Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anthony Paniccia, MD

Individual provider Family Medicine Physician · NPI 1891761821

Anthony Paniccia, MD is a Family Practice in St Clair Shores, Michigan. Graduated from Wayne State University School of Medicine in 1997, 29 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19901 E 10 Mile Rd
St Clair Shores, MI 48080-1069
Phone: (586) 777-1277
Fax: (586) 777-0106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301070278 (MI)

Record details

NPI number1891761821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESDecember 6, 2007
Mailing address43800 Garfield Rd, Suite 201, Clinton Twp, MI 48038-1136

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Clair Shores