DR. ERIC S STOVER (NPI# 1194787085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194787085 |
| Entity Type | Individual |
| Full Name | DR. ERIC S STOVER |
| Credential | DO |
| Practice Address |
4700 Schaefer Rd. Dearborn MI 48126-3698 |
| Mailing Address |
200 Oceangate Suite 100 Long Beach CA 90802-4317 |
| Practice Telephone | 3135812600 |
| Practice Fax Number | 3135810228 |
| Mailing Telephone | 5624996191 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
5101015292 | MI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101015292 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1194787085 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962917716 | Eric Lee Stover | Technician, Pathology | 200 Veterans Ave, Beckley, WV 25801-6444 | 2017-12-01 |
| Street Address |
4700 SCHAEFER RD. |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508844200 | Joyce M Blazejewski | Emergency Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-01-04 |
| 1730561564 | Carla Miller | Nurse Practitioner | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2015-06-29 |
| 1598174005 | Pamela M Drury | Nurse Practitioner | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2014-08-08 |
| 1699066241 | Robert T Bowen | Family Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2011-04-29 |
| 1568618098 | Lindsey J Kirk | Radiology | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2008-08-15 |
| 1255598579 | Carlos J Ledezma | Radiology | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2008-05-22 |
| 1578686929 | Adam R Schwaderer | Pharmacist | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2007-04-09 |
| 1902834070 | Kenneth P Tarr | Radiology | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023360971 | Frank M Fayz Md PC | Radiology | 600 Town Center Dr, Suite 1275, Dearborn, MI 48126-2718 | 2012-10-02 |
| 1497030233 | Karl Francis Kado Jr. | Radiology | 600 Lincoln Drive, 1806, Dearborn, MI 48126 | 2011-10-12 |
| 1962683722 | Hussein Deeb Aoun | Radiology | 210 Woodcrest Dr, Dearborn, MI 48124-1162 | 2007-11-21 |
| 1457553588 | Emad Hossein Abdel Hamid | Radiology | Oakwood Hospital Medical Center, 18101 Oakwood Blvd., Dearborn, MI 48124 | 2007-06-01 |
| 1104856145 | Frank M. Fayz | Radiology | 5470 Wessex Ct, Apt 210, Dearborn, MI 48126-4270 | 2006-07-04 |
| 1891742672 | Reza Abghari | Radiology | 840 Oakwood Blvd, Dearborn, MI 48124-2319 | 2006-05-27 |
| 1679529978 | Drs. Harris, Birkhill, Wang, Songe and Associates, P.c | Radiology | 840 Oakwood Blvd., Dearborn, MI 48124 | 2006-05-26 |
| 1538782461 | Andrew John Bacyinski | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-05-27 |
| 1093338188 | Mohammad Rizk Abdulla | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-05-22 |
| 1043831852 | Michael Walter Ramalia Jr. | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-05-04 |
| Find all providers in DEARBORN | ||||
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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.