension Crittenton Hospital Pc 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Morris, Pierre, MDpq Family Medicine License: 4301077842 NPI: 1679511752 Ascension Crittenton Hospital Pc 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:00am 5:00pm Dutch, German Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Morris, Pierre, MDq Family Medicine License: 4301077842 NPI: 1679511752 Wellhealth Medical Associates Pc 1202 Walton Blvd Ste 205 Ste 205 Rochester, MI 48307 (248) 266-6073 Mon-Tue,Thu-Sat 8:00am - 5:30pm Dutch, German Group(s): Wellhealth Medical Associates Pc 1902187008

Pak, Moon, MDp Internal Medicine License: 4301040550 NPI: 1851462238 Moon Jae Pak Md 811 Oakwood Ste 201 Rochester, MI 48307 (248) 656-0177 Mon-Thu 9:00am 5:00pm Japanese, Korean Certification: Am Bd Internal Med Group(s): Moon Jae Pak Md
Pierron, Margaret, MDp Pediatric License: 4301042366 NPI: 1588631865 Ascension Crittenton Hospital 1135 W University Dr Ste 355 Rochester, MI 48307 (248) 652-5000 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Ascension Medical Group Mi Pediatrics Assoc Pc 1588737266, Ascension Michigan Cmg 1851765374

Pradko, Ryan, DOpq Family Medicine License: 5101021205 NPI: 1841605888 Ascension Crittenton Hospital 1135 W University Dr Ste 225 Rochester, MI 48307 (248) 824-2570 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
Pradko, Ryan, DOpq Family Medicine License: 5101021205 NPI: 1841605888 Crittenton Hospital Medical Center 1135 W University Dr Ste 225 Rochester, MI 48307 (248) 824-2570 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Restore Physical Therapy Llcp Physical Therapy Clinic NPI: 1891895496 Restore Physical Therapy 61 West Hamlin Rd Rochester, MI 48307 (248) 608-3149 Mon-Fri 9:00am 5:00pm Group(s): Restore Physical Therapy Llc
Restore Physical Therapy Llcp Physical Therapy Clinic NPI: 1891895496 Restore Physical Therapy 705 Barclay Cir Ste 135 Rochester, MI 48307 (248) 844-2665 Mon-Fri 9:00am 5:00pm Group(s): Restore Physical Therapy Llc
Rosin, Frederick, MDp Family Medicine License: 4301033922 NPI: 1790722338 Ascension Crittenton Hospital Pc 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:00am 5:00pm Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Stamatin, Rica, MDp Internal Medicine License: 4301076603 NPI: 1316937071 Stamatin Internal Medicine 2710 S Rochester Rd Ste 4 Rochester, MI 48307 (248) 651-2620 Mon-Fri 9:00am 4:00pm Romanian Certification: Am Bd Internal Med Group(s): Stamatin Internal Medicine Pc 1356426506
Stephan, Elena, MDp Internal Medicine License: 4301063530 NPI: 1609926138 Meadowbrook Internists 75 Barclay Cir Ste 230 Rochester, MI 48307 (248) 856-6600 Mon-Tue,Thu 8:00am 4:00pm, Wed,Fri 8:00am - 12:00pm Romanian Certification: Am Bd Internal Med Group(s): Meadowbrook Internists

Stephan, Namir, MDp Internal Medicine License: 4301062490 NPI: 1053461590 Meadowbrook Internists 75 Barclay Cir Ste 230 Rochester, MI 48307 (248) 856-6600 Mon-Tue,Thu 8:00am 4:00pm, Wed,Fri 8:00am - 12:00pm Arabic Group(s): Meadowbrook Internists
Theramatrix Incp Physical Therapy Clinic NPI: 1760489678 Theramatrix Physical Rehabilitation 134 W University Ste 130 Rochester, MI 48307 (248) 652-1135 Mon-Fri 9:00am 5:00pm Group(s): Theramatrix Inc
Thomas, Joseph, MDp Family Medicine License: 4301107917 NPI: 1063808319 Ascension Crittenton Hospital Pc 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:00am 5:00pm Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Xu, Jinping, MDp Family Medicine License: 4301078688 NPI: 1063469286 University Physician Group 1135 W University Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:30am 5:00pm Chinese Certification: Am Board Family Medicine Group(s): Wayne Health Pc - 1447299797
Yousif, Nashwan, MDp Internal Medicine License: 4301080432 NPI: 1124042288 Nashwan Yousif Md Pllc 940 W Avon Rd Ste 7 Rochester, MI 48307 (248) 693-8634 Mon-Thu 10:00am 4:00pm Arabic Certification: Am Bd Internal Med Group(s): Nashwan Yousif Md Pllc 1336456896

Zaheer, Salieha, MDpq Family Medicine License: 4301098520 NPI: 1235429721 Ascension Crittenton Hospital Pc 1135 W University Dr Ste 250 Rochester, MI 48307 (248) 650-6301 Mon-Fri 8:00am 5:00pm Hindi, Punjabi, Urdu Certification: Am Board Family Medicine Group(s): Ascension Providence Rochester Hospital Pc - 1457704850
- 48309
Culver, Walter, MDp Internal Medicine License: 4301058404 NPI: 1346240918 Sjmh Medical Practice 1854 W Auburn Rd Ste 100A Rochester, MI 48309 (248) 696-3170 Mon-Fri 9:00am 5:00pm Group(s): Sjmh Medical Practice Pc - 1346284684
Kasmikha, Raad, MDp Internal Medicine License: 4301057587 NPI: 1558330332 Raad P Kasmikha 1498 Walton Blvd Rochester, MI 48309 (248) 652-1365 Mon-Fri 8:00am 5:00pm Arabic Group(s): Raad P Kasmikha Md Pc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Osman, Farhat, MDp Pediatric License: 4301057017 NPI: 1407825243 Rochester Hills Pediatrics 2840 Crooks Rd Ste 100 Rochester, MI 48309 (248) 844-8890 Mon-Fri 9:00am 5:00pm Punjabi, Urdu Certification: Am Board Pediatrics Group(s): Farhat Osman Pc
Warren, Anne, NPp Nurse Practitioner License: 4704150790 NPI: 1144306887 Newland Medical Associates 1854 W Auburn Rd Ste 200 Rochester, MI 48309 (248) 853-2323 Mon-Fri 9:00am 5:00pm Group(s): Ascension St John Hospital Pc 1922397058

ROCHESTER HILLS - 48306
Cheema, Saif, MDp Family Medicine License: 4301058744 NPI: 1912908302 Sara Harris Family Care Pc 332 W Tienken Rd Ste B Rochester Hills, MI 48306 (248) 218-5777 Mon-Fri 9:00am 5:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Saif Cheema Md - 1104909597
- 48307
Alatassi, Malaz, MDp Internal Medicine License: 4301080495 NPI: 1023069770 Karle Medical Group Pc 455 Barclay Cir Ste D Rochester Hills, MI 48307 (248) 852-9596 Mon-Fri 9:00am 5:00pm Arabic Group(s): Karle Medical Group

Alexander, Ashley, DOp Internal Medicine License: 5101019564 NPI: 1306125281 Bfs Beaumont Midway Internal Medicine 555 Barclay Cir Rochester Hills, MI 48307 (248) 299-5777 Mon 1:00pm - 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Alfieri, Kristin, PAp Physician Assistant License: 5601006656 NPI: 1558706077 Prohealth Medical Fp Midland 1268 Walton Blvd Rochester Hills, MI 48307 (248) 710-2990 Mon-Fri 9:00am 5:00pm Group(s): Prohealth Medical Fp Midland 1740841451

Bierlein Timinsky, Stephanie, MDp Family Medicine License: 4301103203 NPI: 1376981829 Beaumont Professional Services 1202 Walton Blvd Ste 216 Rochester Hills, MI 48307 (248) 710-3023 Tue 8:00am - 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Bierlein Timinsky, Stephanie, MDp Family Medicine License: 4301103203 NPI: 1376981829 Oakwood Ambulatory Llc Pc 1202 Walton Blvd Ste 216 Rochester Hills, MI 48307 (248) 710-3023 Mon,Wed 8:00am 5:00pm, Tue 8:00am 7:00pm, Thu 7:00am 5:00pm, Fri 7:00am 12:30pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

290

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Bonk, Kimberly, PAp Physician Assistant License: 5601007904 NPI: 1578013397 Prohealth Medical Fp Midland 1268 Walton Blvd Rochester Hills, MI 48307 (248) 710-2990 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Prohealth Medical Fp Midland 1740841451
Boucher, Alexandra, DO pq Family Medicine License: 5101022511 NPI: 1861841124 Ascension Crittenton Hospital Pc 633 South Blvd Ste 1200 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

Buttar, Nick, MDpq Family Medicine License: 4301068558 NPI: 1326085861 Prohealth Medical Fp Midland 1268 Walton Blvd Rochester Hills, MI 48307 (248) 710-2990 Mon-Fri 9:00am 5:00pm Punjabi Certification: Am Board Family Medicine Group(s): Prohealth Medical Fp Midland 1740841451
Carnwath, Danielle, DOp Family Medicine License: 5101020350 NPI: 1093153553 Beaumont Professional Services 1202 Walton Blvd Ste 216 Rochester Hills, MI 48307 (248) 710-3023 Tue 8:00am - 12:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Dreyer Laezza, Jaime, MDp Pediatric License: 4301087960 NPI: 1467660779 Pediatric Consultants Of Troy Pc 633 South Blvd E Ste 2400 Rochester Hills, MI 48307 (248) 879-5570 Mon-Fri 8:00am 8:00pm, Sat 8:00am 11:00am, Sun 5:00pm 8:00pm Certification: Am Board Pediatrics Group(s): Pediatric Consultants Of Troy Pc 1003821661
Dubina, Elizabeth, MDp Pediatric License: 4301045659 NPI: 1538166434 Pediatric Consultants Of Troy Pc 633 South Blvd E Ste 2400 Rochester Hills, MI 48307 (248) 879-5570 Mon-Fri 8:00am 8:00pm, Sat 8:00am 11:00am, Sun 5:00pm 8:00pm Certification: Am Board Pediatrics Group(s): Pediatric Consultants Of Troy Pc 1003821661

Elkins, Daniel, PAp Physician Assistant License: 5601008829 NPI: 1538644059 Prohealth Medical Fp Midland 1268 Walton Blvd Rochester Hills, MI 48307 (248) 710-2990 Mon-Fri 9:00am 5:00pm Group(s): Prohealth Medical Fp Midland 1740841451
Federman, Robert, MDp q Internal Medicine License: 4301074380 NPI: 1316922685 Ascension Crittenton Hospital Pc 633 South Blvd Ste 1200 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Providence Rochester Hospital Pc - 1457704850

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

291

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Federman, Robert, MDp q Internal Medicine License: 4301074380 NPI: 1316922685 Michigan Healthcare Professionals Pc 633 E South Blvd Ste 1200 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Gorgis, Jawan, MDp Family Medicine License: 4301502137 NPI: 1265960579 Beaumont Professional Services 1202 Walton Blvd Ste 216 Rochester Hills, MI 48307 (248) 710-3023 Tue 8:00am - 12:00pm Chaldean Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878

Hagroo, Inas, MDp Internal Medicine License: 4301105646 NPI: 1851705354 Michigan Healthcare Professionals Pc 633 E South Blvd Ste 1200 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Hawkins, Jason, MDp Family Medicine License: 5101021721 NPI: 1720466790 Michigan Healthcare Professionals Pc 633 E South Blvd Ste 1200 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547

Keeler, Timothy, PApq Physician Assistant License: 5601002258 NPI: 1972728194 Prohealth Medical Fp Midland 1268 Walton Blvd Rochester Hills, MI 48307 (248) 710-2990 Mon-Fri 9:00am 5:00pm Group(s): Prohealth Medical Fp Midland 1740841451
Kpadenou, Samson, MDp Internal Medicine License: 4301033869 NPI: 1821088352 Comprehensive Health Care Center Of Michigan Pllc 75 Barclay Circle Ste 75 Rochester Hills, MI 48307 (586) 731-8200 Mon-Fri 9:00am 5:00pm French Certification: Am Bd Internal Med Group(s): Comprehensive Hlth Care Ctr Of Mi Pllc 1033345889

Lewerenz, James, DOp Family Medicine License: 4301046235 NPI: 1952385700 Michigan Healthcare Professionals, Pc 1555 E South Blvd Suite 340 Rochester Hills, MI 48307 (248) 289-6543 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Mackool, Alaina, PAp Physician Assistant License: 5601009697 NPI: 1083258412 Pro Health Medical Inc 1267 Walton Blvd Rochester Hills, MI 48307 (248) 710-2900 Mon-Fri 8:00am 8:00pm, Sat-Sun 10:00am - 6:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Pro Health Medical Inc 1649781733

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

292

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Mzyece, Victor, NPp Family Nurse Practitioner License: 4704287029 NPI: 1659732345 Manhal H Naoumi Md Pc 3950 S Rochester Rd Ste 1200 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Nelson, Keisha, MDp Family Medicine License: 4301075845 NPI: 1245213115 Bfs Beaumont Midway Internal Medicine 555 Barclay Cir Rochester Hills, MI 48307 (248) 299-5777 Mon 1:00pm - 5:00pm Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Pradhan, Sangita, MDp Internal Medicine License: 4301074932 NPI: 1144290446 Your Physicians Pc 441 S Livernois Rd Ste 185 Rochester Hills, MI 48307 (248) 963-2191 Mon-Thu 9:00am 5:00pm, Fri 9:00am 12:00pm Certification: Am Bd Internal Med Group(s): Your Physicians Pc
Rastogi, Shailaja, MDp Internal Medicine License: 4301074251 NPI: 1558439737 Bfs Beaumont Midway Internal Medicine 555 Barclay Cir Rochester Hills, MI 48307 (248) 299-5777 Mon 1:00pm - 5:00pm Bengali, Hindi, Punjabi Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Rojas, Bernardo, MDp Internal Medicine License: 4301035543 NPI: 1861420218 Bfs Beaumont Midway Internal Medicine 555 Barclay Cir Rochester Hills, MI 48307 (248) 299-5777 Mon 1:00pm - 5:00pm Spanish Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Schwartzenfeld, David, MDp Family Medicine License: 5101014823 NPI: 1174637938 Michigan Healthcare Professionals Pc 633 E South Blvd Ste 1200 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt, Am Os Bd Family Physicians (Hospice & Palliative Medicine) Group(s): Michigan Healthcare Professionals Pc - 1295023547

Schwarz Warner, Laura, MDp Pediatric License: 4301070437 NPI: 1952389561 Pediatric Consultants Of Troy Pc 633 South Blvd E Ste 2400 Rochester Hills, MI 48307 (248) 879-5570 Mon-Fri 8:00am 8:00pm, Sat 8:00am 11:00am, Sun 5:00pm 8:00pm Group(s): Pediatric Consultants Of Troy Pc 1003821661
Srikrishna, Latha, MDp Family Medicine License: 4301081098 NPI: 1316025695 Latha Srikrishna Md Pc 441 S Livernois Rd Ste 185 Rochester Hills, MI 48307 (248) 963-2191 Mon-Fri 9:00am 5:00pm Hindi, Kannada Certification: Am Board Family Medicine Group(s): Latha Srikrishna Md Pc 1295205532

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

293

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Primary Care Providers
Oakland County continued

Testai, Tisa, DOp Internal Medicine License: 5101011081 NPI: 1134169766 Michigan Healthcare Prof Pc 633 E South Blvd Ste 1300 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Michigan Healthcare Professionals Pc - 1295023547
Testai, Tisa, DOp Internal Medicine License: 5101011081 NPI: 1134169766 Michigan Healthcare Professionals Pc 633 E South Blvd Ste 1200 Rochester Hills, MI 48307 (248) 844-6000 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Michigan Healthcare Professionals Pc - 1295023547

- 48309
Gietzen, Brian, MDp Internal Medicine License: 4301070159 NPI: 1639154263 Brian T Gietzen Md Pc 1460 Walton Blvd Ste 200 Rochester Hills, MI 48309 (248) 650-1800 Mon-Fri 8:00am 6:00pm Group(s): Brian T Gietzen Md Pc 1902023641
Lee, Bennett, PAp Physician Assistant License: 5601007108 NPI: 1235532623 Brian T Gietzen Md Pc 1460 Walton Blvd Ste 200 Rochester Hills, MI 48309 (248) 650-1800 Mon-Fri 8:00am 6:00pm Group(s): Brian T Gietzen Md Pc 1902023641

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Salaysay, Zachary, NPp Nurse Practitioner License: 4704314282 NPI: 1750856480 Brian T Gietzen Md Pc 1460 Walton Blvd Ste 200 Rochester Hills, MI 48309 (248) 650-1800 Mon-Fri 8:00am 6:00pm Certification: American Nurses Credentialing Center Group(s): Brian T Gietzen Md Pc 1902023641
ROCHESTER HLS - 48307
Brunell, Kristen, PTp Physical Therapist License: 5501018769 NPI: 1669951141 Ompt Specialists Inc 1349 S Rochester Rd Ste 120 Ste 120 Rochester Hls, MI 48307 (248) 353-1234 Mon-Fri 7:00am 7:00pm Group(s): Ompt Specialists Inc 1205865961

Ompt Specialists Inc 1205865961p Physical Therapy Clinic NPI: 1205865961 Ompt Specialists Inc 1349 S Rochester Rd Ste 120 Ste 120 Rochester Hls, MI 48307 (248) 353-1234 Mon-Fri 7:00am 7:00pm Group(s): Ompt Specialists Inc 1205865961
Zaki, Gamal, MDp Internal Medicine License: 4301049197 NPI: 1780674218 Rochester Internists Pllc 2708 S Rochester Rd Ste A Rochester Hls, MI 48307 (248) 844-1500 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Rochester Internists Pllc

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

ROYAL OAK - 48067
Abbo, Marisa, DOp Family Medicine License: 5101011618 NPI: 1184605388 Covenant Community Care Inc 27776 Woodward Ave Royal Oak, MI 48067 (248) 556-4900 Mon-Tue 8:00am 6:00pm, Wed-Fri 8:00am - 4:00pm Certification: Am Board Family Medicine Group(s): Covenant Community Care Inc Pc - 1720134943
Al-Taieb, Khaled, MD Internal Medicine License: 4301094021 NPI: 1003144643 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Arabic Group(s): Henry Ford Hospital Pc - 1891702833

Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Alenzi, Salah, MDp Family Medicine License: 4301069303 NPI: 1194796185 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (855) 805-5385 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986

Allard, Raymond, MDp Family Medicine License: 4301062033 NPI: 1760556377 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Allard, Raymond, MDp Family Medicine License: 4301062033 NPI: 1760556377 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Allen, Nakia, MD Pediatric License: 4301090397 NPI: 1659556181 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318

Alsabeh, Rashid, MD Internal Medicine License: 4301059764 NPI: 1093788150 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Azeez, Nasser, MDp Family Medicine License: 4301087087 NPI: 1750556999 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Hindi, Kannada, Tamil Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Beg, Mirza, MDp Family Medicine License: 4301074036 NPI: 1841364452 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Bd Internal Med (Geriatric Medicine) Group(s): Henry Ford Medical Center Fairlane - 1952485351
Brown, Indigo, DOp Family Medicine License: 5101022333 NPI: 1740638535 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Calcut Jr, Terry, MDp Family Medicine License: 4301081911 NPI: 1467482745 Covenant Community Care Inc 27776 Woodward Ave Royal Oak, MI 48067 (248) 556-4900 Mon-Tue 8:00am 6:00pm, Wed-Fri 8:00am - 4:00pm Group(s): Covenant Community Care Inc Pc - 1720134943
Carolan, Rachel, DOp Family Medicine License: 5101024913 NPI: 1720440134 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

Carolan, Rachel, DOp Family Medicine License: 5101024913 NPI: 1720440134 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351
Cherri, Catherine, MDp Family Medicine License: 4301103625 NPI: 1053750356 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Cox, David, MDp Family Medicine License: BC1718836 NPI: 1740554666 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Cybinski, Katherine, DO p Family Medicine License: 5101021001 NPI: 1023420585 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

296

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Dado, Lynn, MD Internal Medicine License: 4301115729 NPI: 1689940322 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Davis, Sage, NPp Nurse Practitioner License: 4704292364 NPI: 1518361336 Covenant Community Care Inc 27776 Woodward Ave Royal Oak, MI 48067 (248) 556-4900 Mon-Fri 9:00am 5:00pm Group(s): Covenant Community Care Inc 1073834818
Dillon, Linda, MDp Internal Medicine License: 4301087886 NPI: 1891919502 Covenant Community Care Inc 27776 Woodward Ave Royal Oak, MI 48067 (248) 556-4900 Mon-Tue 8:00am 6:00pm, Wed-Fri 8:00am - 4:00pm Spanish Group(s): Covenant Community Care Inc Pc - 1720134943

Falkell, Barbara, DOp Internal Medicine License: 5101013071 NPI: 1992792964 Beaumont Professional Services 1026 W Eleven Mile Rd Ste B Royal Oak, MI 48067 (248) 543-8111 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Falkell, Barbara, DOp Internal Medicine License: 5101013071 NPI: 1992792964 Beaumont Professional Services 950 N Main St Royal Oak, MI 48067 (248) 543-8111 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

Falkell, Barbara, DOp Internal Medicine License: 5101013071 NPI: 1992792964 Oakwood Ambulatory Llc 950 North Main St. Royal Oak, MI 48067 (248) 543-8111 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441
Fatima, Farvah, MDp Family Medicine License: 4301104723 NPI: 1346583796 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Ferrans, Diana, MD Family Medicine License: 4301058323 NPI: 1851469662 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Spanish Group(s): Henry Ford Medical Center Fairlane - 1952485351

Fox, Kelita, MDp Family Medicine License: 4301501395 NPI: 1518279827 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Gadzinski, Nicholas, DO p Family Medicine License: 5101019544 NPI: 1013216068 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (855) 805-5385 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Macomb Family Medicine - 1134265986

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Gammons, Timothy, MD p Family Medicine License: 5101013821 NPI: 1730163023 Gammons Medical 1223 S Washington Royal Oak, MI 48067 (248) 439-1060 Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547
Gammons, Timothy, MD p Family Medicine License: 5101013821 NPI: 1730163023 Michigan Healthcare Prof Pc 1223 S Washington Royal Oak, MI 48067 (248) 439-6375 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Michigan Healthcare Professionals Pc - 1295023547

Gavino, Belinda, MDp Family Medicine License: 4301500706 NPI: 1750711636 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Gjurashaj, Nik, MDp Family Medicine License: 4301101531 NPI: 1366705949 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Spanish, Albanian Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Gjurashaj, Nik, MDp Family Medicine License: 4301101531 NPI: 1366705949 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Spanish, Albanian Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Gupta, Badri, MD Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833

Gupta, Badri, MD Internal Medicine License: 4301060343 NPI: 1518985845 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (855) 805-5385 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Health Centers Bruce Twp - 1568508059, Henry Ford Macomb Family Medicine 1134265986
Hackel, Gregory, DO Internal Medicine License: 5101011844 NPI: 1891723185 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

298

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Holt, Adam, MDp Family Medicine License: 4301116576 NPI: 1649579095 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Holt, Adam, MDp Family Medicine License: 4301116576 NPI: 1649579095 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Hua, Wenhui, MD Pediatric License: 4301067764 NPI: 1316094113 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Johnson, Tisa, MD Pediatric License: 4301075433 NPI: 1134276934 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Kent, Nadia, NPp Primary Care Nurse Practitioner License: 4704267687 NPI: 1134401193 Premier Physicians Care Pllc 123 S Main St Ste 260 Royal Oak, MI 48067 (248) 556-4450 Mon-Fri 9:00am 5:00pm Group(s): Premier Physicians Care Pllc 1457591083

Kohler, Aliya, MDp Family Medicine License: 4301072057 NPI: 1811099559 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Hindi, Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Kopyrina, Mariya, MD Family Medicine License: 4301080257 NPI: 1164402160 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Krebsbach, Paul, MDp Family Medicine License: 4301047450 NPI: 1245304757 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Krebsbach, Paul, MDp Family Medicine License: 4301047450 NPI: 1245304757 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Kridler, Jordan, MD Pediatric License: 4301103557 NPI: 1699018952 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Kridler, Jordan, MD Pediatric License: 4301103557 NPI: 1699018952 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Hospitals Pc 1861539892, Henry Ford Hospital Pc - 1003990318
Krishnan, Thankamani,
MD Pediatric License: 4301040352 NPI: 1770630576 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Malagasy Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Krishnan, Thankamani,
MD Pediatric License: 4301040352 NPI: 1770630576 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Malagasy Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Kuhl, Shirlee, DO Pediatric License: 5101008622 NPI: 1225185036 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm French Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Leff, Carrie, DO Internal Medicine License: 5101015020 NPI: 1902819295 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1891702833
Mansfield, Juston, NPp Family Nurse Practitioner License: 4707283237 NPI: 1639675473 Michigan Healthcare Professionals Pc 1223 S Washington Ave Royal Oak, MI 48067 (248) 439-1060 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Moghaddam, Marjan, DOp Family Medicine License: 5101019748 NPI: 1457615247 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Munir, Nazia, MDp Family Medicine License: 4301104866 NPI: 1053739797 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Ompt Specialists Inc 1205865961p Physical Therapy Clinic NPI: 1205865961 Ompt Specialists Inc 1071 N Campbell Rd Royal Oak, MI 48067 (248) 543-3444 Mon-Fri 7:00am 7:00pm Group(s): Ompt Specialists Inc 1205865961
Ompt Specialists Inc 1205865961p Physical Therapy Clinic NPI: 1205865961 Ompt Specialists Inc 120 Catalpa Dr Royal Oak, MI 48067 (248) 353-1234 Mon-Thu 7:00am 7:00pm, Fri 7:00am 5:00pm Group(s): Ompt Specialists Inc 1205865961

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Oneill, Chelsea, NPp Family Nurse Practitioner License: 4704306690 NPI: 1366078230 Michigan Healthcare Professionals Pc 1223 S Washington Ave Royal Oak, MI 48067 (248) 439-1060 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Panchagnula, Soumya, MDp Family Medicine License: 4301090433 NPI: 1770740045 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Pandrangi, Lakshmi, MD p Family Medicine License: 4301077786 NPI: 1043384555 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Passerman, Daniel, DOp Family Medicine License: 5101015988 NPI: 1043366842 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Patnugot, Kristopher, DOp Family Medicine License: 5101020290 NPI: 1649614470 Gammons Medical 1223 S Washington Royal Oak, MI 48067 (248) 439-1060 Certification: Am Bd Preventive Med (Addiction Medicine) Group(s): Michigan Healthcare Professionals Pc - 1295023547

Patnugot, Kristopher, DOp Family Medicine License: 5101020290 NPI: 1649614470 Michigan Healthcare Prof Pc 1223 S Washington Royal Oak, MI 48067 (248) 439-6375 Mon-Fri 9:00am 5:00pm Certification: Am Bd Preventive Med (Addiction Medicine) Group(s): Michigan Healthcare Professionals Pc - 1295023547
Patrick, E, MDp Family Medicine License: 4301060218 NPI: 1215001722 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Pernick, Rebecca, DO Family Medicine License: 5101010408 NPI: 1285708792 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Phillips, Robert, MD Internal Medicine License: 4301047298 NPI: 1760443600 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1891702833

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

301

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Pierret, Alexandra, MDp Family Medicine License: 4301108401 NPI: 1376925131 Beaumont Professional Services 950 N Main St Royal Oak, MI 48067 (248) 543-8111 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Beaumont Professional Services Pc 1811044878
Pierret, Alexandra, MDp Family Medicine License: 4301108401 NPI: 1376925131 Oakwood Ambulatory Llc 950 North Main St. Royal Oak, MI 48067 (248) 543-8111 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oakwood Ambulatory Llc Pc 1003829441

Postell, Lonetta, MD Pediatric License: 4301103317 NPI: 1770826984 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Prasad, Sujatha, MDp Family Medicine License: 4301060650 NPI: 1942206545 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Prude Hall, Poala, MDp Family Medicine License: 4301058586 NPI: 1093889503 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Prude Hall, Poala, MDp Family Medicine License: 4301058586 NPI: 1093889503 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Pyc, Allison, NPp Family Nurse Practitioner License: 4704293878 NPI: 1487130985 Gammons Medical 1223 S Washington Royal Oak, MI 48067 (248) 439-1060 Group(s): Michigan Healthcare Professionals Pc - 1295023547
Pyc, Allison, NPp Family Nurse Practitioner License: 4704293878 NPI: 1487130985 Michigan Healthcare Prof Pc 1223 S Washington Royal Oak, MI 48067 (248) 439-6375 Mon-Fri 9:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Qamar, Shazia, MDp Family Medicine License: 4301085442 NPI: 1902015290 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Urdu Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351
Rochlen, Jeffrey, MDp Internal Medicine License: 4301070068 NPI: 1093746208 Beaumont Professional Services 1026 W Eleven Mile Rd Ste B Royal Oak, MI 48067 (248) 543-8111 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Rochlen, Jeffrey, MDp Internal Medicine License: 4301070068 NPI: 1093746208 Beaumont Professional Services 950 N Main St Royal Oak, MI 48067 (248) 543-8111 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Beaumont Professional Services Pc 1811044878
Rochlen, Jeffrey, MDp Internal Medicine License: 4301070068 NPI: 1093746208 Oakwood Ambulatory Llc 950 North Main St. Royal Oak, MI 48067 (248) 543-8111 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med, Am Board Pediatrics Group(s): Oakwood Ambulatory Llc Pc 1003829441

Roychoudhury, Promita, MDp Family Medicine License: 4301079465 NPI: 1083614002 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Hindi Group(s): Henry Ford Medical Center Fairlane - 1952485351
Rudraraju, Sudha, MD Pediatric License: 4301062364 NPI: 1568519379 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318

Schulte, Meg, NPp Primary Care Nurse Practitioner License: 4704210400 NPI: 1518427640 Michigan Healthcare Professionals Pc 1223 S Washington Ave Royal Oak, MI 48067 (248) 439-1060 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Shah, Kunjesh, MDp Family Medicine License: 4301090856 NPI: 1720287386 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (855) 805-5385 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Macomb Family Medicine - 1134265986
Siddiqi, Raffat, MD Pediatric License: 4301052229 NPI: 1003963810 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Hospital Pc - 1003990318

Stockard, Frances, MDp Family Medicine License: 4301071901 NPI: 1821162330 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Tata, Zakari, MDp Family Medicine License: 4301065399 NPI: 1871591313 Laz Medical Group 1202 Catalpa Dr Royal Oak, MI 48067 (248) 569-7550 Mon-Fri 9:00am 5:00pm Arabic, Hausa Group(s): Laz Medical Group
Ul Hassan, Jawad, DOp Family Medicine License: 5101020498 NPI: 1629417928 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Henry Ford Medical Center Fairlane - 1952485351

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Williams, Audley, MDp Family Medicine License: 4301104452 NPI: 1457564858 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (855) 805-5385 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Macomb Family Medicine - 1134265986

Winters, Frank, DOp Family Medicine License: 5101007800 NPI: 1093785941 Premier Physicians Care Pllc 123 S Main St Ste 260 Royal Oak, MI 48067 (248) 556-4450 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt, Am Os Bd Family Physicians (Hospice & Palliative Medicine) Group(s): Premier Physicians Care Pllc 1457591083
Workings, Michael, MDp Family Medicine License: 4301054636 NPI: 1942374467 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351

Workings, Michael, MDp Family Medicine License: 4301054636 NPI: 1942374467 Henry Ford Health System 26300 Woodward Ave Royal Oak, MI 48067 (248) 546-2110 Mon-Fri 8:00am 5:00pm Group(s): Henry Ford Medical Center Fairlane - 1952485351
Zimmer, Michael, MDp Family Medicine License: 4301094070 NPI: 1881825743 Henry Ford Health System 110 E 2nd St Royal Oak, MI 48067 (800) 436-7936 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

- 48073
Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 29480 Woodward Ave Royal Oak, MI 48073 (248) 541-9121 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Ati Physical Therapy 1669531166p Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 31372 Woodward Ave Royal Oak, MI 48073 (248) 591-4229 Mon-Sat 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Batah, Fouad, MDp Internal Medicine License: 4301060202 NPI: 1285618983 Michigan Healthcare Professionals, Pc 2033 Crooks Rd Royal Oak, MI 48073 (248) 543-2000 Mon-Fri 8:00am 5:00pm Arabic, French Group(s): Michigan Healthcare Professionals Pc - 1295023547
Bhogineni, Lalitha, MDp Internal Medicine License: 4301065478 NPI: 1366471021 Beaumont Professional Services 3535 W 13 Mile Rd Ste 447 Royal Oak, MI 48073 (248) 551-1281 Mon-Fri 9:00am 5:00pm Tamil, Telugu Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

Ehrmann, Paul, MDp Family Medicine License: 5101007918 NPI: 1417047762 Michigan Healthcare Professionals, Pc 2033 Crooks Rd Royal Oak, MI 48073 (248) 543-2000 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Espinosa, Aimee, MD Internal Medicine License: 4301090328 NPI: 1437349966 Beaumont Professional Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878
Gabbara, Sam, MDp Pediatric License: 4301076223 NPI: 1083709612 Botsford General Hospital Pc 3601 W 13 Mile Rd Royal Oak, MI 48073 (248) 898-5000 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947

George, Mumtaz, MDp Internal Medicine License: 4301038490 NPI: 1265523302 Birmingham Royal Oak Medical Group 5130 Coolidge Hwy Ste 105 Royal Oak, MI 48073 (248) 288-9500 Mon-Fri 9:00am 5:00pm Spanish, Arabic Certification: Am Bd Internal Med Group(s): Birmingham Royal Oak Med Group 1699907550
Gerhardt, Sara, MDp Internal Medicine License: 4301108011 NPI: 1437530516 Beaumont Professional Services 4949 Coolidge Hwy Royal Oak, MI 48073 (248) 655-5900 Mon-Fri 8:30am 4:00pm German Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

Gerhardt, Sara, MDp Internal Medicine License: 4301108011 NPI: 1437530516 Beaumont Weight Control Center 4949 Coolidge Highway Royal Oak, MI 48073 (248) 655-5900 Mon-Wed 8:00am 8:00pm, Thu 8:00am 5:00pm, Fri-Sat 8:00am 12:00pm German Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Gerhardt, Sara, MDp Internal Medicine License: 4301108011 NPI: 1437530516 Oakwood Ambulatory Llc 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 German Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Greenwell, Alyson, MDp Pediatric License: 4301118931 NPI: 1831548221 Botsford General Hospital Pc 3601 W 13 Mile Rd Royal Oak, MI 48073 (248) 898-5000 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Botsford General Hospital Pc 1437191947
Halalau, Alexandra, MD p Internal Medicine License: 4301085329 NPI: 1033324280 Beaumont Med Group Spec Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 598-5000 Mon-Fri 8:00am 5:00pm French, Romanian Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Halalau, Alexandra, MD p Internal Medicine License: 4301085329 NPI: 1033324280 Beaumont Professional Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 5:00pm French, Romanian Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Halalau, Alexandra, MD p Internal Medicine License: 4301085329 NPI: 1033324280 Oakwood Ambulatory Llc 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 French, Romanian Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441

Hanna, Raied, MDp Internal Medicine License: 4301084768 NPI: 1417125519 R Hanna Md Pllc 30701 Woodward Ave Ste 314 Royal Oak, MI 48073 (248) 288-6500 Mon-Fri 9:00am 4:00pm Arabic, Chaldean Certification: Am Bd Internal Med Group(s): R Hanna Md Pllc - 1124611249
Holtshouser, Taylor, PAp Physician Assistant License: 5601008395 NPI: 1205355773 Michigan Healthcare Prof Pc 3577 W 13 Mile Rd Ste 404 Royal Oak, MI 48073 (248) 551-6900 Mon-Fri 8:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Michigan Healthcare Professionals Pc - 1295023547

Jiddou Yaldoo, Renee, MDp Internal Medicine License: 4301090609 NPI: 1568662203 Beaumont Clinical Services 3601 W 13 Mile Rd Royal Oak, MI 48073 (248) 898-4100 Mon-Fri 8:30am 5:00pm Certification: Am Bd Internal Med (Infectious Disease) Group(s): Beaumont Professional Services Pc 1811044878
Jiddou Yaldoo, Renee, MDp Internal Medicine License: 4301090609 NPI: 1568662203 Beaumont Professional Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med (Infectious Disease) Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Karmo, Dillon, MDp Internal Medicine License: 4301117264 NPI: 1568811909 Beaumont Professional Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Karmo, Dillon, MDp Internal Medicine License: 4301117264 NPI: 1568811909 Oakwood Ambulatory Llc 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 Certification: Am Bd Internal Med Group(s): Oakwood Ambulatory Llc Pc 1003829441

Kelly, Amy, NPp Nurse Practitioner License: 4704246088 NPI: 1336463785 Beaumont Professional Services 3601 W 13 Mile Rd Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 9:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878
Lai, Beatrice, DOp Internal Medicine License: 5101025556 NPI: 1508386574 Michigan Healthcare Professionals 3601 W. 13 Mile Road Royal Oak, MI 48073 (248) 551-5000 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

Maddens, Nicholas, MDp Internal Medicine License: 4301094694 NPI: 1841420445 Beaumont Med Group Spec Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 598-5000 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Mermiges, Demetrios, MDp Internal Medicine License: 4301038263 NPI: 1063486736 Beaumont Outpatient Clinic 3535 W 13 Mile Rd Ste 205 Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 4:30pm Greek Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

Misra, Lynda, DOp Internal Medicine License: 5101011848 NPI: 1942225206 Beaumont Professional Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878
Mumtaz, Samar, MDp Internal Medicine License: 4301091757 NPI: 1346403243 Beaumont Professional Services 3601 W 13 Mile Rd Royal Oak, MI 48073 (248) 964-5880 Mon-Fri 9:00am 5:00pm Urdu Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Ostro-Brown, Helen, MD p Family Medicine License: 4301055741 NPI: 1215027578 Michigan Healthcare Professionals, Pc 2033 Crooks Rd Royal Oak, MI 48073 (248) 543-2000 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Pai, Ram, MDp Internal Medicine License: 4301091740 NPI: 1255594156 Beaumont Med Group Spec Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 598-5000 Mon-Fri 8:00am 5:00pm Hindi Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Pai, Ram, MDp Internal Medicine License: 4301091740 NPI: 1255594156 Beaumont Professional Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 5:00pm Hindi Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Raam, Sumitra, MDp Internal Medicine License: 4301072072 NPI: 1689603342 Beaumont Professional Services 3535 W 13 Mile Rd Ste 447 Royal Oak, MI 48073 (248) 551-1281 Mon-Fri 9:00am 5:00pm Hindi, Kannada, Tamil Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

Sadik, Tania, MDp Internal Medicine License: 4301087825 NPI: 1073728747 Beaumont Professional Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 5:00pm Chaldean Group(s): Beaumont Professional Services Pc 1811044878
Shoichet, Sandor, MDp Internal Medicine License: 4301053749 NPI: 1093776726 Beaumont Med Group Spec Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 598-5000 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Shoichet, Sandor, MDp Internal Medicine License: 4301053749 NPI: 1093776726 Beaumont Outpatient Clinic 3535 W 13 Mile Rd Ste 205 Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 4:30pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Smyth, Mary, MDp Pediatric License: 4301050699 NPI: 1497716229 Beaumont Med Group Spec Services 3535 W 13 Mile Rd Ste Ll Royal Oak, MI 48073 (248) 598-5000 Mon-Fri 8:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878, Beaumont Medical Group Hospital Based Services 1427567858

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Smyth, Mary, MD Pediatric License: 4301050699 NPI: 1497716229 Beaumont Outpatient Clinic 3535 W 13 Mile Rd Ste 205 Royal Oak, MI 48073 (248) 551-3000 Mon-Fri 8:00am 4:30pm Group(s): Beaumont Professional Services Pc 1811044878
Urek, Katherine, MDp Family Medicine License: 5101018733 NPI: 1760794721 Beaumont Professional Services 3601 W 13 Mile Rd Royal Oak, MI 48073 (248) 964-5880 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

Yaldo, Suhad, MDp Pediatric License: 4301076166 NPI: 1164404224 Childrens Care Medical Center 30701 Woodward Ave Ste S301 Royal Oak, MI 48073 (248) 541-2222 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Board Pediatrics Group(s): Wellness Pediatrics - 1972014074
SOUTH LYON - 48178
Akhtar, Jabir, MD Family Medicine License: 4301099883 NPI: 1932468881 American Ambulatory Physicians Pllc 22316 Pontiac Trl South Lyon, MI 48178 (248) 437-0086 Mon-Sun 9:00am 9:00pm Group(s): American Ambulatory Physicians Pllc - 1437407483

Ali, Nasir, MD Internal Medicine License: 4301069965 NPI: 1881629723 American Ambulatory Physicians Pllc 22316 Pontiac Trl South Lyon, MI 48178 (248) 437-0086 Mon-Sun 9:00am 9:00pm Certification: Am Bd Internal Med Group(s): American Ambulatory Physicians Pllc - 1437407483
Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 22450 Pontiac Trail South Lyon, MI 48178 (248) 486-1110 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166
Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 25700 Pontiac Trail South Lyon, MI 48178 (248) 446-2801 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

Bartell, Stacey, MDp Family Medicine License: 4301070166 NPI: 1669476933 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963
Billes, Marsha, DOp Family Medicine License: 5101010572 NPI: 1376679399 Envision Medical Group Pllc 12660 Ten Mile Rd South Lyon, MI 48178 (248) 348-1131 Mon,Wed-Fri 8:00am 5:00pm, Tue 8:00am 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Envision Medical Group Pc 1578891750

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

309

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Carney, Lauren, MDp Family Medicine License: 5101025258 NPI: 1063949121 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Providence Hospital Med Center Pc - 1538123963
Childs, Jacquelene, MDp Family Medicine License: 4301105955 NPI: 1174822506 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963

Dolson, Michelle, NPp Family Nurse Practitioner License: 4704186908 NPI: 1598048464 Avalon Consultants Pllc 52365 10 Mile Rd South Lyon, MI 48178 (888) 882-3783 Mon-Fri 8:00am 5:00pm Group(s): Avalon Consultants Pllc 1265859920
Ezzat, Samir, MD Family Medicine License: 4301079804 NPI: 1649285131 American Ambulatory Physicians Pllc 22316 Pontiac Trl South Lyon, MI 48178 (248) 437-0086 Mon-Sun 9:00am 9:00pm Arabic Certification: Am Board Family Medicine Group(s): American Ambulatory Physicians Pllc - 1437407483

Fulbright, Nikolaus, MD p Family Medicine License: 4301098657 NPI: 1235426966 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963
Leikert, Eric, DOpq Family Medicine License: 5101019116 NPI: 1942592951 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital Med Center Pc - 1538123963

Mackool, Alaina, PAp Physician Assistant License: 5601009697 NPI: 1083258412 Healthy Primary Care 22990 Pontiac Trail South Lyon, MI 48178 (248) 865-7481 Mon-Sun 8:00am 8:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Healthy Primary Care 1386889954
Patel, Neetaben, MD Family Medicine License: 4301083183 NPI: 1174616197 American Ambulatory Physicians Pllc 22316 Pontiac Trl South Lyon, MI 48178 (248) 437-0086 Mon-Sun 9:00am 9:00pm Group(s): American Ambulatory Physicians Pllc - 1437407483

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Powell, Austin, PAp Physician Assistant License: 5601009517 NPI: 1215586656 Healthy Primary Care 22990 Pontiac Trail South Lyon, MI 48178 (248) 865-7481 Mon-Sun 8:00am 8:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Healthy Primary Care 1386889954
Powers, Lauren, DOp Family Medicine License: 5101020275 NPI: 1982049003 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Providence Hospital Med Center Pc - 1538123963

Rumschlag, Martha, MD pq Family Medicine License: 4301071566 NPI: 1447251368 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963
Sarafa, Gary, MDp Family Medicine License: 4301075307 NPI: 1174697684 Avalon Consultants Pllc 52365 10 Mile Rd South Lyon, MI 48178 (888) 882-3783 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Avalon Consultants Pllc 1265859920

Shepard, Amy, DOp Family Medicine License: 5101016885 NPI: 1093837718 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Providence Hospital Med Center Pc - 1538123963
Soni, Emily, DOp Family Medicine License: 5101020219 NPI: 1427292945 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Providence Hospital Med Center Pc - 1538123963

Stechow, Renee, NPp Family Nurse Practitioner License: 4704234170 NPI: 1104185693 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital Med Center Pc - 1538123963
Stein, Randall, PAp Physician Assistant License: 5601001332 NPI: 1033110069 Providence Hosp And Medical Ctr S Lyon Medical Ctr 210 N Lafayette South Lyon, MI 48178 (248) 437-1744 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital Med Center Pc - 1538123963

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Proveedores de atención primaria (PCP)
Condado de Oakland continuación

SOUTHFIELD - 48033
Ahmad, Mutahhar, MDp Family Medicine License: 4301065663 NPI: 1134168388 Prime Health Care 22972 Lahser Rd Southfield, MI 48033 (248) 353-4777 Mon,Thu 8:30am 4:30pm, Wed 8:30am 5:30pm, Fri 8:30am 12:30pm Punjabi, Urdu Certification: Am Board Family Medicine Group(s): Prime Health Care -1518059914
Ahmad, Mutahhar, MDp Family Medicine License: 4301065663 NPI: 1134168388 Southfield Family Practice Llc 22972 Lahser Rd Southfield, MI 48033 (248) 353-4777 Tue 9:00am - 4:30pm Punjabi, Urdu Certification: Am Board Family Medicine Group(s): Southfield Family Practice Llc 1306195730

Austin, Latoya, MDp Family Medicine License: 4301100864 NPI: 1760745434 Oihn Plum Hollow Center 22200 W Nine Mile Rd Southfield, MI 48033 (248) 359-8778 Mon-Tue 8:30am 5:00pm, Fri 10:00am 5:00pm Certification: Am Board Family Medicine Group(s): Oihn Family Medicine Center Pc 1316214299, Oihn Plum Hollow Center Pc ­ 1083965065
Claiborue, Deirdre, MDp Family Medicine License: 4301066401 NPI: 1114091626 Oihn Plum Hollow Center 22200 W Nine Mile Rd Southfield, MI 48033 (248) 359-8778 Mon-Tue 8:30am 5:00pm, Fri 10:00am 5:00pm Group(s): Oihn Plum Hollow Center Pc ­ 1083965065

- 48034
Abbott, Valerie, MDp Internal Medicine License: 4301060096 NPI: 1740289487 Abbott Medical Group 27211 Lahser Rd Ste 202 Southfield, MI 48034 (248) 742-0400 Mon 10:00am - 6:00pm, Tue,Thu 9:00am 4:00pm, Fri 9:00am 1:00pm, Sat 9:00am 12:00pm Certification: Am Bd Internal Med Group(s): Abbott Medical Group
Alchakaki, Abdulrazak, MDp Internal Medicine License: 4301094495 NPI: 1407088123 A I M S Clinic 28411 Northwestern Hwy Ste 1050 Southfield, MI 48034 (248) 354-4709 Mon,Wed-Fri 7:00am 7:00pm, Tue 7:00am 7:30pm Arabic Certification: Am Bd Internal Med, Am Bd Internal Med (Critical Care Medicine) Group(s): Academic Internal Medicine Specialist - 1346398971

Alsaadi, Ali, MDp Internal Medicine License: 4301082560 NPI: 1912941477 Ali Alsaadi Md Pc 26206 W 12 Mile Rd Ste 105 Southfield, MI 48034 (248) 200-3715 Mon-Fri 9:00am 5:00pm, Sat 10:00am 3:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213
Ati Physical Therapy -
1669531166 Physical Therapy Clinic NPI: 1669531166 Ati Physical Therapy 29275 Northwestern Hwy Ste 150 Southfield, MI 48034 (248) 351-6300 Mon-Fri 7:00am 7:00pm Certification: Cms Medicare Certification Group(s): Ati Physical Therapy - 1669531166

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Batah, Fouad, MDp Internal Medicine License: 4301060202 NPI: 1285618983 Michigan Healthcare Prof Pc 29877 Telegraph Rd Ste 200 Southfield, MI 48034 (248) 354-0730 Mon-Fri 8:30am 5:00pm Arabic, French Group(s): Michigan Healthcare Professionals Pc - 1295023547
Bouier, Arthur, DOp Internal Medicine License: 5101007369 NPI: 1649292269 Platinum Care Physicians Pc 27207 Lahser Rd Ste 250 Ste 250 Southfield, MI 48034 (248) 967-3200 Mon-Thu 8:00am 5:00pm, Fri-Sat 8:00am 3:00pm Certification: Am Os Bd Internal Medicine Group(s): Platinum Care Physicians Pc

Carouba, Izzat, MDp Internal Medicine License: 4301079695 NPI: 1164517769 Michigan Healthcare Prof Pc 29877 Telegraph Rd Ste 200 Southfield, MI 48034 (248) 354-0730 Mon-Fri 8:30am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547
Carouba, Izzat, MDp Internal Medicine License: 4301079695 NPI: 1164517769 Michigan Healthcare Professionals Pc 29877 Telegraph Rd Ste 200 Southfield, MI 48034 (248) 356-7383 Mon-Fri 8:00am 5:00pm Group(s): Michigan Healthcare Professionals Pc - 1295023547

Citron, Alissa, DOp Family Medicine License: 5101014828 NPI: 1487638755 Beaumont Professional Services 29355 Northwestern Hwy Southfield, MI 48034 (248) 223-9650 Mon-Fri 9:00am 5:00pm Spanish, Hebrew Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878
Eburuche, Reginald, MD p Internal Medicine License: 4301080385 NPI: 1932189958 Home Visit Md Llc 26206 W 12 Mile Rd Ste 302 Southfield, MI 48034 (248) 440-6090 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Home Visit Md Llc

Elias, Marisa, MD Pediatric License: 4301108364 NPI: 1326422908 Henry Ford Hospital 22777 W Eleven Mile Rd Southfield, MI 48034 (248) 386-5200 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Gierer, Jacqueline, DOp Internal Medicine License: 5101019680 NPI: 1285997106 Beaumont Internists Of Farmington Hills 29355 Northwestern Hwy Ste 210 Southfield, MI 48034 (248) 223-9650 Mon-Fri 9:00am 5:00pm Spanish Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Goldberg, Howard, MDp Internal Medicine License: 4301024252 NPI: 1386634616 Beaumont Professional Services 29355 Northwestern Hwy Southfield, MI 48034 (248) 223-9650 Mon-Fri 9:00am 5:00pm Spanish Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Hanna Johnson, Melanie, MDp Internal Medicine License: 4301406391 NPI: 1972543437 University Physician Group 26400 W 12 Mile Rd Ste 111 Southfield, MI 48034 (248) 357-4151 Mon-Fri 8:00am 5:00pm Group(s): Wayne Health Pc - 1447299797

Hanna Johnson, Melanie, MDp Internal Medicine License: 4301406391 NPI: 1972543437 University Physician Group 26400 W 12 Mile Rd Ste 145 Southfield, MI 48034 (248) 263-3606 Mon-Fri 8:00am 5:00pm Group(s): Wayne Health Pc - 1447299797
Ibrahim, Dina, MD Family Medicine License: 4301098221 NPI: 1134412679 Henry Ford Hospital 22777 W Eleven Mile Rd Southfield, MI 48034 (248) 386-5200 Mon-Fri 8:00am 5:00pm Spanish, Arabic Certification: Am Board Family Medicine Group(s): Henry Ford Medical Center Fairlane - 1952485351

Joe Jr, Lonnie, MDp Internal Medicine License: 4301041589 NPI: 1972657260 Vhs Physicians Of Michigan Inc Pc 29201 Telegraph Rd Ste 460 Southfield, MI 48034 (248) 450-3507 Mon-Fri 8:00am 5:00pm Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Johnson, Amos, MDp Internal Medicine License: 4301051658 NPI: 1801805270 Amos C Johnson Md Pc 29877 Telegraph Rd Ste 300 Southfield, MI 48034 (248) 327-4322 Mon-Tue,Thu-Fri 9:00am - 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Amos C Johnson Md Pc 1891957965

Johnson, Tisa, MD Pediatric License: 4301075433 NPI: 1134276934 Henry Ford Health System 22777 W Eleven Mile Rd Southfield, MI 48034 (313) 916-4665 Mon-Fri 8:00am 5:00pm Certification: Am Board Pediatrics Group(s): Henry Ford Hospital Pc - 1003990318
Karmo, Dillon, MDp Internal Medicine License: 4301117264 NPI: 1568811909 Beaumont Professional Services 29355 Northwestern Hwy Ste 210 Southfield, MI 48034 (248) 356-7726 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Khaira, Ravinder, MD Internal Medicine License: 4301047822 NPI: 1467520916 Henry Ford Hospital 22777 W Eleven Mile Rd Southfield, MI 48034 (248) 386-5200 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Henry Ford Hospital Pc - 1891702833
Krishnamoorthy, Geetha, MDp Internal Medicine License: 4301062031 NPI: 1790723625 A I M S Clinic 28411 Northwestern Hwy Ste 1050 Southfield, MI 48034 (248) 354-4709 Mon,Wed-Fri 7:00am 7:00pm, Tue 7:00am 7:30pm Group(s): Academic Internal Medicine Specialist - 1346398971

Krishnamoorthy, Madhumitha, MDp Family Medicine License: 4301105135 NPI: 1124438445 Vhs Physicians Of Michigan 27211 Lahser Rd Ste 205 Southfield, MI 48034 (248) 809-1001 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Lacerna, Charlton, MDp Family Medicine License: 4301116455 NPI: 1235373135 Vhs Physicians Of Michigan 27211 Lahser Rd Ste 205 Southfield, MI 48034 (248) 809-1001 Mon-Fri 9:00am 5:00pm Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

Lauder, Nehman, MDp Family Medicine License: 4301062328 NPI: 1407803075 University Physician Group 26400 W 12 Mile Rd Ste 111 Southfield, MI 48034 (248) 357-4151 Mon-Fri 8:00am 5:00pm Spanish Group(s): Wayne Health Pc - 1447299797
Lerner, Sandra, DOp Family Medicine License: 5101015209 NPI: 1225018781 Beaumont Professional Services 29355 Northwestern Hwy Southfield, MI 48034 (248) 223-9650 Mon-Fri 9:00am 5:00pm Spanish Certification: Am Os Bd Family Physicians & Omt Group(s): Beaumont Professional Services Pc 1811044878

Maddox, Aaron, MDp Internal Medicine License: 4301038283 NPI: 1235143777 Vhs Physicians Of Michigan Inc Pc 29201 Telegraph Rd 404S Southfield, MI 48034 (248) 450-3507 Certification: Am Bd Internal Med Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Mahmood, Fazleomar, MDp Internal Medicine License: 4301080247 NPI: 1275585200 A I M S Clinic 28411 Northwestern Hwy Ste 1050 Southfield, MI 48034 (248) 354-4709 Mon,Wed-Fri 7:00am 7:00pm, Tue 7:00am 7:30pm Punjabi, Urdu Group(s): Academic Internal Medicine Specialist - 1346398971

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Mataverde, Alex, MDp Internal Medicine License: 4301031512 NPI: 1821161621 Michigan Home Physician Service Pllc 26645 W 12 Mile Rd Southfield, MI 48034 (248) 327-7326 Mon-Fri 9:00am 5:00pm Tagalog Certification: Am Bd Internal Med Group(s): Michigan Home Physician Service Pllc
Matthews, O L, MDp Internal Medicine License: 4301038649 NPI: 1225096050 Annapolis Medical Specialty Center 29201 Telegraph Rd Ste 400 Southfield, MI 48034 (248) 949-9888 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Annapolis Medical Specialty Center - 1295975233

Ompt Specialists Inc 1205865961p Physical Therapy Clinic NPI: 1205865961 Ompt Specialists Inc 29255 Northwestern Hwy Ste 300 Ste 300 Southfield, MI 48034 (248) 353-1234 Mon-Fri 7:00am 7:00pm, Sat 8:00am 12:30pm Group(s): Ompt Specialists Inc 1205865961
Pace, Kelley, NPp Family Nurse Practitioner License: 4704300074 NPI: 1184286072 Ali Alsaadi Md Pc 26206 W 12 Mile Rd Ste 105 Southfield, MI 48034 (248) 200-3715 Mon-Fri 9:00am 5:00pm, Sat 10:00am 3:00pm Certification: American Academy Of Nurse Practitioners Group(s): Providence Hospital And Med Center Pc - 1922063213

Pai, Ram, MDp Internal Medicine License: 4301091740 NPI: 1255594156 Beaumont Oakland Co Internists 29355 Northwestern Hwy Ste 302 Southfield, MI 48034 (248) 356-7726 Mon-Fri 9:00am 5:00pm Hindi Certification: Am Bd Internal Med Group(s): Beaumont Professional Services Pc 1811044878
Parker, Jeffrey, MDp Internal Medicine License: 4301029520 NPI: 1689650889 Michigan Healthcare Prof Pc 29877 Telegraph Rd Ste 200 Southfield, MI 48034 (248) 354-0730 Mon-Fri 8:30am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547

Pinelis, Susanna, MDp Family Medicine License: 4301092575 NPI: 1558525352 Michigan Healthcare Prof Pc 29877 Telegraph Rd Ste 200 Southfield, MI 48034 (248) 354-0730 Mon-Fri 8:30am 5:00pm Russian Group(s): Michigan Healthcare Professionals Pc - 1295023547
Poupard, Danielle, NPp Nurse Practitioner License: 4704292842 NPI: 1114420528 Ali Alsaadi Md Pc 26206 W 12 Mile Rd Ste 105 Southfield, MI 48034 (248) 200-3715 Mon-Fri 9:00am 5:00pm, Sat 10:00am 3:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Procare Physical Therapy
& Rehabilitation Inc Physical Therapy Clinic NPI: 1619179884 Procare Physical Therapy & Rehabilitation 26699 W 12 Mile Rd Ste 202 Southfield, MI 48034 (248) 353-3260 Mon-Fri 8:30am 4:30pm Group(s): Procare Physical Therapy & Rehabilitation Inc
Raheem, Shaheena, DOp Internal Medicine License: 5101017985 NPI: 1023265014 University Physician Group 26400 W 12 Mile Rd Ste 111 Southfield, MI 48034 (248) 357-4151 Mon-Fri 8:00am 5:00pm Arabic, Punjabi, Urdu Certification: Am Bd Internal Med Group(s): Wayne Health Pc - 1447299797

Raheem, Shaheena, DOp Internal Medicine License: 5101017985 NPI: 1023265014 University Physician Group 26400 W 12 Mile Rd Ste 145 Southfield, MI 48034 (248) 263-3606 Mon-Fri 8:00am 5:00pm Arabic, Punjabi, Urdu Certification: Am Bd Internal Med Group(s): Wayne Health Pc - 1447299797
Ramesh, Sindhu, MDp Internal Medicine License: 4301079778 NPI: 1396730206 A I M S Clinic 28411 Northwestern Hwy Ste 1050 Southfield, MI 48034 (248) 354-4709 Mon,Wed-Fri 7:00am 7:00pm, Tue 7:00am 7:30pm Group(s): Academic Internal Medicine Specialist - 1346398971

Rozencweig, Harry, MDp Internal Medicine License: 4301038949 NPI: 1558346122 Michigan Healthcare Prof Pc 28625 Northwestern Hwy Ste 243 Southfield, MI 48034 (248) 358-2310 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michigan Healthcare Professionals Pc - 1295023547
Sadik, Tania, MDp Internal Medicine License: 4301087825 NPI: 1073728747 Beaumont Internists Of Farmington Hills 29355 Northwestern Hwy Ste 210 Southfield, MI 48034 (248) 223-9650 Mon-Fri 9:00am 5:00pm Chaldean Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441

Sadik, Tania, MDp Internal Medicine License: 4301087825 NPI: 1073728747 Beaumont Oakland Co Internists 29355 Northwestern Hwy Ste 302 Southfield, MI 48034 (248) 356-7726 Mon-Fri 9:00am 5:00pm Chaldean Group(s): Beaumont Professional Services Pc 1811044878
Sadik, Tania, MDp Internal Medicine License: 4301087825 NPI: 1073728747 Beaumont Professional Services 29355 Northwestern Hwy Ste 210 Southfield, MI 48034 (248) 356-7726 Mon-Fri 8:00am 5:00pm Chaldean Group(s): Beaumont Professional Services Pc 1811044878

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Sankar, Shobana, MDp Internal Medicine License: 4301109148 NPI: 1093153900 A I M S Clinic 28411 Northwestern Hwy Ste 1050 Southfield, MI 48034 (248) 354-4709 Mon,Wed-Fri 7:00am 7:00pm, Tue 7:00am 7:30pm Group(s): Academic Internal Medicine Specialist - 1346398971
Skrzynski, Adam, MDp Internal Medicine License: 4301096401 NPI: 1245542836 Beaumont Professional Services 29355 Northwestern Hwy Ste 210 Southfield, MI 48034 (248) 356-7726 Mon-Fri 8:00am 5:00pm Russian Certification: Am Bd Internal Med (Infectious Disease) Group(s): Beaumont Professional Services Pc 1811044878

Soskina, Yeva, MDp Internal Medicine License: 4301065439 NPI: 1992716781 Yeva Soskina Md 29355 Northwestern Hwy Ste 120 Southfield, MI 48034 (248) 352-5200 Mon-Tue,Fri 9:00am 1:30pm, Wed 11:00am 5:00pm Russian Certification: Am Bd Internal Med Group(s): Yeva Soskina Md
Sreenivasan, Anuradha, DOp Internal Medicine License: 5101020402 NPI: 1922442862 Academic Internal Medicine Specialist 28411 Northwestern Hwy Ste 1050 Southfield, MI 48034 (248) 354-4709 Mon-Fri 8:00am 6:00pm Group(s): Academic Internal Medicine Specialist - 1346398971

Stallings, Zakiya, DO Internal Medicine License: 5101025785 NPI: 1508390576 Henry Ford Health System 22777 W Eleven Mile Rd Southfield, MI 48034 (313) 916-4665 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Internal Medicine Group(s): Henry Ford Hospital Pc - 1891702833
Stone Ii, Edwin, MDp Internal Medicine License: 4301061154 NPI: 1548373301 Md House Calls Pllc 27177 Lahser Rd Ste 100 Southfield, MI 48034 (248) 440-2250 Mon-Thu 8:00am 5:00pm Group(s): Md House Calls Pllc
Tajuddin, Syed, MDp Family Medicine License: 4301108853 NPI: 1700228038 Physician Universe Pllc 28300 Franklin Rd Ste 100 Southfield, MI 48034 (248) 973-3660 Mon-Fri 8:00am 5:00pm Certification: Am Board Family Medicine Group(s): Physician Universe Pllc 1023435856

Tidalgo, Ralph, MDp Internal Medicine License: 4301045963 NPI: 1427168525 Michigan Home Physician Service Pllc 26645 W 12 Mile Rd Southfield, MI 48034 (248) 327-7326 Mon-Fri 9:00am 5:00pm Spanish, Tagalog Certification: General Practice Group(s): Michigan Home Physician Service Pllc
Turlo, Gerald, MDp Internal Medicine License: 4301047021 NPI: 1104863190 University Physician Group 26400 W 12 Mile Rd Ste 111 Southfield, MI 48034 (248) 357-4151 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Wayne Health Pc - 1447299797

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Uroda, Lauren, MDp Family Medicine License: 4301117019 NPI: 1841687894 Vhs Physicians Of Michigan Inc Pc 29201 Telegraph Rd 404S Southfield, MI 48034 (248) 450-3507 Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Uroda, Lauren, MDp Family Medicine License: 4301117019 NPI: 1841687894 Vhs Physicians Of Michigan Inc Pc 29201 Telegraph Rd Ste 460 Southfield, MI 48034 (248) 450-3507 Mon-Fri 8:00am 5:00pm Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101
Uroda, Lauren, MDp Family Medicine License: 4301117019 NPI: 1841687894 Vhs Physicians Of Michigan Inc Pc 29201 Telegraph Rd Ste 460 Southfield, MI 48034 (248) 450-3507 Mon-Tue,Thu-Fri 8:00am - 5:00pm, Wed 9:00am - 5:00pm Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

Warren, Erin, MDp Internal Medicine License: 4301119366 NPI: 1699122382 Beaumont Internists Of Farmington Hills 29355 Northwestern Hwy Ste 210 Southfield, MI 48034 (248) 223-9650 Mon-Fri 9:00am 5:00pm Group(s): Beaumont Professional Services Pc 1811044878, Oakwood Ambulatory Llc Pc 1003829441
Wheatley, Natakki, MDp Family Medicine License: 4301116381 NPI: 1225423031 Vhs Physicians Of Michigan 27211 Lahser Rd Ste 205 Southfield, MI 48034 (248) 809-1001 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Vhs Physicians Of Michigan Inc Pc 1073827101

- 48075
Affas, Saif, MDp Internal Medicine License: 4301112145 NPI: 1477080752 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Ahsan, Samira, MDpq Internal Medicine License: 4301071802 NPI: 1861469207 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213

Anderson, Kameka, MDp Family Medicine License: 4704361037 NPI: 1285982306 Sylmara Evelyn Chatman Md 17603 W Ten Mile Rd Southfield, MI 48075 (248) 569-8420 Mon-Tue,Fri 9:00am 5:00pm, Wed 9:00am 2:00pm, Thu 9:00am 2:30pm Group(s): Sylmara Evelyn Chatman Md 1831413749
Baker, Michelle, PApq Physician Assistant License: 5601003496 NPI: 1477557734 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: National Commission On Certification Of Physician Assistants Group(s): Providence Hospital Med Center Pc - 1538123963

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Barber, Patricia, MDpq Family Medicine License: 4301068017 NPI: 1396747499 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital Med Center Pc - 1538123963
Camara, Robert, DOp Family Medicine License: 5101013444 NPI: 1942207931 Providence Hospital And Med Center Pc 16001 W 9 Mile Rd Southfield, MI 48075 (248) 471-4777 Mon-Fri 8:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Providence Hospital And Med Center Pc - 1922063213

Capatina Rata, Ana Maria, MDpq Internal Medicine License: 4301085696 NPI: 1780801332 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Chatman, Sylmara, MDp Family Medicine License: 4301055117 NPI: 1508951633 Sylmara Evelyn Chatman Md 17603 W Ten Mile Rd Southfield, MI 48075 (248) 569-8420 Mon-Tue,Fri 9:00am 5:00pm, Wed 9:00am 2:00pm, Thu 9:00am 2:30pm Group(s): Sylmara Evelyn Chatman Md 1831413749

Cheng, Peggy, MDpq Internal Medicine License: 4301070972 NPI: 1760467104 Sudhir Walavalkar Md 22255 Greenfield Rd Ste 280 Southfield, MI 48075 (248) 849-4990 Mon-Fri 8:00am 4:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213
Chintalapally, Radhika, MDpq Family Medicine License: 4301086143 NPI: 1326251620 Providence Hospital And Med Center Pc 16001 W 9 Mile Rd Southfield, MI 48075 (248) 471-4777 Mon-Fri 8:00am 5:00pm Hindi Group(s): Providence Hospital And Med Center Pc - 1922063213
Coumarbatch, Jira, MDp Family Medicine License: 4301077874 NPI: 1215974753 Superior Family Medicine Center Pc 23077 Greenfield Rd Ste 460 Southfield, MI 48075 (248) 395-6312 Group(s): Superior Family Medicine Center Pc - 1861728362

Daniels, Demetris, NPp Nurse Practitioner License: 4704227963 NPI: 1215412416 Rsmd Pllc 20755 Greenfield Rd Ste 100 Southfield, MI 48075 (248) 557-0507 Mon-Fri 8:00am 5:00pm Group(s): Rsmd Pllc Pc 1053663575
Deen, Braswell, MDpq Family Medicine License: 4301064835 NPI: 1003810839 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Downeybiechler, Christina, DOpq Family Medicine License: 5101021175 NPI: 1568875797 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963
Duncan, Norah, MDp Family Medicine License: 4301100933 NPI: 1144583832 Epic Primary Care Pllc 18900 W 10 Mile Rd Southfield, MI 48075 (248) 278-0961 Mon-Fri 9:00am 5:00pm Group(s): Epic Primary Care Pllc - 1811226749

Edison, Raymond, MDp Internal Medicine License: 4301037643 NPI: 1679782346 Edison Health Care Associates Inc 20755 Greenfield Rd Ste 107 Southfield, MI 48075 (248) 557-1753 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Edison Health Care Associates Inc
Ellison Jr, Leonard, MD p Internal Medicine License: 4301068024 NPI: 1679575328 Leonard E Ellison Jr Md Pc 17330 Northland Park Ct Ste 100 Ste 100 Southfield, MI 48075 (248) 552-9500 Mon-Thu 9:00am 5:00pm, Fri 9:00am 3:00pm Certification: Am Bd Internal Med Group(s): Leonard E Ellison Jr Md Pc

Ellison, Francine, NPp Nurse Practitioner License: 4704194653 NPI: 1194103390 Leonard E Ellison Jr Md Pc 17330 Northland Park Ct Ste 100 Ste 100 Southfield, MI 48075 (248) 552-9500 Mon-Thu 9:00am 5:00pm, Fri 9:00am 3:00pm Group(s): Leonard E Ellison Jr Md Pc
Eubanks, Prince, MDp Internal Medicine License: 4301044813 NPI: 1841391323 Prince J Eubanks Md Pc 17330 Northland Pk Ct Southfield, MI 48075 (248) 569-1045 Mon-Fri 12:00pm 4:00pm Group(s): Prince J Eubanks Md Pc 1407957988
Foggio, Jennifer, NPp Family Nurse Practitioner License: 4704287394 NPI: 1740649680 Ark Multispecialty Phys Pllc 25130 Southfield Rd Ste 105 Southfield, MI 48075 (248) 234-6790 Mon-Fri 8:00am 4:00pm Group(s): Ark Multispecialty Physicians Pllc - 1598112567

Foggio, Jennifer, NPp Family Nurse Practitioner License: 4704287394 NPI: 1740649680 Ark Multispecialty Physicians Pllc 25130 Southfield Rd Ste 230 Ste 230 Southfield, MI 48075 (248) 234-6790 Mon-Fri 9:00am 5:00pm Group(s): Ark Multispecialty Physicians Pllc - 1598112567
Folden, Giacomo, DOpq Family Medicine License: 5101021551 NPI: 1215310073 Hb Amg Covid 16001 W Nine Mile Rd Southfield, MI 48075 (248) 849-3000 Certification: Am Os Bd Family Physicians & Omt Group(s): Ascension Medical Group Michigan Pc 1174537500

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Francis, Kwame, MDpq Family Medicine License: 4301090938 NPI: 1841470481 Providence Park Hospital 16001 W 9 Mile Rd Southfield, MI 48075 (248) 849-5806 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Ascension St John Hospital Pc 1457663197
Ghassan, Alan, MDpq Internal Medicine License: 4301081430 NPI: 1760450811 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213

Ghassan, Alan, MDpq Internal Medicine License: 4301081430 NPI: 1760450811 Alan T Ghassan, Md 22250 Providence Dr Ste 260 Southfield, MI 48075 (248) 476-0660 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922
Gray, Jasmine, DOp Pediatric License: 5101025694 NPI: 1033643721 Detroit Wayne County Health Authority 23077 Greenfield Rd Ste 200 Southfield, MI 48075 (248) 281-3215 Mon-Tue,Thu 9:00am 5:30pm, Wed,Fri 9:00am - 5:00pm Certification: Am Board Pediatrics Group(s): Detroit Wayne County Health Authority - 1962733089

Hamze, Abbass, NPp Nurse Practitioner License: 4704313441 NPI: 1952945529 Home Visiting Doctors Pllc Pc 24450 Evergreen Rd Ste 215 Southfield, MI 48075 (248) 996-8076 Mon-Fri 8:00am 4:00pm, Sat 8:00am 1:00pm Arabic Group(s): Home Visiting Doctors Pllc Pc 1134660376
Haney, James, DOp Family Medicine License: 5101005593 NPI: 1184782138 Health Centers Detroit Medical Group Pc 23077 Greenfield Ste 400 Southfield, MI 48075 (313) 822-9801 Mon-Fri 8:30am 5:30pm, Sat 9:00am 12:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Health Centers Detroit Medical Group Pc - 1770657785

Heffernan, Jeremy, MDp q Internal Medicine License: 4301500220 NPI: 1689129702 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Hrabovsky, Julie, MDpq Pediatric License: 4301107593 NPI: 1912393398 St John Providence Physicians Cmg 22255 Greenfield Rd Southfield, MI 48075 (844) 576-9226 Certification: Am Board Pediatrics Group(s): Ascension Michigan Cmg 1851765374

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Hudson, Jessica, DOpq Family Medicine License: 5101024622 NPI: 1144671082 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Providence Hospital Med Center Pc - 1538123963
Ice, Anne Mare, MDp Pediatric License: 4301031683 NPI: 1902839764 Anne Mare Ice Md Pc 23077 Greenfield Rd Ste 200 Southfield, MI 48075 (248) 281-3250 Mon-Tue,Thu 8:30am 5:30pm, Wed,Fri 8:30am - 5:00pm Certification: Am Board Pediatrics Group(s): Anne Mare Ice Md Pc

Iskenderian, Ziyad, MDp q Internal Medicine License: 4301098933 NPI: 1588956254 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Israel, Nejla, MDpq Family Medicine License: 4301065962 NPI: 1821045311 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Arabic, Chaldean Group(s): Providence Hospital Med Center Pc - 1538123963

Johnson, Camille, MDp Internal Medicine License: 4301061672 NPI: 1558337147 Healing Hands Family Health Center 23077 Greenfield Rd Southfield, MI 48075 (586) 625-0781 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Healing Hands Family Health Center Pc - 1942244785
Klemptner, Vladimir, MD p Internal Medicine License: 4301040168 NPI: 1396739975 Vk Internal Medicine Pc 24777 Greenfield Rd Southfield, MI 48075 (248) 559-1950 Mon,Wed,Fri 11:30am 1:30pm Russian Certification: Am Bd Internal Med Group(s): Vk Internal Medicine Pc

Klemptner, Vladimir, MD p Internal Medicine License: 4301040168 NPI: 1396739975 Vladimir Klemptner Md Pc 24777 Greenfield Rd Southfield, MI 48075 (248) 559-1950 Mon-Fri 9:00am 5:00pm Russian Certification: Am Bd Internal Med Group(s): V Klemptner Md Pc - 1669571204, Vk Internal Medicine Pc
Leikert, Eric, DOpq Family Medicine License: 5101019116 NPI: 1942592951 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital Med Center Pc - 1538123963

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Marshall, Michael, MDp q Internal Medicine License: 4301035094 NPI: 1487654091 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Mathew, Tessy, NPp Nurse Practitioner License: 4704173362 NPI: 1669537189 Home Visiting Doctors Pllc Pc 24450 Evergreen Rd Ste 215 Southfield, MI 48075 (248) 996-8076 Mon-Fri 8:00am 4:00pm, Sat 8:00am 1:00pm Arabic, Hindi, Malayalam Group(s): Home Visiting Doctors Pllc Pc 1134660376

Mendiratta, Surinder, MDp Internal Medicine License: 4301060904 NPI: 1003847617 Surinder Mendiratta Pllc 20905 Greenfield Ste 502 Southfield, MI 48075 (248) 395-2888 Mon-Wed 9:00am 5:00pm, Thu-Fri 9:00am - 3:00pm Hindi Certification: Am Bd Internal Med Group(s): Surinder Mendiratta Pllc Pc 1588874960
Michael, Nancy, NPp Nurse Practitioner License: 4704272309 NPI: 1609357078 Michigan Academic Hospitalist Group Pllc 23077 Greenfield Ste 195 Southfield, MI 48075 (248) 423-0700 Mon-Fri 9:00am 5:00pm Group(s): Michigan Academic Hospitalist Group Pllc - 1609213032

Mitchell, Indya, NPpq Family Nurse Practitioner License: 4704260345 NPI: 1174875918 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital Med Center Pc - 1538123963
Moore, Courtney, MDpq Internal Medicine License: 4301105763 NPI: 1154734812 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213

Naman, Greg, MDp Internal Medicine License: 4301068499 NPI: 1265493498 Epic Primary Care Pllc 18900 W 10 Mile Rd Southfield, MI 48075 (248) 278-0961 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Epic Primary Care Pllc - 1811226749
Naman, Ted, MDp Internal Medicine License: 4301068485 NPI: 1730156050 Epic Primary Care Pllc 18900 W 10 Mile Rd Southfield, MI 48075 (248) 278-0961 Mon-Fri 9:00am 5:00pm Arabic Certification: Am Bd Internal Med Group(s): Epic Primary Care Pllc - 1811226749

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Okafor, Nicola, DOpq Family Medicine License: 5101022004 NPI: 1518349182 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963
Orr, Robert, DOp Family Medicine License: 5101005472 NPI: 1326114927 Kamran F Sheikh Md Pc 18900 W 10 Mile Rd Southfield, MI 48075 (248) 424-8340 Mon-Fri 8:00am 6:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Kamran F Sheikh Md Pc 1205862513
Physical Therapy Southfield Pcp Physical Therapy Clinic NPI: 1922072974 23077 Greenfield Rd Ste 250 Southfield, MI 48075 (248) 557-7336 Mon-Fri 9:00am 5:00pm Group(s): Physical Therapy Southfield Pc

Pierre, Jean, MDp Family Medicine License: 4301047104 NPI: 1285682369 Home Visiting Doctors Pllc Pc 24450 Evergreen Rd Ste 215 Southfield, MI 48075 (248) 996-8076 Mon-Fri 8:00am 4:00pm, Sat 8:00am 1:00pm French Certification: Am Os Bd Family Physicians & Omt Group(s): Home Visiting Doctors Pllc Pc 1134660376
Rizvi, Humaira, MDpq Internal Medicine License: 4301106019 NPI: 1225447766 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213

Robinson, Cynane, DOp Family Medicine License: 5101011774 NPI: 1417029364 Care For U Medical Clinic 16250 Northland Dr Ste 312 Southfield, MI 48075 (248) 336-2850 Mon-Fri 8:00am 4:00pm Spanish Certification: Am Os Bd Emergency Medicine Group(s): Care For U Medical Clinic
Rogers, Esther, NPp Family Nurse Practitioner License: 4704195953 NPI: 1184998528 Leonard E Ellison Jr Md Pc 17330 Northland Park Ct Ste 100 Ste 100 Southfield, MI 48075 (248) 552-9500 Mon-Thu 9:00am 5:00pm, Fri 9:00am 3:00pm Group(s): Leonard E Ellison Jr Md Pc

Rosen, Michael, MDpq Internal Medicine License: 4301041290 NPI: 1265400295 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Rumschlag, Martha, MD pq Family Medicine License: 4301071566 NPI: 1447251368 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Ruoff, Lenejean, NPp Primary Care Nurse Practitioner License: 4704297224 NPI: 1508329954 Home Visiting Doctors Pllc Pc 24450 Evergreen Rd Ste 215 Southfield, MI 48075 (248) 996-8076 Mon-Fri 8:00am 4:00pm, Sat 8:00am 1:00pm Group(s): Home Visiting Doctors Pllc Pc 1134660376
Russell, Reno, PAp Physician Assistant License: 5601005764 NPI: 1124348404 Sylmara Evelyn Chatman Md 17603 W Ten Mile Rd Southfield, MI 48075 (248) 569-8420 Mon-Tue,Fri 9:00am 5:00pm, Wed 9:00am 2:00pm, Thu 9:00am 2:30pm Group(s): Sylmara Evelyn Chatman Md 1831413749

Shabo, Nabeel, MDpq Internal Medicine License: 4301089948 NPI: 1619177011 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Spanish, Arabic Group(s): Providence Hospital And Med Center Pc - 1922063213
Singh Pradhan, Rohini, MDpq Internal Medicine License: 4301094238 NPI: 1588962948 Alan T Ghassan, Md 22250 Providence Dr Ste 260 Southfield, MI 48075 (248) 476-0660 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Ascension Medical Group Michigan Pc 1376644922

Smith, Cheryl, MDpq Family Medicine License: 4301098848 NPI: 1053603860 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963
Soile, Remilekun, MDp Internal Medicine License: 4301069367 NPI: 1366510893 Rsmd Pllc 20755 Greenfield Rd Ste 100 Southfield, MI 48075 (248) 557-0507 Mon-Fri 8:00am 5:00pm Yoruba Certification: Am Bd Internal Med Group(s): Rsmd Pllc Pc 1053663575

Tam, Susan, DOp Family Medicine License: 5101013747 NPI: 1801873237 Epic Primary Care Pllc 18900 W 10 Mile Rd Southfield, MI 48075 (248) 278-0961 Mon-Fri 9:00am 5:00pm Certification: Am Os Bd Family Physicians & Omt Group(s): Epic Primary Care Pllc - 1811226749
Taylor, Jamila, MDpq Family Medicine License: 4301092829 NPI: 1326201096 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

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Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Taylor, Michael, MDp Internal Medicine License: 4301049465 NPI: 1700926961 Michael G Taylor Md Pc 15565 Northland Dr Ste 106E Southfield, MI 48075 (248) 552-0880 Mon-Fri 9:00am 5:00pm Certification: Am Bd Internal Med Group(s): Michael G Taylor Md Pc
Theramatrix Incp Physical Therapy Clinic NPI: 1760489678 Theramatrix Physical Rehabilitation 24611 Greenfield Southfield, MI 48075 (248) 557-0126 Mon-Fri 9:00am 5:00pm Group(s): Theramatrix Inc
Tolia, Ketan, MDpq Internal Medicine License: 4301054022 NPI: 1710988688 Providence Internal Medicine, Endocrinology, Diabetes Center 22255 Greenfield Rd Ste 400 Southfield, MI 48075 (248) 849-4880 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital And Med Center Pc - 1922063213

Tripi, Allison, MDp Pediatric License: 5101021167 NPI: 1851710305 Detroit Wayne County Health Authority 23077 Greenfield Rd Ste 200 Southfield, MI 48075 (248) 281-3215 Mon-Tue,Thu 9:00am 5:30pm, Wed,Fri 9:00am - 5:00pm American Sign Language Certification: Am Os Bd Pediatrics Group(s): Detroit Wayne County Health Authority - 1962733089
Valka, Pamela, DOp Family Medicine License: 5101013583 NPI: 1174521207 Epic Primary Care Pllc 18900 W 10 Mile Rd Southfield, MI 48075 (248) 278-0961 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Epic Primary Care Pllc - 1811226749

Williams, Michael, MDp q Internal Medicine License: 4301041998 NPI: 1841291325 Academic Internal Medicine 22250 Providence Dr Ste 301 A & B Southfield, MI 48075 (248) 849-3281 Mon-Fri 8:00am 5:00pm Certification: Am Bd Internal Med Group(s): Providence Hospital And Med Center Pc - 1922063213
Wright, Teniesha, DOpq Family Medicine License: 5101015647 NPI: 1699710640 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Certification: Am Board Family Medicine Group(s): Providence Hospital Med Center Pc - 1538123963

Zakaria, Kamran, MDpq Family Medicine License: 4301052908 NPI: 1710988209 Deighton Family Practice 22250 Providence Dr Ste 500 Southfield, MI 48075 (248) 849-3441 Mon-Fri 9:00am 5:00pm Group(s): Providence Hospital Med Center Pc - 1538123963
- 48076
Amah, Mercy, NPp Primary Care Nurse Practitioner License: 4704248765 NPI: 1255974374 Integrated Visiting Phys Solutions Pc 21650 W 11 Mile Rd Ste 202 Southfield, MI 48076 (248) 327-6196 Mon-Fri 8:00am 5:00pm Group(s): Integrated Visiting Physician Solutions Pc 1891109641

vPublic transportation Handicapped accessibility/Acceso para discapacitados: P Parking/

pAccepting new patients qOffers Telehealth

Estacionamiento E Exterior Building / Edificio exterior I Interior
Building / Edificio interior W Waiting/Reception / Cuarto de espera/ recepción Q Medical Equipment Access / Acceso para equipo

services

médico R Restroom / Baños X Exam Room / Cuarto de consulta T

Accessible Table / Camilla accesible S Wheelchair Weight Scale /

Báscula para pesar en silla de ruedas

xBasic Accessibility / Acceso básico Visit www.MolinaHealthCare.com/Duals to view the online provider
directory.

327

vTransporte público pAceptando nuevos pacientes qOfrece servicios de telesalud

Primary Care Providers
Oakland County continued

Proveedores de atención primaria (PCP)
Condado de Oakland continuación

Athletico Physical Therapy - 1821085028p Physical Therapy Clinic NPI: 1821085028 Athletico Physical Therapy 26571 Evergreen Rd Southfield, MI 48076 (248) 639-4804 Mon-Thu 7:00am 8:00pm, Fri 7:00am 6:00pm, Sat 7:00am 12:00pm Group(s): Athletico Physical Therapy 1821085028
Baker, Jason, NPp Nurse Practitioner License: 4704272464 NPI: 1487217931 Integrated Visiting Phys Solutions Pc 21650 W 11 Mile Rd Ste 202 Southfield, MI 48076 (248) 327-6196 Mon-Fri 8:00am 5:00pm Group(s): Integrated Visiting Physician Solutions Pc 1891109641

Bansal, Ashok, MDp Internal Medicine License: 4301057441 NPI: 1114908209 Southeast Michigan Medical Associates 18451 W 12 Mile Rd Ste 200 Southfield, MI 48076 (248) 827-7612 Mon 10:00am - 7:00pm, Tue 10:00am - 3:00pm, Wed 10:00am - 8:00pm, Thu 8:00am - 3:00pm, Fri 12:00pm - 7:00pm Hindi, Punjabi Group(s): Southeast Michigan Medical Associates
Biskelonis, Constance, NPp Primary Care Nurse Practitioner License: 4704135860 NPI: 1760657613 Integrated Visiting Phys Solutions Pc 21650 W 11 Mile Rd Ste 202 Southfield, MI 48076 (248) 327-6196 Mon-Fri 8:00am 5:00pm Group(s): Integrated Visiting Physician Solutions Pc 1891109641

Byrd, Chantel, NPp Adult Nurse Practitioner License: 4704269422 NPI: 1275931628 Integrated Visiting Phys Solutions Pc 21650 W 11 Mile Rd Ste 202 Southfield, MI 48076 (248) 327-6196 Mon-Fri 8:00am 5:00pm Group(s): Integrated Visiting Physician Solutions Pc 1891109641
Clark, Jenn