TRICIA ANN FERNANDEZ (NPI# 1124551981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124551981 |
| Entity Type | Individual |
| Full Name | TRICIA ANN FERNANDEZ |
| Credential | M.D. |
| Practice Address |
1560 E Maple Rd Troy MI 48083-1135 |
| Mailing Address |
495 Wimpole Dr Rochester Hills MI 48309-2153 |
| Practice Telephone | 2485815900 |
| Practice Fax Number | 2485815647 |
| Mailing Telephone | 2486597901 |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2017-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1560 E MAPLE RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407803075 | Nehman Lorenzo Lauder | Family Medicine | 1560 E Maple Rd, Ste 101, Troy, MI 48083-1138 | 2006-05-28 |
| 1194258624 | Michael Chaouki Gemayel | Student in an Organized Health Care Education/Training Program | 1560 E Maple Rd, Troy, MI 48083-1135 | 2017-04-11 |
| 1104272160 | Jennifer M Gideon | Nurse Practitioner | 1560 E Maple Rd, Suite 400 - Credentialing, Troy, MI 48083-1138 | 2016-05-09 |
| 1619380946 | University Physician Group | Pharmacist | 1560 E Maple Rd, Suite 400, Troy, MI 48083-1138 | 2014-06-04 |
| 1093058786 | Tess A Mccready | Family Medicine | 1560 E Maple Rd, Suite 101, Troy, MI 48083-1138 | 2013-04-01 |
| 1154616985 | Heather N Abraham | Internal Medicine | 1560 E Maple Rd, Suite 400-credentialing, Troy, MI 48083-1138 | 2011-06-09 |
| 1033446547 | Ross Mayerhoff | Otolaryngology | 1560 E Maple Rd, Suite 200, Troy, MI 48083-1138 | 2009-11-05 |
| 1710147756 | Peter Paximadis | Radiology | 1560 E Maple Rd, Suite 400 - Credentialing Dept, Troy, MI 48083-1138 | 2008-06-12 |
| 1205942869 | Kathleen Pilchowski | Internal Medicine | 1560 E Maple Rd, Suite 400-credentialing Department, Troy, MI 48083-1138 | 2006-08-23 |
| 1164460895 | Georgia Michalopoulou | Psychologist | 1560 E Maple Rd, Troy, MI 48083-1135 | 2006-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604281 | Kaleigh Anne Higgins | Student in an Organized Health Care Education/Training Program | 10 Stoneledge Dr Apt 4, Troy, NY 12182-3513 | 2020-09-21 |
| 1497367585 | Raghuram Palepu | Student in an Organized Health Care Education/Training Program | 426 Tanner Dr., Troy, MI 48085-4808 | 2020-08-19 |
| 1699395145 | Bryan Bennett | Student in an Organized Health Care Education/Training Program | 813 Canton St, Troy, PA 16947-1452 | 2020-04-24 |
| 1659991107 | Pyo Jae Kim | Student in an Organized Health Care Education/Training Program | 805 Sandalwood Dr, Troy, MI 48085-1643 | 2020-04-24 |
| 1972122828 | Varsha Aravindabose | Student in an Organized Health Care Education/Training Program | 5586 Fawn Ct, Troy, MI 48098-2507 | 2020-04-10 |
| 1841755527 | Caleb Nelson Mcdonald | Student in an Organized Health Care Education/Training Program | 5000 Veterans Stadium Drive, Troy, AL 36082-0001 | 2019-02-06 |
| 1356888622 | Regina Wright | Student in an Organized Health Care Education/Training Program | 318 Arrowhead Dr, Troy, AL 36081-4406 | 2017-01-25 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1407212756 | Stacey Kyea | Student in an Organized Health Care Education/Training Program | 56 Biscayne Boulevard, Troy, NY 12182-1604 | 2015-12-31 |
| 1780075457 | Anthony Luke Zaki | Student in an Organized Health Care Education/Training Program | 541 Georgian Ct, Troy, MI 48098-1770 | 2015-02-16 |
| Find all providers in TROY | ||||
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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.