CECELIA F. HISSONG, M. D., P. C. (NPI# 1033295167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033295167 |
| Entity Type | Organization |
| Organization Name | CECELIA F. HISSONG, M. D., P. C. |
| Practice Address |
23100 Cherry Hill Rd. Dearborn MI 48124-1493 |
| Practice Telephone | 3135635310 |
| Practice Fax Number | 3135638147 |
| Mailing Telephone | 3135635310 |
| Mailing Fax Number | 3135638147 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-12-22 |
| Authorized Official Name | CECELIA F. HISSONG (PRESIDENT) |
| Authorized Official Telephone | 3135635310 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | CH027214 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 10/2095139 | 05 | |
| MI | M-CARE ID | C3390 | 01 |
| MI | BLUE CARE NETWORK ID | 0824144 | 01 |
| MI | BLUE CROSS BLUE SHIELD ID | 080824144 | 01 |
| MI | CARE CHOICES | 126367 | 01 |
| MI | HAP ID | B44598 | 01 |
| Street Address |
23100 CHERRY HILL RD. |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376171538 | Mazin Alnasry | Family Medicine | 7629 Calhoun St, Dearborn, MI 48126-1148 | 2020-03-31 |
| 1003263476 | Ali I Sobh | Family Medicine | 13107 S Morrow Cir, Dearborn, MI 48126-1442 | 2016-05-16 |
| 1639311509 | Sajad Zalzala | Family Medicine | 835 Mason St Ste A250, Dearborn, MI 48124-2231 | 2009-03-24 |
| 1760682371 | Access Ipa | Family Medicine | 6450 Maple, Dearborn, MI 48126 | 2007-07-21 |
| 1770786931 | Padmaja Vemuri | Family Medicine | 18101 Oakwood Blvd, Oakwood Hospital and Medical Center, Dearborn, MI 48124 | 2007-06-06 |
| 1730390832 | Hassan Ali Saghir | Family Medicine | 6833 Calhoun St, Same As Above, Dearborn, MI 48126-1808 | 2007-05-24 |
| 1629136064 | Sham Juratli | Family Medicine | 18181 Oakwood Blvd., Suite 206, Dearborn, MI 48124 | 2006-12-05 |
| 1861562365 | Rana Khoury | Family Medicine | 3736 Pelham St, Dearborn, MI 48124-3832 | 2006-11-09 |
| 1902985310 | Mohamad Derani | Family Medicine | 15401 W Warren Ave, Dearborn, MI 48126-1359 | 2006-11-04 |
| 1184717738 | Spinal Therapeutics, Inc | Family Medicine | 22731 Newman Suite 102, Dearborn, MI 48123 | 2006-10-02 |
| Find all providers in DEARBORN | ||||
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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.