Sean Harris PAVILION FAMILY PRACTICE PC

Address: 23077 Greenfield Rd, Suite 195, Southfield, MI 48075-3750
Phone: 2484230700

Sean Harris (NPI# 1457465213, PAC ID# 8820036205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1457465213
PAC ID by PECOS 8820036205
Professional Enrollment ID I20060315000143
Full Name Sean Harris
Organization Legal Name PAVILION FAMILY PRACTICE PC
Address 23077 Greenfield Rd
Suite 195
Southfield
MI 48075-3750
Phone Number 2484230700
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF OHIO
Graduation Year 1996
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 1759329113
Number of Group Practice Members 2
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230165 ST JOHN HOSPITAL AND MEDICAL CENTER
230019 PROVIDENCE - PROVIDENCE PARK HOSPITAL

Other Locations

Address Phone Organization
22101 Moross Rd, Detroit, MI 48236-2148 ST JOHN HOSPITAL AND MEDICAL CENTER
22151 Moross Rd, Detroit, MI 48236-2177 3133433978 ST JOHN HOSPITAL AND MEDICAL CENTER
22151 Moross Rd, Suite 134, Detroit, MI 48236-2165 3133434850 ST JOHN HOSPITAL AND MEDICAL CENTER
22151 Moross Rd, Suite 320, Detroit, MI 48236-2196 3133437374 ST JOHN HOSPITAL AND MEDICAL CENTER
22151 Moross Rd, Detroit, MI 48236-2165 3133434850 ST JOHN HOSPITAL AND MEDICAL CENTER
22151 Moross Rd, Suite 209, Detroit, MI 48236-2177 3133433978 ST JOHN HOSPITAL AND MEDICAL CENTER
22151 Moross Rd, Suite 313, Detroit, MI 48236-2197 3133433494 ST JOHN HOSPITAL AND MEDICAL CENTER
22151 Moross Rd, Detroit, MI 48236-2197 3133433494 ST JOHN HOSPITAL AND MEDICAL CENTER
22151 Moross Rd, Detroit, MI 48236-2196 3133437374 ST JOHN HOSPITAL AND MEDICAL CENTER
22201 Moross Rd, Detroit, MI 48236-2166 ST JOHN HOSPITAL AND MEDICAL CENTER
22201 Moross Rd, Detroit, MI 48236-2175 3133434411 ST JOHN HOSPITAL AND MEDICAL CENTER
22201 Moross Rd, Suite 252, Detroit, MI 48236-2175 3133434411 ST JOHN HOSPITAL AND MEDICAL CENTER
22101 Moross Rd, Grosse Pointe, MI 48236-2148 3133434000 ST JOHN HOSPITAL AND MEDICAL CENTER
22201 Moross Rd, Suite 270, Grosse Pointe, MI 48236-2175 3133433481 ST JOHN HOSPITAL AND MEDICAL CENTER
22201 Moross Rd, Grosse Pointe, MI 48236-2175 3133433481 ST JOHN HOSPITAL AND MEDICAL CENTER
19229 Mack Ave, Grosse Pointe Woods, MI 48236-2857 ST JOHN HOSPITAL AND MEDICAL CENTER
19251 Mack Ave, Grosse Pointe Woods, MI 48236-2898 3133437280 ST JOHN HOSPITAL AND MEDICAL CENTER
19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 3133437280 ST JOHN HOSPITAL AND MEDICAL CENTER
16001 W 9 Mile Rd, Southfield, MI 48075-4818 2488493907 PAVILION FAMILY PRACTICE PC
23077 Greenfield Rd, Suite 195, Southfield, MI 48075-3750 2484230700 PAVILION FAMILY PRACTICE PC
23077 Greenfield Rd, Southfield, MI 48075-3750 2484230700 PAVILION FAMILY PRACTICE PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_122_1 Adult Kidney Disease: Blood Pressure Management 32% Registry
PQRS_EP_122_2 Adult Kidney Disease: Blood Pressure Management 64% Registry
PQRS_EP_122_3 Adult Kidney Disease: Blood Pressure Management 95% Registry
PQRS_EP_173_1 Preventive Care and Screening: Unhealthy Alcohol Use – Screening 70% Registry

Organization Information

Organization Legal Name PAVILION FAMILY PRACTICE PC
Physicians 2

Physicians with the same location

Name Specialty Organization Address
Stanley K Saunders FAMILY PRACTICE PAVILION FAMILY PRACTICE PC 23077 Greenfield Rd Suite 195, Southfield

Office Location

Street Address 23077 GREENFIELD RD
SUITE 195
City SOUTHFIELD
State MI
Zip 48075-3750

Physicians with the same location

Name Specialty Organization Address
Crystal J Subotich NURSE PRACTITIONER THOMAS PARK M.D. PC 23077 Greenfield Rd, Southfield
Stanley K Saunders FAMILY PRACTICE PAVILION FAMILY PRACTICE PC 23077 Greenfield Rd Suite 195, Southfield
David L Gaston NEUROLOGY COMPREHENSIVE CLINICAL NEUROLOGY P.C. 23077 Greenfield Rd Suite 222, Southfield
Johnny L Smith PHYSICAL THERAPY PHYSICAL THERAPY SOUTHFIELD, P.C. 23077 Greenfield Rd Suite 250, Southfield
Kairi L Horsley PODIATRY HORSLEY FOOT AND ANKLE SURGEONS PLLC 23077 Greenfield Rd Suite 255, Southfield
Yolanda D Giles PSYCHIATRY THOMAS PARK M.D. PC 23077 Greenfield Rd Suite 430, Southfield
Thomas T Park PSYCHIATRY THOMAS PARK M.D. PC 23077 Greenfield Rd Suite 430, Southfield
Jira Gonzales Coumarbatch FAMILY PRACTICE SUPERIOR FAMILY MEDICINE CLINIC PC 23077 Greenfield Rd Suite 489, Southfield
Martin A V Tuma VASCULAR SURGERY MARTIN A V TUMA MD VASCULAR SURGERY PLLC 23077 Greenfield Rd, Southfield
Barton B Horsley PODIATRY HORSLEY FOOT AND ANKLE SURGEONS PLLC 23077 Greenfield Rd Suite 255, Southfield

Competitor

Search similar physicians

City SOUTHFIELD
Zip Code 48075
Specialty FAMILY PRACTICE
City + Specialty SOUTHFIELD + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.