DR. DEREK J HANDZO (NPI# 1114122165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114122165 |
| Entity Type | Individual |
| Full Name | DR. DEREK J HANDZO |
| Credential | D.O. |
| Practice Address |
11080 Hall Rd Ste A Sterling Heights MI 48314-1511 |
| Practice Telephone | 5862547200 |
| Practice Fax Number | 5862547201 |
| Mailing Telephone | 5862547200 |
| Mailing Fax Number | 5862547201 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2019-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
5101017392 | MI | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
5101017392 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1202 Walton Blvd Ste 201, Rochester Hills, MI 483076918 | 2486520044 |
| Street Address |
11080 HALL RD STE A |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48314-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669968582 | Nicolette Marie Romatz | Audiologist | 11080 Hall Rd Ste A, Sterling Heights, MI 48314-1511 | 2018-07-03 |
| 1962722363 | Molly R Hunter | Audiologist | 11080 Hall Rd Ste A, Sterling Heights, MI 48314-1511 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961720 | Sterling Heights Comfort Care LLC | Assisted Living Facility | 44456 Mound Rd, Sterling Heights, MI 48314 | 2020-01-13 |
| 1053875591 | Preztige Medical Transportation | Non-emergency Medical Transport (VAN) | 43656 Vintage Oaks Drive, Sterling Heights, MI 48314 | 2019-01-29 |
| 1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
| 1861938680 | Hope Physical Therapy | Physical Therapist | 42301 Mound Rd, Sterling Heights, MI 48314 | 2017-01-18 |
| 1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
| 1457720534 | Soltions 2 Life LLC | Home Health | 3220 Cherry Creek Lane, Sterling Heights, MI 48314 | 2015-09-18 |
| 1326449091 | Lauren Ehardt | Dentist | 43060 Mound Rd, Sterling Heights, MI 48314 | 2014-09-11 |
| 1134554819 | Amy Kathryn Barnes | Social Worker | 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 | 2013-09-12 |
| 1952666117 | Michigan's Dental Health Professional | Dentist | 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 | 2012-07-12 |
| 1699051557 | Sanju Koithara | Physical Therapist | 2644 Balsam Way Drive, Sterling Heights, MI 48314 | 2011-10-24 |
| Find all providers in zip 48314 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922268119 | Candice Colleen Colby-scott | Otolaryngology | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334 | 2008-06-11 |
| 1457578106 | Eleanor Yuk-yin Chan | Otolaryngology | 1135 W University Dr Ste 440, Rochester, MI 48307-1897 | 2007-04-20 |
| 1831145523 | Valley Ent Associates PC | Otolaryngology | 2551 Mcleod Dr S, Saginaw, MI 48604-2827 | 2006-05-25 |
| 1255774246 | Dennis Isaac Bojrab II | Otolaryngology | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2013-04-09 |
| 1972895472 | Christopher Andrew Schutt | Otolaryngology | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 | 2011-05-03 |
| 1407167489 | Brent Wilkerson | Otolaryngology | 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334 | 2010-06-24 |
| 1174755284 | Hugo K. Roesler,m.d., P.C. | Otolaryngology | 1141 S Rose St, Suite A, Kalamazoo, MI 49001-2652 | 2009-08-23 |
| 1760649925 | St. Vincent Mercy Medical Center | Otolaryngology | 100 Powell Dr, Suite 4, Dundee, MI 48131-8644 | 2008-05-16 |
| 1952509648 | Gerhard William Hill IIi | Otolaryngology | 1500 East Medical Center Dr, 2nd Floor Taubman Ctr Recp G, Ann Arbor, MI 48109-5312 | 2007-07-05 |
| 1659464782 | Robert E Brammer | Otolaryngology | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48314 |
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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.