Organization
EASTSIDE GROUP LLC
Active
Organization
EASTSIDE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BERMUDEZ MD (MEDICAL DIRECTOR)
(586) 447-5110
Entity
Organization
Contact information
Practice address
28963 LITTLE MACK AVE, SUITE 103, SAINT CLAIR SHORES, MI 48081-3017
(586) 447-5110
Mailing address
28963 LITTLE MACK AVE, SUITE 103, SAINT CLAIR SHORES, MI 48081-3017
(586) 447-5110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MI
367500000X
Certified Registered Nurse Anesthetist
—
MI
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up