Physician Directory - McLaren Health Care Corporationwsp.mclaren.org/Lapeer/files/Physician Directory.pdf · Physician Directory April 20, 2016 Page 2 of 29 991 Alawwa, Abdul K.,

Physician Directory

April 20, 2016 Page 1 of 29

2092

Abdulrazzak, Mamdouh, MD

25 Millville Road

Lapeer, MI 48446

(O) (810) 538-2015

(F) (810) 538-2001

Neurology

Active

NPI: 1689649923

2076

Abter, Elfatih, MD

1375 N Main

Lapeer, MI 48446

(O) (810) 667-5745

(F) (810) 667-5921

Infectious Diseases

Active

NPI: 1255473534

1144

Ahmed, Hisham I., MD

1457 Suncrest Drive

Lapeer, MI 48446

(O) (810) 245-3629

(F) (810) 245-3640

Internal Medicine

Active

NPI: 1568486413

935

Ahsan, Aamir, MD

McLaren-Lapeer Pathology Dept

1375 North Main Street

Lapeer, MI 48446

(O) (810) 667-5684

(F) (810) 664-8522

Anatomic/Clinical Pathology

Affiliate

NPI: 1386832640

1164

Al Nouri, Mohammad, MD

Port Huron Hospital

1221 Pine Grove Avenue

Port Huron, MI 48061

(O) (810) 989-3203

(F) (810) 667-5705

Anesthesiology

Affiliate

NPI: 1952342735

354

Al-Ameri, M. Wael, MD

1083 Suncrest Drive

Suite B

Lapeer, MI 48446

(O) (810) 667-3111

(F) (810) 667-3119

Pulmonary Disease

Active

NPI: 1861591794

Physician Directory


991

Alawwa, Abdul K., MD

Cardiology Consultants of E MI

1031 Suncrest Drive

Lapeer, MI 48446

(O) (810) 664-4870

(F) (810) 664-0921

Cardiology

Active

NPI: 1013904093

686

Allen, Lisa M., DO

1075 Suncrest Drive, Ste. B

Lapeer, MI 48446

(O) (810) 245-8620

(F) (810) 245-8623

Obstetrics & Gynecology

Active

NPI: 1639203102

1126

Alpiner, Neal, MD

Neal Alpiner MD PLLC

40800 Woodward Ave.

Bloomfield Hill, MI 48304

(O) (877) 433-7767

(F) (877) 433-6907

Physical Medicine & Rehab

Provisional

NPI: 1881755544

10990

Alsaqa, Mazen M., MD

IPC The Hospitalists

4967 Crooks Road, Ste. 130

Troy, MI 48098

(O) (248) 952-1601

(F) (248) 952-1614

Internal Medicine

Provisional

NPI: 1982968244

11354

Andino, Raul R., MD

Flint OB/GYN

4520 Linden Creek Pkwy., Ste. F

Flint, MI 48507

(O) (810) 733-8200

(F) (810) 626-1762


Provisional

NPI: 1033121652

2086

Andrei, Ramona D., MD

Lapeer Women’s Health

1254 N Main

Lapeer, MI 48446

(O) (810) 969-4670

(F) (810) 969-4673


Active

NPI: 1093916082

Physician Directory


1344

Apelgren, Keith N., MD

1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5660

(F) (810) 667-5658

General Surgery

Locum tenens

NPI: 1245271188

5200

Armenti, Frederick, MD

Cardiothoracic Associates, PLC

G-3346 Beecher, Ste A

Flint, MI 48532

(O) (810) 733-6530

(F) (810) 733-6737

Thoracic Cardiovascular Surger

Affiliate

NPI: 1770536302

1240

Baluch, Mehdi H., MD

McLaren Community Med Ctr


Lapeer, MI 48446

(O) (810) 664-4531

(F) (810) 667-4462

Gastroenterology

Active

NPI: 1104831536

11091

Banerjee, Arundhuti, MD

Inpatient Consultants of Michigan, PC

4967 Crooks Rd. #130

Troy, MI

(O) (248) 952-1601

(F) (248) 952-1614

Internal Medicine

Provisional

NPI: 1740596493

2083

Barretto, Rafael L., DO

IPC-The Hospitalist

4967 Crooks Rd, Ste 130

Troy, MI 48098

(O) (248) 952-1601

(F) (248) 952-0192

Internal Medicine

Affiliate

NPI: 1942202122

1008

Bassily, Nader H., MD



Lapeer, MI 48446

(O) (810) 667-5684

(F) (810) 664-8522


Active

NPI: 1770691628

Physician Directory


680

Bauer, James J., MD

1251 South Lapeer Rd. Ste 202

Lake Orion, MI 48360

(O) (248) 693-4271

(F) (248) 693-4663

Family Practice

Active Community

Based

NPI: 1922053685

1316

Baumgarten, Richard K., MD

McLaren-Lapeer Anesthesia Department

1375 N Main

Lapeer, MI 48446

(O) (810) 667-5638

(F) (810) 667-5705

Anesthesiology

Active

NPI: 1245254168

11092

Ben-Ami, Dorit A., MD

Shalva Psychiatry

21751 W. 11 Mile, Ste. 105

Southfield, MI 48076

(O) (248) 327-7175

(F) (248) 750-0698

Psychiatry

Provisional

NPI: 1922064153

10632

Benitez, Leonard D., MD

McLaren Medical Group

1295 Barry Dr., Ste. C

Lapeer, MI 48446

(O) (810) 667-5575

(F) (810) 667-5921

General Surgery

Provisional

NPI: 1306884507

501

Bikkina, Sai R., MD

1295 Barry Dr, Ste B

Lapeer, MI 48446

(O) (810) 667-4994

(F) (810) 667-8041

Oncology

Active

NPI: 1982782496

2066

Blaker, Brad A., DO

McLaren-Lapeer ED

1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5204

(F) (810) 667-5988

Emergency Medicine

Active

NPI: 1790769545

Physician Directory


1687

Booth, Kristin A., DO

Kellam and Associates

McLaren Lapeer Radiology

1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5744

(F) (810) 667-5741

Diagnostic Radiology

Active

NPI: 1023264538

176

Bork, Randy M., DO


10090 E. Lippincott Blvd.

Davison, MI 48423

(O) (810) 653-1130

(F) (810) 667-7066

Occupational Medicine

Active Community

Based

NPI: 1942291893

1159

Botta, Rao S., MD

5155 Norko Dr.

Flint, MI 48507

(O) (810) 720-6700

(F) (810) 230-7764

Allergy/Immunology

Affiliate

NPI: 1275595381

247

Brengel, Robert T., DO

7115 Cade Rd.

Brown City, MI 48416

(O) (810) 346-2757

(F) (810) 346-2016

Family Practice

Active

NPI: 1821089574

1067

Brill, David A., MD


1031 Suncrest Dr.

Lapeer, MI 48446

(O) (810) 664-4870

(F) (810) 664-0921

Cardiology

Active

NPI: 1437146404

1378

Bue-Niederhauser, May-Eileen, DO

McLaren-Lapeer

Anesthesia Dept

1375 N Main

Lapeer, MI 48446

(O) (810) 667-5638

(F) (810) 667-5705

Anesthesiology

Active

NPI: 1407891203

Physician Directory


1337

Carter, Kevin, DO

Kellam & Associates



Lapeer, MI 48446

(O) (810) 667-5744

(F) (810) 667-5741


Active

NPI: 1659422749

1127

Chakrabortty, Shushovan, MD

Anesthesia Services

McLaren Lapeer Anesthesia Dept

1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5574

(F) (810) 667-5705

Anesthesiology, Pain

Management/Medicine

Active

NPI: 1437164852

276

Chapman, Barbara D., DO

1257 N. Main St.

Lapeer, MI 48446

(O) (810) 664-4526

(F) (810) 664-2125

Orthopedic Surgery

Active

NPI: 1255303350

1136

Cheng, Hao, MD

Anesthesia Services

McLaren-Lapeer Anesthesia Dept

1375 N. Main Street

Lapeer, MI 48446

(O) (810) 667-5638

(F) (810) 667-5705

Anesthesiology

Active

NPI: 1821106055

1587

Cleary, Robert M., Jr., MD


1031 Suncrest Drive

Lapeer, MI 48446

(O) (810) 664-4870

(F) (810) 664-0921

Cardiovascular Disease

Active

NPI: 1801865019

Physician Directory


2138

Coe, Lauren E., DO

DeGarA PLLC

McLaren Oakland

50 N. Perry St.

Pontiac, MI 48342

(O) (248) 338-5332

(F) (248) 338-5129

Emergency Medicine

Active

NPI: 1568691962

1042

Coulter, Curt E., DO

944 Baldwin Road

Suite A

Lapeer, MI 48446

(O) (810) 245-5562

(F) (810) 245-7838

Family Practice

Active Community

Based

NPI: 1407958572

11011

Cumba, Maria T., MD

1254 Main St.

MMG Clinic

Lapeer, MI 48446

(O) (810) 664-4531

(F)

General Surgery, Surgical Critical

Care

Provisional

NPI: 1154581155

865

Daly, Darlene F., DO

3273 Davison Rd., Ste. 1

Lapeer, MI 48446

(O) (810) 969-4434

(F) (810) 969-4438


Active

NPI: 1093712457

1048

DeCarlo, Loren J., DO

Family First Health, PLLC

117 S Main

Capac, MI 48014

(O) (810) 395-4840

(F) (810) 395-7551

Fam Med & Osteo Manipultive tx

Active Community

Based

NPI: 1629003462

296

DeLange, Edwin L., DO

3273 Davison Rd., Suite 2

Lapeer, MI 48446

(O) (810) 667-8840

(F) (810) 667-8846

Family Practice

Active Community

Based

NPI: 1073510723

Physician Directory


1565

Devisetty, Kiran, MD

Radiation Oncology Consultants

4100 Beecher Rd

Flint, MI 48532

(O) (810) 342-3800

(F) (810) 342-3784

Radiation Oncology

Affiliate

NPI: 1790952059

718

Dharamraj, Keith C., MD


1254 N. Main Street

Lapeer, MI 48446

(O) (810) 664-4531

(F) (810) 667-4372

Pediatrics

Active

NPI: 1962484139

1396

Ditchman, John B., DO

DeGarA PLLC

McLaren Lapeer ED

1375 North Main St

Lapeer, MI 48446

(O) (810) 667-5204

(F) (810) 667-5988

Emergency Medicine

Active

NPI: 1154410165

272

Dombroske, Olan C., DO

7115 Cade Rd.

Brown City, MI 48416

(O) (810) 346-2757

(F) (810) 346-2016

Family Practice

Active

NPI: 1568452811

2088

Down, Kirk, DO

DeGarA, PLLC

McLaren Lapeer ED

1375 North Main St

Lapeer, MI 48446

(O) (810) 667-5204

(F) (810) 667-5988

Emergency Medicine

Active

NPI: 1235251919

1192

Downs, Asha J., DO

5701 Bow Pointe Dr. Ste 200

Clarkston, MI 48346

(O) (248) 620-3100

(F) (248) 707-8965

Otolaryngology

Affiliate

NPI: 1518076348

Physician Directory


6365

Dysart, John M., MD

Children’s Heart Center

1514 E Michigan

Lansing, MI 48912

(O) (517) 484-0004

(F) (517) 484-7241

Pediatric Cardiology

Affiliate

NPI: 1265425177

346

Ebert, Galen R., DO

6800 Newark, Ste. 300

P.O. Box 399

Imlay City, MI 48444

(O) (810) 724-1600

(F) (810) 724-1603

Family Practice

Active Community

Based

NPI: 1922159722

1644

Eltahawy, Hazem, MD

Department of Neurosurgery

4160 John R., Suite 930

Detroit, MI 48201

(O) (313) 993-0908

(F) (313) 966-0368

Neurosurgery

Locum tenens

NPI: 1255378253

11065

Engel, Michael, DO

Flushing Women’s Health

2487 Elms Rd.

Flushing, MI 48433

(O) (810) 487-3500

(F)


Provisional

NPI: 1386606671

862

Essak, Baha D., MD

Global Family Care, PCL


Lapeer, MI 48446

(O) (810) 245-3000

(F) (810) 245-3076

Family Practice

Active Community

Based

NPI: 1437256518

326

Fram, Akram M., MD

237 Davis Lake Rd

Suite A

Lapeer, MI 48446

(O) (810) 664-8822

(F)

Family Practice

Active Community

Based

NPI: 1508932914

Physician Directory

April 20, 2016 Page 10 of 29

352

Fram, Karim M., MD

237 Davis Lake Rd.

Suite B

Lapeer, MI 48446

(O) (810) 667-9132

(F) (810) 667-0026

Neurology

Provisional

NPI: 1265478671

2070

Franckowiak, Kenneth P., DO

DeGarA, PLLC

McLaren Lapeer ED


Lapeer, MI 48446

(O) (810) 667-5204

(F) (810) 667-5988

Emergency Medicine

Active

NPI: 1548271588

10471

Frye, Ira S., MD

McLaren Flint Women’s Health

1314 S. Linden Rd., Ste. B

Flint, MI 48532

(O) (810) 342-1700

(F) (810) 342-1726


Provisional

NPI: 1184846354

2074

Gardner, Tressa K., DO

DeGarA, PLLC

McLaren Oakland ED Department

50 N Perry

Pontiac, MI 48342

(O) (248) 338-5327

(F) (248) 338-5129

Emergency Medicine

Affiliate

NPI: 1306821756

485

Gayar, Hesham E., MD

McLaren Cancer Institute

4100 Beecher Rd. Suite A

Flint, MI 48532

(O) (810) 342-3800

(F) (810) 342-3784

Radiation Oncology

Affiliate

NPI: 1962402370

Physician Directory

April 20, 2016 Page 11 of 29

11386

George, Wisam, DO

Michigan Interventional Pain Associates,

PLLC

2300 Haggerty Rd. # 2100

West Bloomfield, MI 48323

(O) (248) 624-7246

(F)

Anesthesiology

Provisional

NPI: 1790989317

1339

Ghabsha, Ahmad, MD

Pulmonary, Allergy, & Critical Care Sleep

Associates, PC

950 W Avon Rd., Ste. A2

Rochester Hills, MI 48307

(O) (248) 651-6430

(F) (248) 650-1382

Pulmonary Disease, Critical Care

Medicine

Active

NPI: 1598716680

2091

Glenn, Brian L., MD


1254 N Main

Lapeer, MI 48446

(O) (810) 664-4531

(F) (810) 667-4462

Family Practice

Active Community

Based

NPI: 1841290970

502

Go, Robert O., MD

Pulmonary Allergy CCM & Sleep

Medicine


Lapeer, MI 48446

(O) (810) 667-3111

(F) (810) 667-3119

Pulmonary Disease

Active

NPI: 1548361116

5299

Grewal, Manjit S., MD

G-1071 N. Ballenger, Ste. 310

Flint, MI 48504

(O) (810) 238-4172

(F) (810) 238-4153

Nephrology

Active Community

Based

NPI: 1982694519

2108

Harhula, Myroslav, MD

IPC-The Hospitalist Company


Troy, MI 48098

(O) (248) 952-1601

(F) (248) 951-0192

Internal Medicine

Active

NPI: 1326348715

Physician Directory

April 20, 2016 Page 12 of 29

136

Harris, Jeffrey L., DO

Cardiology Consultants of East MI

1031 Suncrest Dr.

Lapeer, MI 48446

(O) (810) 664-4870

(F) (810) 664-0921

Cardiology, Interventional

Cardiology

Active

NPI: 1649267634

10623

Hassan, Maha, DO

DeGarA PLLC

50 N. Perry Street

Pontiac, MI 48342

(O) (248) 338-5327

(F) (248) 338-5129

Emergency Medicine

Provisional

NPI: 1215166442

249

Hegyi, Douglas F., DO

951 South Main Street, Suite 2

Lapeer, MI 48446

(O) (810) 664-7640

(F) (810) 664-6978

Otorhinolaryngology

Active

NPI: 1114951787

10992

Hehemann, Christopher, DPM

Professional Foot and Ankle Centers, P.C.

1390 N. Main St.

Lapeer, MI 48446

(O) (810) 653-9060

(F) (810) 664-0315

Podiatry

Provisional

NPI: 1194086066

11352

Heslinger, Keith A., MD

Womens’ Integrated Health Care PC

1595 Genesys Pkwy

Grand Blanc, MI 48439

(O) (810) 606-9190

(F) (810) 606-9400


Provisional

NPI: 1275540718

10311

Jones, Moses C., Jr., MD


1254 N. Main Street

Lapeer, MI 48446

(O) (810) 664-4532

(F) (810) 664-4533

Neurosurgery

Active

NPI: 1548239072

Physician Directory

April 20, 2016 Page 13 of 29

1349

Jostock, Kenneth, Jr., MD

Lapeer Medical Associates

944 Baldwin Rd, Ste A

Lapeer, MI 48446

(O) (810) 245-5562

(F) (810) 245-7838

Internal Medicine

Active

NPI: 1861655847

11110

Kammo, Revark D., MD

Inpatient Consultants of Michigan

4967 Crooks Rd. Suite 130

Troy, MI 48098

(O) (248) 952-1601

(F) (248) 952-1614

Internal Medicine

Provisional

NPI: 1326335241

1177

Karrar, Ali A., MD

8200 S. Saginaw

Suite 500


(O) (810) 953-8700

(F) (810) 953-8704

Rheumatology

Affiliate

NPI: 1871520239

996

Kashlan, Muhammad, MD

Pulmonary Allergy CCM & Sleep

Medicine


Lapeer, MI 48446

(O) (810) 667-3111

(F) (810) 667-3119

Pulmonary Disease, Sleep

Medicine

Active

NPI: 1346224078

10600

Kashlan, Omar R., MD


1031 Suncrest Dr.

Lapeer, MI 48446

(O) (810) 664-4870

(F) (810) 664-0921


Provisional

NPI: 1346410594

701

Keoleian, Gary M., MD

Michigan Eye Institute

4499 Town Center Parkway

Flint, MI 48532

(O) 810) 733-7111

(F) (810) 733-7141

Ophthalmology

Active

NPI: 1538163217

Physician Directory

April 20, 2016 Page 14 of 29

11032

Khambatta, Sherezade, DO

Premier Medical Clinics

1165 S. Linden Rd.

Flint, MI 48532

(O) (810) 732-5400

(F) (810) 733-1624


Provisional

NPI: 1790949741

241

Khan, Zakiuddin A., MD

3257 Davison Rd.

Lapeer, MI 48446

(O) (810) 664-3396

(F) (810) 664-8036

Internal Medicine

Active Community

Based

NPI: 1659408144

8208

Kirk, Lindsey J., DO

Kellam & Associates


1375 N. Main Street

Lapeer, MI 48446

(O) (810) 667-5744

(F) (810) 667-5531


Provisional

NPI: 1568618098

11379

Kommuri, Naga V., MD

Premier Medical Clinics

1165 S Linden Rd

Flint, MI 48532

(O) (810) 732-5400

(F) (810) 733-1624


Provisional

NPI: 1942476643

139

Lang, Rita, DO

396 Lake Nepessing Rd

P.O. Box 628

Lapeer, MI 48446

(O) (810) 664-8541

(F) (810) 664-0333

Family Practice

Active Community

Based

NPI: 1992719025

11347

Lapa, Martin W., DO

Women’s Integrated Health Care

1595 Genesys Pkwy.


(O) (810) 606-9190

(F) (810) 606-9400


Provisional

NPI: 1639184070

Physician Directory

April 20, 2016 Page 15 of 29

09964

Ledezma, Carlos J., MD

Kellam and Associates


1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5882

(F) (810) 667-5741

Diagnostic Radiology,

Interventional & Vascular Rad

Active

NPI: 1255598579

11353

Levashkevich, Alexey L., MD

Flint OB/GYN

4520 Linden Creek Pkwy, Ste. F

Flint, MI 48507

(O) (810) 733-8200

(F) (810) 626-1762

Gynecology

Provisional

NPI: 1124140405

1186

Liu, Weimin, MD, PhD


1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5684

(F) (810) 664-8522


Affiliate

NPI: 1750499638

406

Lum, Leighton M., DO

Kellam & Associates

McLaren-Lapeer Radiology Dept


Lapeer, MI 48446

(O) (810) 667-5744

(F) (810) 667-5741


Active

NPI: 1609804939

1219

Mansour, Sabry, MD

Comprehensive Urology

25 Millville Road

Lapeer, MI 48446

(O) (810) 538-2020

(F) (810) 538-2001

Urology

Active

NPI: 1326009861

1146

Marjanovic, Milos, MD



Lapeer, MI 48446

(O) (810) 667-5638

(F) (810) 667-5705

Anesthesiology

Active

NPI: 1275574063

Physician Directory

April 20, 2016 Page 16 of 29

256

Mathew, K. V., MD

4448 Oak Bridge Dr.

Suite A

Flint, MI 48532

(O) (810) 230-7905

(F) (810) 230-7908

Psychiatry

Active

NPI: 1750379160

5312

Matisoff, David N., MD


1514 E Michigan

Lansing, MI 48912

(O) (517) 484-0004

(F) (517) 484-7241

Pediatric Cardiology, Pediatrics

Affiliate

NPI: 1649263633

2123

Maunglay, Soe Tin, MD

McLaren Lapeer Cancer Center

1295 Barry Drive, Ste. B

Lapeer, MI 48446

(O) (810) 667-4994

(F) (810) 667-8041

Hematology/Oncology

Affiliate

NPI: 1093864373

939

McClimans, Gordon A., II, DO

Ortho Michigan

307 S. Court Street

Lapeer, MI 48446

(O) (810) 667-6110

(F) (810) 667-3917

Orthopedic Surgery

Active

NPI: 1619942513

11351

McEwen, Stacey L., DO

Womens’ Integrated Health Care

1595 Genesys Pkwy.


(O) (810) 606-9190

(F) (810) 606-9400


Provisional

NPI: 1902032378

1154

McIntosh, Barbara M., MD

8200 S. Saginaw Street

Suite 500


(O) (810) 953-8700

(F) (810) 953-8704

Rheumatology

Affiliate

NPI: 1982652103

Physician Directory

April 20, 2016 Page 17 of 29

10601

Miraka, Altin, DO

1125 S. Linden Rd. Suite 100

Flint, MI 48532

(O) (810) 262-6555

(F) (810) 262-9787

Urology

Provisional

NPI: 1518133792

685

Mirchandani, Jagdish C., MD

Mid Michigan Kidney & Hypertension

Specialists, P.C.

5080 Villa Linde Pkwy Ste 2

Flint, MI 48532

(O) (810) 720-0162

(F) (810) 720-0301

Nephrology

Affiliate

NPI: 1710940853

1357

Modawi, Imad, MD

Kidney Disease & Hypertension, PC

2387 S Linden Rd, Ste A

Flint, MI 48532

(O) (810) 733-1700

(F) (810) 733-1701

Nephrology

Affiliate

NPI: 1124224415

5338

Mohammed, Ali K., MD

G-1071 N. Ballenger Highway Ste. 310

Flint, MI 48504

(O) (810) 238-4172

(F) (810) 238-4153

Nephrology

Active Community

Based

NPI: 1396735940

2125

Moiin, Ali, MD

A Comprehensive Dermatology Center

1575 W. Big Beaver, Ste C-12

Troy, MI 48084

(O) (248) 643-7677

(F) (248) 643-7679

Dermatology

Active Community

Based

NPI: 1255313979

969

Moyer, Donna R., DO

Kellam & Associates

Carson City Hospital

406 East Elm Street

Carson City, MI 48811

(O) (989) 584-3131

(F) (989) 584-2161


Affiliate

NPI: 1629001714

Physician Directory

April 20, 2016 Page 18 of 29

923

Moyer, Richard A., DO

Ortho Michigan

307 S. Court Street

Lapeer, MI 48446

(O) (810) 667-6110

(F) (810) 667-3562

Orthopedic Surgery

Active

NPI: 1346297785

9015

Muppuri, Rudram N., MD

Anesthesia Services, PC

McLaren Lapeer Anesthesia

1375 N. Main

Lapeer, MI 48446

(O) (810) 667-5717

(F) (810) 667-5705

Anesthesiology

Active

NPI: 1184996530

11086

Neff, Kevin, Dr., MD

Anesthesia Services Associates

255 W. Michigan Ave.

PO Box 1123

Jackson, MI 49204

(O) (248) 896-6335

(F)

Anesthesiology

Provisional

NPI: 1508800525

832

Nettleton, Jack L., MD

Karmanos Cancer Institute

4100 Beecher Road, Ste. A

Flint, MI 48532

(O) (810) 342-3800

(F) (810) 342-3784

Radiation Oncology

Affiliate

NPI: 1174523575

1104

Ng, Peter S., MD

McLaren Lapeer Pathology Dept

1375 N. Main Street

Lapeer, MI 48446

(O) (810) 667-5684

(F) (810) 664-8522


Affiliate

NPI: 1053429944

1327

Nounou, Majed A., MD

1075 Suncrest Drive

Lapeer, MI 48446

(O) (810) 667-7333

(F) (810) 660-8133

Interventional Cardiology,


Active

NPI: 1043260342

Physician Directory

April 20, 2016 Page 19 of 29

9637

Nunnally, Nicholas P., DO

1254 N. Main St.

Lapeer, MI 48446

(O) (810) 664-4531

(F) (810) 667-7353

General Surgery

Provisional

NPI: 1043436462

2103

Olenyn, John R., MD


1254 N Main St.

Lapeer, MI 48446

(O) (810) 664-4532

(F) (810) 664-4533

Orthopedic Surgery

Active

NPI: 1639161755

2137

Ornazian, Sarah K., DO

DeGarA, PLLC

McLaren Oakland

50 N. Perry Street

Pontiac, MI 48343

(O) (248) 338-5327

(F) (248) 338-5129

Emergency Medicine

Active

NPI: 1891924056

1272

Owda, Ali K., MD

Kidney & Hypertension, PC

1254 N Main St

Lapeer, MI 48446

(O) (810) 664-4464

(F) (810) 664-4466

Nephrology

Active

NPI: 1598755936

10606

Palazzolo, Carrie H., DO

DeGarA

McLaren Oakland

50 N. Perry Street

Pontiac, MI 48342

(O) (248) 338-5332

(F) (248) 338-5129

Emergency Medicine

Active

NPI: 1548572944

1338

Perkins, Kathleen M., DO


809 W Dryden Rd

Metamora, MI 48455

(O) (810) 678-4000

(F) (810) 678-4077

Family Practice

Active Community

Based

NPI: 1134330244

Physician Directory

April 20, 2016 Page 20 of 29

417

Piontkowski, Timothy A., DO

Lapeer Medical Associates, PC

944 Baldwin Road

Lapeer, MI 48446

(O) (810) 245-5562

(F) (810) 245-7838

Family Practice

Active Community

Based

NPI: 1982706891

1381

Polyak, Marina L., DO


4967 Crooks, Ste 130

Troy, MI 48098

(O) (248) 952-1601

(F) (248) 952-0192

Internal Medicine

Active

NPI: 1386821247

11033

Potru, Sudheer, DO

Anesthesia Services Associates, P.C.


Lapeer, MI 48446

(O) (810) 667-5500

(F)

Anesthesiology

Provisional

NPI: 1962727636

1141

Quiachon, Ernesto B., MD

Memorial Healthcare

Laboratory

826 West King Street

Owosso, MI 48867

(O) (989) 729-4655

(F) (989) 729-4819


Active

NPI: 1730297730

307

Rajani, Ratan, MD

844 South Main Street

Lapeer, MI 48446

(O) (810) 664-4100

(F) (810) 664-9250

General Surgery

Active

NPI: 1831297621

224

Ramana, Dindigalla V., MD


Lapeer, MI 48446

(O) (810) 667-9390

(F) (810) 667-9341

Urology

Active

NPI: 1942224563

Physician Directory

April 20, 2016 Page 21 of 29

1283

Ramanathan, Sundar, MD

Mid-Michigan Kidney & Hypertension

Specialists, PC

5080 Villa Linde Pkwy, Ste 2

Flint, MI 48532

(O) (810) 720-0162

(F) (810) 720-0301

Nephrology, Internal Medicine

Active

NPI: 1629105234

321

Reddy, Gunda S., MD

3273 Davison Road

Suite 1

Lapeer, MI 48446

(O) (810) 245-3188

(F) (810) 245-6993

Gastroenterology

Active

NPI: 1245206598

10552

Reddy, Prabhaker N., MD

1375 N. Main St.

Lapeer, MI 48446

(O)

(F)

General Surgery

Provisional

NPI: 1659430437

11016

Reece, Richard, Jr, DO

Inpatient Consultants

4961 Crooks Rd Suite 130

Troy, MI 48150

(O) (248) 952-1601

(F) (248) 952-1601

Provisional

NPI: 1255336335

528

Roberts, Frederick W., DO

3273 Davison Road

Suite 5

Lapeer, MI 48446

(O) (810) 245-7766

(F) (810) 245-6216

Dermatology

Affiliate

NPI: 1871591164

2081

Roberts, Jeremy, DO

Anesthesia Services


1375 N Main

Lapeer, MI 48446

(O) (810) 667-5638

(F) (810) 667-5705

Anesthesiology

Affiliate

NPI: 1821112301

Physician Directory

April 20, 2016 Page 22 of 29

717

Rowley, Duane A., Jr., DPM

3273 Davison Road, Ste. 1

Lapeer, MI 48446

(O) (810) 969-4016

(F) (810) 245-6993

Podiatry

Active

NPI: 1235143397

1231

Sabbaq, Mazen, MD

1083 Suncrest Dr.

Suite B

Lapeer, MI 48446

(O) (810) 667-3111

(F) (810) 667-3119


Medicine, Sleep Medicine,

Internal Medicine

Active

NPI: 1457318545

10977

Sachs, Robert J., MD

1254 N. Main St.

Lapeer, MI 48446

(O) (810) 664-4531

(F)

Internal Medicine

Provisional

NPI: 1033203591

2127

Saeed, Aalia, MD


1254 N Main

Lapeer, MI 48446

(O) (810) 664-4531

(F) (810) 667-4462

Gastroenterology

Active

NPI: 1225220791

1675

Saeed, Seif, MD

Michigan Health Specialists

2700 Robert T. Longway, Ste. B

Flint, MI 48503

(O) (810) 235-2004

(F) (810) 235-2841

Pediatrics, Internal Medicine

Provisional

NPI: 1598753568

1299

Salem, Gary S., DO

McLaren Lapeer Region


Lapeer, MI 48446

(O) (810) 667-5855

(F) (810) 667-5582

Internal Medicine

Active

NPI: 1205839909

Physician Directory

April 20, 2016 Page 23 of 29

1113

Scheer, Susan M., DO

Anesthesia Services


1375 N. Main Street

Lapeer, MI 48446

(O) (810) 667-5638

(F) (810) 667-5705

Anesthesiology

Affiliate

NPI: 1114963113

8209

Schwaderer, Adam, DO

Kellam & Associates


1375 N Main

Lapeer, MI 48446

(O) (810) 667-5744

(F) (810) 667-5741


Active

NPI: 1578686929

5940

Scott, Colleen, DO

Family First - Armada, PLLC

22905 W. Main Street

Armada, MI 48005

(O) (586) 473-8082

(F) (586) 473-8129

Fam Med & Osteo Manipultive tx

Active Community

Based

NPI: 1063444966

2098

Sesi, Veronica K., DO

2401 W. Genesee, Ste C

Lapeer, MI 48446

(O) (810) 245-6965

(F) (810) 245-6980

Neurology

Active

NPI: 1801007620

10643

Sharma, Neena L., MD

Sharma Clinic

3257 Davison Road

Lapeer, MI 48446

(O) (810) 664-4713

(F) (810) 664-3503

Internal Medicine

Active

NPI: 1104111533

218

Sharma, Vishnu K., MD

Sharma Clinic

3257 Davison Rd.

Lapeer, MI 48446-2909

(O) (810) 664-4713

(F) (810) 664-3503

Internal Medicine

Active

NPI: 1407958440

Physician Directory

April 20, 2016 Page 24 of 29

10944

Shehada, Emad R., MD

950 W. Avon Road, A2

Rochester, MI 48307

(O) (248) 651-6430

(F) (248) 650-7382


Medicine

Provisional

NPI: 1770544785

5726

Sheridan, Steven L., DPM

Ankle & Foot Specialty Clinics, LLC

416 Woodland Dr

Sandusky, MI 48471

(O) (810) 414-3338

(F) (810) 648-8883

Podiatry

Affiliate

NPI: 1326156753

1189

Shermetaro, Carl B., DO

North Oakland ENT

5701 Bow Pointe Dr, Ste 200

Clarkston, MI 48346

(O) (248) 620-3100

(F) (248) 707-8965

Otolaryngology

Affiliate

NPI: 1700994530

334

Skindell, Roger A., DO



Lapeer, MI 48446

(O) (810) 664-4531

(F) (810) 667-4462

Family Practice

Active Community

Based

NPI: 1114918448

348

Smith, Jr., Albert, DO

Lapeer Medical Associates, PC

944 Baldwin Road, Ste. A

Lapeer, MI 48446

(O) (810) 245-5562

(F) (810) 245-7838

Family Practice

Active Community

Based

NPI: 1366544280

1115

Soskin, Vitaly, MD

Anesthesia Services



Lapeer, MI 48446

(O) (810) 667-5638

(F) (810) 667-5705

Anesthesiology

Active

NPI: 1679516926

Physician Directory

April 20, 2016 Page 25 of 29

2069

Steinacker, Christopher P., DO

DeGarA, PLLC

McLaren Lapeer ED


Lapeer, MI 48446

(O) (810) 667-5204

(F) (810) 667-5988

Emergency Medicine

Active

NPI: 1265553556

6468

Stone, David M., DO


1514 E Michigan Ave

Lansing, MI 48912

(O) (517) 484-0004

(F) (517) 484-7241

Pediatric Cardiology

Affiliate

NPI: 1770522245

1596

Stover, Eric, DO

Kellam & Associates


1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5882

(F) (810) 667-5741


Active

NPI: 1194787085

1010

Tackabury, Daniel E., MD

McLaren Family Care Center

4482 Huron St

North Branch, MI 48461

(O) (810) 688-3093

(F) (810) 688-3694

Family Practice

Active Community

Based

NPI: 1104807973

351

Tarr, Kenneth P., DO

Kellam & Associates


1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5744

(F) (810) 667-5741


Active

NPI: 1902834070

Physician Directory

April 20, 2016 Page 26 of 29

1133

Tatge, Arthur J., DO

Great Lakes Eye Associates PLC

944 Baldwin Road, Suite H

Lapeer, MI 48446

(O) (810) 667-6408

(F) (810) 667-6492

Ophthalmology

Active

NPI: 1265403422

11150

Tawil, Robert, MD

Anesthesia Services, P.C.

255 West Michigan Ave.

Jackson, MI 49201

(O) (800) 242-1131

(F) (517) 787-5851

Anesthesiology

Provisional

NPI: 1740399575

1116

Teraikian, Gregory H., DO

Anesthesia Services

McLaren Lapeer Anesthesia Dept


Lapeer, MI 48446

(O) (810) 667-5638

(F) (810) 667-5705

Anesthesiology

Active

NPI: 1346282084

2135

Tetyuk, Natalia, MD



Troy, MI 48098

(O) (248) 952-1601

(F) (248) 951-0192

Family Practice

Active

NPI: 1265693980

11085

Toolson, Gregory R., DO

IPC Healthcare

4967 Crooks Rd Suite 130

Troy, MI 48098

(O) (734) 793-6140

(F) (734) 402-0254

Provisional

NPI: 1841583622

10589

Travis, Robert D., MD



Lapeer, MI 48446

(O) (810) 664-4532

(F) (810) 664-4533

Orthopedic Surgery

Provisional

NPI: 1629036389

Physician Directory

April 20, 2016 Page 27 of 29

10583

Walker, Travis D., DO



Lapeer, MI 48446

(O) (810) 664-4531

(F) (810) 664-7353

Otolaryngology, Head & Neck

Surgery

Active

NPI: 1982830014

1229

Weingarten, Jeffrey L., MD

Michigan Healthcare Professionals, PC

1135 W. University Dr., Ste 210

Rochester Hills, MI 48307

(O) (248) 650-4660

(F) (248) 650-4663

Urology

Affiliate

NPI: 1568466258

670

Wiese, David A., MD


1375 North Main St.

Lapeer, MI 48446

(O) (810) 667-5684

(F) (810) 733-8898

Anatomic/Clinical Pathology,

Cytopathology

Affiliate

NPI: 1023126042

1023

Williams, Mark R., DPM

605 S. State Rd.

PO Box 480

Davison, MI 48423-0480

(O) (810) 653-9060

(F) (810) 658-2248

Podiatry

Affiliate

NPI: 1669575478

11396

Worthing, Nichole L., PA

40800 Woodward Ave.

Bloomfield Hill, MI 48304

(O) (877) 433-7767

(F)

Physician Assistant Certified

Provisional

NPI: 1164827747

11346

Wright, Thomas C., DO

Women’s Integrated Health Care

1595 Genesys Pkwy.


(O) (810) 606-9190

(F) (810) 606-9400


Provisional

NPI: 1184631657

Physician Directory

April 20, 2016 Page 28 of 29

349

Wurster, Frederick R., DO


Lapeer, MI 48446

(O) (810) 660-7902

(F) (810) 660-7904

Family Practice

Active Community

Based

NPI: 1821079666

932

Yap, John J., MD

Ortho Michigan

307 S. Court Street

Lapeer, MI 48446

(O) (810) 667-6110

(F) (810) 667-3917

Orthopedic Surgery

Affiliate

NPI: 1164404356

1579

Yee, Dennis, DO

McLaren Occupational Clinic

1254 N. Main St.

Lapeer, MI 48446

(O) (810) 664-4531

(F) (810) 667-7040

Occupational Medicine

Active Community

Based

NPI: 1952350795

11345

Zaidan, Jonathan T., MD

Women’s Excellence

1428 S. Lapeer Road

Lake Orion, MI 48360

(O) (248) 693-0543

(F) (248) 693-3683


Provisional

NPI: 1619905387

400

Zaki, Nabil S., MD

Mid Michigan Kidney & Hypertension

Specialists, P.C.

5080 Villa Linda Pkwy, Ste 2

Flint, MI 48532

(O) (810) 720-0162

(F) (810) 720-0301

Nephrology

Affiliate

NPI: 1447213285

2124

Zaman, Mohammed A., MD

Anesthesia Services, PC

McLaren Lapeer Anesthesia

1375 N. Main St.

Lapeer, MI 48446

(O) (810) 667-5717

(F) (810) 667-5705

Anesthesiology

Active

NPI: 1962434159

Physician Directory

April 20, 2016 Page 29 of 29

6604

Zelenak, Laura E., DO

Imlay City Family Practice

6672 Newark Rd

Imlay City, MI 48444

(O) (810) 724-0591

(F) (810) 724-0272

Family Practice

Active Community

Based

NPI: 1730197724

259

Zemnickas, William V., II, DO

844 S. Main St.

Lapeer, MI 48446

(O) (810) 664-4100

(F) (810) 664-9250

General Surgery

Active

NPI: 1568553667

366

Zielinski, Michael E., DO

1794 N. Lapeer Road, Ste A

Lapeer, MI 48446

(O) (810) 245-1800

(F) (810) 245-6944

Family Practice

Active Community

Based

NPI: 1073568739

Documents

Physician Directory - McLaren Health Care Corporationwsp.mclaren.org/Lapeer/files/Physician Directory.pdf · Physician Directory April 20, 2016 Page 2 of 29 991 Alawwa, Abdul K.,