MEADOWBROOK PRIMARY CARE, PLLC (NPI# 1154712073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154712073 |
| Entity Type | Organization |
| Organization Name | MEADOWBROOK PRIMARY CARE, PLLC |
| Practice Address |
2050 N Haggerty Rd Ste 260 Canton MI 48187-3796 |
| Practice Telephone | 7348922712 |
| Practice Fax Number | 7348922714 |
| Mailing Telephone | 7348922712 |
| Mailing Fax Number | 7348922714 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | SARJU SHAH (OWNER / PRESIDENT) |
| Authorized Official Telephone | 7348922712 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
2050 N HAGGERTY RD STE 260 |
| City | CANTON |
| State | MI |
| Zip Code | 48187-3796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265400436 | Monica Thomson | Obstetrics & Gynecology | 2050 N Haggerty Rd Ste 260, Canton, MI 48187 | 2006-03-14 |
| 1932604774 | Darryl Wayne Froehlich | Nurse Practitioner | 2050 N Haggerty Rd Ste 260, Canton, MI 48187-3796 | 2018-03-26 |
| 1285183103 | West Michigan Geriatric Associates, Pllc | Nursing Care | 2050 N Haggerty Rd Ste 260, Canton, MI 48187-3796 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381907 | Nieshia West | Nursing Care | 201 Wertz Ave Sw, Canton, OH 44710-2404 | 2020-06-22 |
| 1770108896 | Building New Pathways Home Health Care LLC | Nursing Care | 4461 S Sheldon Rd, Canton, MI 48188-2522 | 2020-06-15 |
| 1467960039 | Lum Personal Care Home, LLC | Nursing Care | 1132 Copper Creek Dr, Canton, GA 30114-8178 | 2018-01-17 |
| 1932638038 | Hall of Fame Residential Services | Nursing Care | 6691 Freedom Ave Nw, Canton, OH 44720-7301 | 2017-06-12 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1013241322 | Assisted Living Corporation of Ga | Nursing Care | 149 Shady Ln, Canton, GA 30114-7960 | 2009-09-21 |
| 1356512867 | Caring R Us, LLC | Nursing Care | 905 Turnpike St Ste E1, Canton, MA 02021-2833 | 2008-03-12 |
| 1497849848 | Netsource Health Services Ltd | Nursing Care | 2812 7th St Nw, Canton, OH 44708-4315 | 2006-10-02 |
| 1932727005 | Compassionate Care Home Health Service | Nursing Care | 242 W North St, Canton, MS 39046-3723 | 2020-07-06 |
| 1962041798 | Kids' Kastle Gluckstadt | Nursing Care | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-26 |
| Find all providers in CANTON | ||||
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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.