DR. NUSRAT JAVAID (NPI# 1063501591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063501591 |
| Entity Type | Individual |
| Full Name | DR. NUSRAT JAVAID |
| Credential | M.D. |
| Practice Address |
Children's Hospital of Mi 3901 Beaubien - Ground Fl Detroit MI 48201-2119 |
| Mailing Address |
University Pediatricians 4201 St. Antoine - Uhc 5d Mailbox 226 Detroit MI 48201-2153 |
| Practice Telephone | 3137455260 |
| Practice Fax Number | 3139660665 |
| Mailing Telephone | 3137454405 |
| Mailing Fax Number | 3139660665 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301056997 | MI | Allopathic & Osteopathic Physicians |
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
4301056997 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
4301056997 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4434887 | 05 | |
| MI | BLUE SHIELD | 0B51090 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9171 Lapeer Rd, Ste 100, Davison, MI 484233617 | 8104412559 | 8104125593 |
| Street Address |
CHILDREN'S HOSPITAL OF MI 3901 BEAUBIEN - GROUND FL |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033188099 | Cathy Patty-resk | Nurse Practitioner | Children's Hospital of Mi, 3950 Beaubien, Detroit, MI 48201 | 2006-03-14 |
| 1386245967 | Ashley Nicole Heffner | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-11-02 |
| 1225663388 | Lori Walton | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-03-10 |
| 1235649963 | Meghna Shukla | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201 | 2017-10-09 |
| 1336673219 | Tabatha Alrayes | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2017-04-17 |
| 1427591262 | Elise Guido | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien - Ground Fl, Detroit, MI 48201-2119 | 2016-11-28 |
| 1487196952 | Michael Deraad | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201 | 2016-11-15 |
| 1487000238 | Ryan Mehendra Surujdeo | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2016-05-11 |
| 1982059242 | Carl Tabb II | Pediatrics | Children's Hospital of Mi, 3901 Beaubuen, Detroit, MI 48201-2119 | 2016-04-25 |
| 1215381975 | Cindy Agu | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2016-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417985615 | Stephen Robert Knazik | Pediatrics | 3901 Beaubien Emergency Dept - Main Building, Childrens Hospital of Mi, Detroit, MI 48201 | 2006-06-28 |
| 1457774788 | Yagnaram Ravichandran | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2014-01-22 |
| 1316116486 | Nisrine El Chami | Pediatrics | 3901 Beaubien St, Division of Pediatric Emergency Medicine, Detroit, MI 48201-2119 | 2008-02-22 |
| 1326238924 | Katherine Anne Hebert | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-07-30 |
| 1912071424 | Julia Lynn Hays | Pediatrics | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-11-17 |
| 1447287545 | Indira Onwuzurike | Pediatrics | 3901 Beaubien St, Detroit, MI 48201 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861913030 | Ashima Goyal | Pediatrics | 3535 W 13 Mile, South Clinic, Royal Oak, MI 48073 | 2017-06-28 |
| 1598296022 | Elizabeth Marie Budnik | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-03-26 |
| 1558817205 | Zina Alhaddad | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2016-08-31 |
| 1316342082 | Dhritiman Gurkha | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2014-10-23 |
| 1790103737 | Terry L Barrett | Pediatrics | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2014-04-06 |
| 1891904462 | Kelly Anne Levasseur | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-05-21 |
| 1528187762 | University Children 's Urgent Care | Pediatrics | 989 University Dr, Suite 101, Pontiac, MI 48342-1885 | 2007-03-28 |
| 1609907294 | Laura Maria Moody | Pediatrics | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2007-03-08 |
| 1467512871 | Maria D. Dorsch | Pediatrics | Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 | 2006-12-08 |
| 1205805249 | Vijay Bhardwaj | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-03-14 |
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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.