PROFESSIONAL DIETITIAN SERVICES, LLC (NPI# 1114465044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114465044 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DIETITIAN SERVICES, LLC |
| Practice Address |
29519 Harper Ave Saint Clair Shores MI 48081-1275 |
| Practice Telephone | 5862343871 |
| Practice Fax Number | 5863438773 |
| Mailing Telephone | 5862343871 |
| Mailing Fax Number | 5863438773 |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | MRS. AMANDA ALAME (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 3139124798 |
| Authorized Official Credential | MS, RDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
F0803N | MI | Ambulatory Health Care Facilities |
| Street Address |
29519 HARPER AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073659264 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 | 2007-01-29 |
| 1285080697 | Amanda Alame | Dietitian, Registered | 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 | 2016-05-04 |
| 1972904951 | Premier Vascular Associates, Pllc | Surgery | 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 | 2014-09-10 |
| 1124455159 | Amer Alame Md PC | Surgery | 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 | 2013-10-04 |
| 1972730067 | Alexandria Conley Glenn | Colon & Rectal Surgery | 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 | 2009-06-16 |
| 1477709327 | Amer Mohamed Zeni | Surgery | 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 | 2008-08-12 |
| 1063676286 | Jimmy Charbel Haouilou | Surgery | 29519 Harper Ave, Saint Clair Shores, MI 48081 | 2008-07-16 |
| 1093975542 | Amer M Alame | Colon & Rectal Surgery | 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679964290 | Mary Arnone Epoch Holistic Massage | Clinic/Center | 28404 Harper Ave, Saint Clair Shores, MI 48081-1607 | 2015-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866167 | God's Path Community Services | Clinic/Center | 2500 Lemay St, Detroit, MI 48214-3146 | 2020-06-17 |
| 1487280681 | Aml Medical Pllc | Clinic/Center | 16584 Westbrook St, Detroit, MI 48219-3870 | 2020-03-19 |
| 1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
| 1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
| 1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
| 1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
| 1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
| 1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
| 1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
| 1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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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.