DEVYN PORATH (NPI# 1003393190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003393190 |
| Entity Type | Individual |
| Full Name | DEVYN PORATH |
| Practice Address |
39555 W 10 Mile Rd Ste 302 Novi MI 48375-2950 |
| Mailing Address |
15739 Scott St Southgate MI 48195-1323 |
| Practice Telephone | 2484267200 |
| Mailing Telephone | 7343087224 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5315094078 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
39555 W 10 MILE RD STE 302 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679647200 | Robert Raja Zaid | Family Medicine | 39555 W 10 Mile Rd Ste 302, Novi, MI 48375-2950 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1669634499 | Rema Palissery Menon | Physician Assistant | 41267 Scarborough Ln, Novi, MI 48375-2892 | 2008-07-02 |
| 1598325177 | Rachael Courter | Physician Assistant | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2019-06-17 |
| 1609344217 | Sarah Alm | Physician Assistant | 39475 Lewis Dr Ste 200, Novi, MI 48377 | 2018-11-13 |
| 1710492590 | Kristie K Greear | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2017-12-03 |
| 1124547567 | Ariel Dews | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2017-09-18 |
| 1952831596 | Halee Doyle | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2017-06-15 |
| 1649630625 | Kaitlin Mary Henkel | Physician Assistant | 39475 Lewis Dr, Suite 130, Novi, MI 48377-2981 | 2016-03-03 |
| 1801278361 | Karen A Marinica | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2015-06-22 |
| 1376881169 | Brittany Nicole Murphy | Physician Assistant | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2013-01-29 |
| Find all providers in NOVI | ||||
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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.