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

Rose Hazem, PA

Individual provider Physician Assistant · NPI 1730990227

Rose Hazem, PA is a Physician Assistant in Grosse Pointe, Michigan. Qualified in 2025, 1 year ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone: (313) 473-6899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14103 Camelot Dr, Sterling Heights, MI 48312-2429 — (586) 447-6344

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601013101 (MI)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 5601013101 (MI)

Record details

NPI number1730990227
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grosse Pointe