RODERICK'S THERAPEUTIC MASSAGE SERVICE


Address: 14840 Mapleridge St, Detroit, MI 48205-3023
Phone: 3134242522

RODERICK'S THERAPEUTIC MASSAGE SERVICE (NPI# 1023353554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023353554
Entity Type Organization
Organization Name RODERICK'S THERAPEUTIC MASSAGE SERVICE
Practice Address 14840 Mapleridge St
Detroit
MI 48205-3023
Practice Telephone 3134242522
Mailing Telephone 3134242522
Enumeration Date 2012-12-10
Last Update Date 2012-12-10
Authorized Official Name RODERICK DWAYNE WRIGHT (OWNER)
Authorized Official Telephone 3134242522
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization ========= MI Managed Care Organizations

Office Location

Street Address 14840 MAPLERIDGE ST
City DETROIT
State MI
Zip Code 48205-3023

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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

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1871984880 Children's Alliance of Metro Detroit Preferred Provider Organization 10 Witherell St, Suite 2702, Detroit, MI 48226-1661 2015-02-12
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Competitor

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City DETROIT
Zip Code 48205

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Dataset Information

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.

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