PHYLLIS A SURMA (NPI# 1003068222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003068222 |
| Entity Type | Individual |
| Full Name | PHYLLIS A SURMA |
| Credential | RN |
| Practice Address |
28050 Grand River Ave Tracc Farmington Hills MI 48336-5919 |
| Practice Telephone | 2484718000 |
| Mailing Telephone | 2484718000 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
4704146111 | MI | Nursing Service Providers |
| Street Address |
28050 GRAND RIVER AVE TRACC |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811662 | Jyothsna Yalavarthi | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2005-06-20 |
| 1649895848 | Tehreem Sajjad | Podiatrist | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1700401064 | Anthony Ibrahim | Pharmacy | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-12 |
| 1700401155 | Darlene Pham | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-11 |
| 1497370050 | Lawrence Jajou | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-10 |
| 1548885072 | Ricardo Hernandez | Orthopaedic Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-06-10 |
| 1669096335 | Krystle Gish | Family Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-29 |
| 1588288278 | Jordan Matthew Correll | Family Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-29 |
| 1053934760 | Brandon Baroff | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-28 |
| 1912520651 | Aaron W Hess | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104165851 | Frances Pachota | Registered Nurse | 28100 Grand River Ave Ste 301, Farmington Hills, MI 48336-5970 | 2013-01-31 |
| 1093967481 | Nancy Holloway | Registered Nurse | 28050 Grand River Ave, Tracc, Farmington Hills, MI 48336-5919 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161600 | Tiffini Ann Jones | Registered Nurse | 3624 8th St, Wyandotte, MI 48192-6509 | 2020-10-12 |
| 1093334294 | Sally M Kidman | Registered Nurse | 535 S Burdick St Ste 256, Kalamazoo, MI 49007-6112 | 2020-04-09 |
| 1205339595 | Janet Banks-mcelrath | Registered Nurse | 43421 Garfield Rd Ste 203, Clinton Twp, MI 48038-1133 | 2018-03-13 |
| 1275032849 | Bethany Wolter | Registered Nurse | 175 S Waverly Rd Ste A, Holland, MI 49423-7906 | 2018-02-08 |
| 1568974038 | Point A Organization | Registered Nurse | 12091 Cloverlawn St, Detroit, MI 48204-1012 | 2017-10-24 |
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1619346780 | Kathy Ann Bowers | Registered Nurse | 2300 N. Stallman Rd, Suttons Bay, MI 49682 | 2015-09-18 |
| 1639589526 | Jill Moore | Registered Nurse | 829 N Center Ave Ste 140, Gaylord, MI 49735-1598 | 2014-05-01 |
| 1225292832 | Cynthia Marie Hoganson | Registered Nurse | 7696 E Claymore Ct, Canton, MI 48187-1842 | 2008-07-13 |
| 1457534703 | Linda Susan Kangas | Registered Nurse | 13396 Hyde Rd, Hartland, MI 48353-3210 | 2007-12-10 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
Please comment or provide details below to improve the information on PHYLLIS A SURMA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.