Sean Harris Family Practice
22151 Moross Rd, Suite 134, Detroit, MI 48236-2165


Sean Harris is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1457465213. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8820036205. The medical credential is MD. The primary specialty is FAMILY PRACTICE. The organization is ST JOHN HOSPITAL AND MEDICAL CENTER. The address is 22151 Moross Rd, Suite 134, Detroit, MI 48236-2165. The zip code is 48236.


Sean Harris · 22151 Moross Rd, Suite 134, Detroit, MI 48236-2165

Nation Provider ID 1457465213
PAC ID by PECOS 8820036205
Professional Enrollment ID I20060315000143
Last Name HARRIS
First Name SEAN
Gender M
Credential MD
Medical School Name MEDICAL COLLEGE OF OHIO
Graduation Year 1996
Primary Specialty FAMILY PRACTICE
Primary Specialty ST JOHN HOSPITAL AND MEDICAL CENTER
Phone Number 3133434850
Group Practice PAC ID 3173424082
Number of Group Practice Members 285
Address 22151 MOROSS RD
SUITE 134
DETROIT, MI 482362165
Claims Based Hospital Affiliation Claim Control Number (CCN): 230165
Legal Business Name: ST JOHN HOSPITAL AND MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 230019
Legal Business Name: PROVIDENCE - PROVIDENCE PARK HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

St John Hospital and Medical Center · Medicare Physician

Name Address Specialty
Linda Allemon 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST
Magdalena Laursen 5575 Conner St, Detroit, MI 48213-6400 NURSE PRACTITIONER
Thomas Giancarlo 22201 Moross Rd, Detroit, MI 48236-2175 NEUROLOGY
Robert Brammer 17900 23 Mile Rd, Macomb, MI 48044-1161 OTOLARYNGOLOGY
Amanda Habhab 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST
Anibal Drelichman 22301 Foster Winter Dr 3rd Floor, Southfield, MI 48075-3707 HEMATOLOGY/ONCOLOGY
Yi Sul 22151 Moross Rd, Detroit, MI 48236-2177 NEUROLOGY
Frederick Michael 22101 Moross Rd, Grosse Pointe, MI 48236-2148 INTERNAL MEDICINE
Brigid Reinhard 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST
Veena Panthangi 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Ayad Al Katib 22101 Moross Rd, Grosse Pointe, MI 48236-2148 HEMATOLOGY/ONCOLOGY
Rajendra Manam 22301 Foster Winter Dr 200, Southfield, MI 48075-3707 HEMATOLOGY/ONCOLOGY
Mary Mandziara 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 NURSE PRACTITIONER
Anthony Paniccia 19901 E 10 Mile Rd, St Clair Shores, MI 48081-1069 FAMILY PRACTICE
Jay Hamze 22151 Moross Rd, Detroit, MI 48236-2196 INTERVENTIONAL CARDIOLOGY
Scharnice Ward 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST
Bernard Degnan 22101 Moross Rd, Detroit, MI 48236-2148 ENDOCRINOLOGY
Joel Fishbain 22101 Moross Rd, Detroit, MI 48236-2148 INFECTIOUS DISEASE
Edouard Daher 22201 Moross Rd, Grosse Pointe, MI 48236-2175 INTERVENTIONAL CARDIOLOGY
Nichole Horton 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 48236 · Family Practice · Medicare Physician

Name Address Specialty
Eileen Reickert 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Jeff Oboyle 20311 Mack Ave, Grosse Pointe Woods, MI 48236-1784 FAMILY PRACTICE
Jeffrey Parcells 22101 Moross Rd, Detroit, MI 48236-2148 FAMILY PRACTICE
Edward Pazuchowski 22101 Moross Rd, Detroit, MI 48236-2148 FAMILY PRACTICE
Mary Murphy 22101 Moross Rd, Detroit, MI 48236-2148 FAMILY PRACTICE
Veena Panthangi 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Michael Kurzawa 22151 Moross Rd, Detroit, MI 48236-2196 FAMILY PRACTICE
Ronald Williamson 18348 Mack Ave, Grosse Pointe Farms, MI 48236-3219 FAMILY PRACTICE
Paul Burgoyne 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Kenneth Bollin 22101 Moross Rd, Detroit, MI 48236-2148 FAMILY PRACTICE
Kathleen Fulgenzi 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Rachel Obyrne 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Kwame Francis 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Barry Scofield 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Kristen Panozzo 22101 Moross Rd, Detroit, MI 48236-2148 FAMILY PRACTICE

Zip 48236 · Medicare Physician

Name Address Specialty
Katherine Pitus 22101 Moross Rd, Detroit, MI 48236-2148 EMERGENCY MEDICINE
Riad Khatib 22101 Moross Rd, Detroit, MI 48236-2148 INFECTIOUS DISEASE
Thomas Lalonde 22101 Moross Rd, Grosse Pointe, MI 48236-2148 INTERVENTIONAL CARDIOLOGY
Suvnir Dulai 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 NURSE PRACTITIONER
Tarik Hadid 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 HEMATOLOGY/ONCOLOGY
Amr Aref 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 RADIATION ONCOLOGY
Thomas Knuth 22101 Moross Rd, Detroit, MI 48236-2148 GENERAL SURGERY
Ginette Lezotte 20239 Mack Ave, Grosse Pointe Woods, MI 48236-1769 AUDIOLOGIST
Janet Mullings-britton 22201 Moross Rd, Detroit, MI 48236-2175 OBSTETRICS/GYNECOLOGY
Carrie Dul 22101 Moross Rd, Grosse Pointe, MI 48236-2148 HEMATOLOGY/ONCOLOGY
Anthony Alcantara 21003 Mack Ave, Grosse Pointe Woods, MI 48236-1333 DIAGNOSTIC RADIOLOGY
Hiroko Dalman 22101 Moross Rd, Detroit, MI 48236-2148 ANESTHESIOLOGY
Mariam Younas 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2898 INFECTIOUS DISEASE
Ahmed Meguid 22101 Moross Rd, Grosse Pointe, MI 48236-2148 GENERAL SURGERY
Paavan Railan 22101 Moross Rd, Detroit, MI 48236-2148 INTERNAL MEDICINE
Laurence Briski 22101 Moross Rd, Detroit, MI 48236-2148 PATHOLOGY
Kristen Panozzo 22101 Moross Rd, Detroit, MI 48236-2148 FAMILY PRACTICE
Jeffrey Falk 22201 Moross Rd, Detroit, MI 48236-2175 GENERAL SURGERY
Friedrich Dalman 22101 Moross Rd, Detroit, MI 48236-2148 ANESTHESIOLOGY
Kenneth Bollin 22101 Moross Rd, Detroit, MI 48236-2148 FAMILY PRACTICE