CONCENTRA MEDICAL CENTER -- CANTON (NPI# 1114117447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114117447 |
| Entity Type | Organization |
| Organization Name | CONCENTRA MEDICAL CENTER -- CANTON |
| Practice Address |
1600 S Canton Center Rd Suite 140 Canton MI 48188-1992 |
| Mailing Address |
Po Box 5106 Southfield MI 48086-5106 |
| Practice Telephone | 7343987550 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-08 |
| Authorized Official Name | DR. W. TOM FOGARTY (CHIEF MEDICAL OFFIDER) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | OCCUPATIONAL HEALTH CENTERS OF MICHIGAN, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Street Address |
1600 S CANTON CENTER RD SUITE 140 |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314948 | David Howard Seaman | Specialist | 1600 S Canton Center Rd, Ste 360, Canton, MI 48188-0004 | 2005-05-24 |
| 1073029211 | St Joseph Mercy Hospital | Clinic/Center | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2017-12-26 |
| 1750839882 | Ronald P Adelman Dpm Pllc | Podiatrist | 1600 S Canton Center Rd, #2200, Canton, MI 48188-1992 | 2016-09-19 |
| 1275984239 | Farnaz Adibi | Student in an Organized Health Care Education/Training Program | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2016-06-30 |
| 1982051215 | Iha Health Services Corporation | Pediatrics | 1600 S Canton Center Rd, Suite 200, Canton, MI 48188-1992 | 2016-05-17 |
| 1659760361 | Diabetes, Thyroid & Endocrinology Clinic Pllc | Internal Medicine | 1600 S Canton Center Rd, Suite 2200, Canton, MI 48188-1992 | 2015-01-19 |
| 1831533686 | Todd Rojaih Mcherron Jr. | Student in an Organized Health Care Education/Training Program | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2013-04-24 |
| 1619239043 | Dhwani Patel | Physician Assistant | 1600 S Canton Center Rd, Suite 140, Canton, MI 48188-1992 | 2012-06-12 |
| 1417245515 | Raza Ali | Family Medicine | 1600 S Canton Center Rd, Suite 1200, Canton, MI 48188-1992 | 2011-07-11 |
| 1194011320 | Nicole Rose Knisley | Physician Assistant | 1600 S Canton Center Rd, #140, Canton, MI 48188-1992 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316496367 | U.S. Healthworks Medical Group of Ohio, Inc. | Clinic/Center | 2626 Fulton Dr Nw, Canton, OH 44718-3504 | 2016-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602628 | Hackley Hospital | Clinic/Center | 5730 W Us Highway 10, Ludington, MI 49431-2452 | 2016-07-12 |
| 1134470941 | Occupational Health Centers of Michigan PC | Clinic/Center | 19200 West Rd, Woodhaven, MI 48183-3386 | 2012-09-20 |
| 1205111465 | Therapy Unlimited, LLC | Clinic/Center | 44125 W Twelve Mile Road, E-123, Box D7, Novi, MI 48377-1980 | 2011-10-19 |
| 1902038847 | Tonicity Therapy Group, Inc. | Clinic/Center | 34663 Valley Forge Dr, Farmington Hills, MI 48331-3205 | 2009-08-11 |
| 1447414511 | Husan Ara Rahman | Clinic/Center | 6060 W Bristol Rd, Mc 485-542-250, Flint, MI 48554-0001 | 2008-07-17 |
| 1578727467 | Rehab Focus, Incorporated | Clinic/Center | 820 Center St, Owosso, MI 48867-1416 | 2008-07-10 |
| 1518046598 | Michigan State University | Clinic/Center | 804 Clinical Center, A114, East Lansing, MI 48824-1313 | 2006-11-02 |
| 1255347068 | Spectrum Health Hospitals | Clinic/Center | 973 Ottawa Ave Nw, Attn: Pat Poling, Grand Rapids, MI 49503-1431 | 2006-08-01 |
| 1689690125 | Hackley Hospital | Clinic/Center | 117 W Colby St, Whitehall, MI 49461-1014 | 2006-07-15 |
| 1548895550 | Insight Urgent Care PC | Clinic/Center | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2020-03-10 |
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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.