JEFFREY T DENIO (NPI# 1053567669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053567669 |
| Entity Type | Individual |
| Full Name | JEFFREY T DENIO |
| Credential | PA-C |
| Practice Address |
26025 Lahser 2nd Floor Southfield MI 48033-2606 |
| Practice Telephone | 2486631900 |
| Practice Fax Number | 2486631902 |
| Mailing Telephone | 2486631900 |
| Mailing Fax Number | 2486631902 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005283 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 200F311140 | 01 |
| Street Address |
26025 LAHSER 2ND FLOOR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154307437 | Joel R Schechet | Anesthesiology | 26025 Lahser, 2nd Floor, Southfield, MI 48033-2606 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144457706 | Kimberly Lynn Cosbey | Physician Assistant | 29829 Telegraph Rd Ste 200, Southfield, MI 48034-7656 | 2009-06-22 |
| 1225057664 | Lindsay Kathryn Brown | Physician Assistant | 17515 W 9 Mile Rd Ste 340, Southfield, MI 48075-4426 | 2006-07-18 |
| 1790766509 | John Kay Nwadinobi | Physician Assistant | 29610 Southfield Rd, Ste 250, Southfield, MI 48076-2000 | 2005-11-09 |
| 1053976951 | Rafik E Mansour | Physician Assistant | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-05-06 |
| 1316455215 | Melissa Courtney Gasiorek | Physician Assistant | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2018-01-14 |
| 1023461134 | Miranda Leah Katty | Physician Assistant | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2016-07-14 |
| 1255781928 | Katherine Rambeau | Physician Assistant | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2016-06-14 |
| 1447629795 | Soham Trivedi | Physician Assistant | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2015-09-16 |
| 1235366162 | James Benjiman Burdette IIi | Physician Assistant | 23999 Northwestern Hwy, Suite # 110, Southfield, MI 48075-2578 | 2009-06-18 |
| 1447485180 | Michael Allen Greene | Physician Assistant | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2009-05-26 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on JEFFREY T DENIO.
| 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.