MIDDLEBROOK MEDICAL CENTER (NPI# 1003083460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003083460 |
| Entity Type | Organization |
| Organization Name | MIDDLEBROOK MEDICAL CENTER |
| Practice Address |
20001 Livernois Ave Suite 500 Detroit MI 48221-4122 |
| Mailing Address |
20176 Livernois Ave Detroit MI 48221-1346 |
| Practice Telephone | 3138643000 |
| Practice Fax Number | 3138645423 |
| Mailing Telephone | 3138643000 |
| Mailing Fax Number | 3138645423 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2010-07-02 |
| Authorized Official Name | MS. LABRETTA QUICK (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3138643000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
20001 LIVERNOIS AVE SUITE 500 |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1982129805 | Abhay Mishra | Internal Medicine | 4160 John R St Ste 908, Detroit, MI 48201-2017 | 2017-08-11 |
| 1033669445 | T-beyene Hypertension & Kidney Care Plc | Internal Medicine | 4160 John R Ste 1011, Harper Professional Building, Detroit, MI 48201 | 2016-10-10 |
| 1093083446 | Afton Nephrology Associates, P.C. | Internal Medicine | 19445 Afton Rd, Detroit, MI 48203-1437 | 2011-12-13 |
| 1194053793 | Wei Jeng Lin Md PC | Internal Medicine | 6001 W Outer Dr Suite 320, Detroit, MI 48235 | 2009-11-20 |
| 1255528816 | Xiaoping Huang Md Ph D PC | Internal Medicine | 4160 John R Road, Ste 729, Detroit, MI 48201 | 2007-09-27 |
| 1669446050 | Vinod Goyal | Internal Medicine | 2141 E Jefferson Ave, Detroit, MI 48207-4128 | 2006-02-14 |
| 1023016474 | Aris Querol Urbanes | Internal Medicine | 4160 John R St Ste 980, Detroit, MI 48201-2017 | 2005-07-11 |
| 1942821376 | Z Tamam Hypertension and Kidney | Internal Medicine | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-04-27 |
| 1528601952 | Procare Partners Health Pllc | Internal Medicine | 4777 E Outer Dr Ste 1147, Detroit, MI 48234-3241 | 2019-10-17 |
| Find all providers in DETROIT | ||||
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| 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.