ANDRE ELLISON (NPI# 1043755523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043755523 |
| Entity Type | Individual |
| Full Name | ANDRE ELLISON |
| Practice Address |
5000 Town Ctr 2405 Southfield MI 48075-1110 |
| Practice Telephone | 2489434107 |
| Mailing Telephone | 2489434107 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Street Address |
5000 TOWN CTR 2405 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053428433 | Norberto Andaya Sugayan | Radiology | 5000 Town Ctr, 605, Southfield, MI 48075-1110 | 2006-08-23 |
| 1750826236 | Mainstream Media Group | Private Vehicle | 5000 Town Ctr, 2405, Southfield, MI 48075-1110 | 2016-12-20 |
| 1467800888 | Katherine Temple | Technician, Other | 5000 Town Ctr, 508, Southfield, MI 48075-1110 | 2016-05-26 |
| 1629246475 | Suzanne Marie Gauvreau | Massage Therapist | 5000 Town Ctr, 2704, Southfield, MI 48075-1110 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750826236 | Mainstream Media Group | Private Vehicle | 5000 Town Ctr, 2405, Southfield, MI 48075-1110 | 2016-12-20 |
| 1982085015 | Pennie Ohia | Private Vehicle | 17500 Northland Park Ct, Southfield, MI 48075-4324 | 2015-06-15 |
| 1154759645 | Vibrus Group, LLC | Private Vehicle | 23100 Providence Dr, Suite 227, Southfield, MI 48075-3646 | 2013-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284810 | Kevin L Warren | Private Vehicle | 6032 Chamberlain St, Romulus, MI 48174-1810 | 2020-10-28 |
| 1639776172 | Blue Dot | Private Vehicle | 370 Roberts St, Muskegon, MI 49442-1363 | 2020-10-07 |
| 1285273029 | Maverick's Transportation Service, LLC | Private Vehicle | 16021 Dugan St, Roseville, MI 48066-1480 | 2019-12-26 |
| 1104485614 | Mahabad Ahmed | Private Vehicle | 170 Mckinley Dr, Troy, MI 48098-2964 | 2019-06-08 |
| 1215595061 | Madame Paulettes Regal Services | Private Vehicle | 12630 Kelly Rd, Detroit, MI 48224-1502 | 2019-06-05 |
| 1164087839 | Harry Pritchett IIi | Private Vehicle | 16603 Bringard Dr, Detroit, MI 48205-1522 | 2019-05-07 |
| 1467915728 | Eric Robert Stuart | Private Vehicle | 1816 Chestnut St, Cadillac, MI 49601-9240 | 2019-04-12 |
| 1568929917 | Simon Community Transportation, Inc | Private Vehicle | 5232 Oakman Blvd, Dearborn, MI 48126-3318 | 2019-02-21 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1023535754 | Professional Experienced Assistant Caring for The Elderly of Mind | Private Vehicle | 2410 Inverness Road, Grand Rapids, MI 49546 | 2017-08-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.