Sean Harris Family Practice
19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857


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 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857. The zip code is 48236.


Sean Harris · 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857

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
Group Practice PAC ID 3173424082
Number of Group Practice Members 285
Address 19229 MACK AVE
GROSSE POINTE WOODS, MI 482362857
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

street_number: 19229
route: Mack Avenue (Mack Ave)
locality, political: Grosse Pointe Woods
admin_level_2, political: Wayne County
admin_level_1, political: Michigan (MI)
country, political: United States (US)
postal_code: 48236
postal_code_suffix: 2857
types : street_address
latitude: 42.419693
longitude: -82.911322
latlng: (42.419693, -82.911322)


St John Hospital and Medical Center · Medicare Physician

Name Address Specialty
Christine Crader 43900 Garfield Rd, Clinton Township, MI 48038-1137 INTERNAL MEDICINE
Louis Saravolatz 22151 Moross Rd, Detroit, MI 48236-2165 INFECTIOUS DISEASE
Veena Panthangi 22101 Moross Rd, Grosse Pointe, MI 48236-2148 FAMILY PRACTICE
Mary Murphy 22101 Moross Rd, Detroit, MI 48236-2148 FAMILY PRACTICE
Antonious Attallah 22151 Moross Rd, Detroit, MI 48236-2165 INTERVENTIONAL CARDIOLOGY
Susan Van Dellen 22101 Moross Rd, Grosse Pointe, MI 48236-2148 RHEUMATOLOGY
Carlos Ramirez Neyra 17900 23 Mile Rd, Macomb, MI 48044-1161 MAXILLOFACIAL SURGERY
Michael Rakowski 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST
Anna Farhat 24911 Little Mack Ave C, Saint Clair Shores, MI 48080-3200 FAMILY PRACTICE
Danielle Kashat 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST
James Whitmyer 18303 E 10 Mile Rd, Roseville, MI 48066-4992 FAMILY PRACTICE
Deborah Mulawa 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST
Robert Leonard 22101 Moross Rd, Detroit, MI 48236-2148 MEDICAL ONCOLOGY
Marson Ma 22101 Moross Rd, Grosse Pointe, MI 48236-2148 EMERGENCY MEDICINE
David Zalenski 22151 Moross Rd, Grosse Pointe, MI 48236-2197 OBSTETRICS/GYNECOLOGY
Hiroshi Yamasaki 22151 Moross Rd, Detroit, MI 48236-2177 INTERVENTIONAL CARDIOLOGY
Julie Weiss 22301 Foster Winter Dr 200, Southfield, MI 48075-3707 NURSE PRACTITIONER
Nathan Wagstaff 22101 Moross Rd, Detroit, MI 48236-2148 OBSTETRICS/GYNECOLOGY
Chada Reddy 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 EMERGENCY MEDICINE
Srihari Ravi 22201 Moross Rd, Grosse Pointe, MI 48236-2175 CARDIOVASCULAR DISEASE (CARDIOLOGY)

Zip 48236 · Family Practice · Medicare Physician

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

Zip 48236 · Medicare Physician

Name Address Specialty
Beth Verkuilen 22101 Moross Rd, Detroit, MI 48236-2148 CERTIFIED REGISTERED NURSE ANESTHETIST
Lisa Lagassa 19637 Mack Ave, Grosse Pointe Woods, MI 48236-2544 OPTOMETRY
Vamshidhar Guduguntla 22201 Moross Rd, Grosse Pointe, MI 48236-2175 INTERVENTIONAL CARDIOLOGY
Muhammad Aslam 22101 Moross Rd, Detroit, MI 48236-2148 OBSTETRICS/GYNECOLOGY
Christopher Loewe 22201 Moross Rd, Grosse Pointe, MI 48236-2175 EMERGENCY MEDICINE
Victor Abuel 22201 Moross Rd, Grosse Pointe, MI 48236-2175 EMERGENCY MEDICINE
Ginette Lezotte 20239 Mack Ave, Grosse Pointe Woods, MI 48236-1769 AUDIOLOGIST
Soham Trivedi 20311 Mack Ave, Grosse Pointe Woods, MI 48236-1784 PHYSICIAN ASSISTANT
Dilnaz Panjwani 22101 Moross Rd, Detroit, MI 48236-2148 EMERGENCY MEDICINE
Quresh Khairullah 22201 Moross Rd, Detroit, MI 48236-2152 NEPHROLOGY
Monika Kosinski 22101 Moross Rd, Detroit, MI 48236-2148 PHYSICIAN ASSISTANT
Ashley Nosek 22101 Moross Rd, Detroit, MI 48236-2148 EMERGENCY MEDICINE
Sai Katta 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2898 INTERNAL MEDICINE
Premchand Anne 22201 Moross Rd, Grosse Pointe, MI 48236-2175 PEDIATRIC MEDICINE
Elizabeth Bascom 22101 Moross Rd, Detroit, MI 48236-2148 EMERGENCY MEDICINE
William Ventimiglia 22151 Moross Rd, Detroit, MI 48236-2177 PULMONARY DISEASE
Anna Rabbani 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 RADIATION ONCOLOGY
David Graham 22101 Moross Rd, Detroit, MI 48236-2148 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Charlene Sebest 22101 Moross Rd, Detroit, MI 48236-2148 PHYSICIAN ASSISTANT
Joseph Metes 21003 Mack Ave, Grosse Pointe Woods, MI 48236-1333 DIAGNOSTIC RADIOLOGY