MAPLE MILLENNIUM MEDICAL CENTER LLC


Address: 5456 15 Mile Rd, Sterling Heights, MI 48310-5110
Phone: 5869777246

MAPLE MILLENNIUM MEDICAL CENTER LLC (NPI# 1194862656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194862656
Entity Type Organization
Organization Name MAPLE MILLENNIUM MEDICAL CENTER LLC
Practice Address 5456 15 Mile Rd
Sterling Heights
MI 48310-5110
Practice Telephone 5869777246
Mailing Telephone 5869777246
Enumeration Date 2007-01-31
Last Update Date 2011-02-17
Authorized Official Name PRAMOD KERKAR (OWNER)
Authorized Official Telephone 5869777246
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
506851 MI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI HEALTH ALLIANCE PLAN 23C0001058 01
BCBS MI 40346 01

Office Location

Street Address 5456 15 MILE RD
City STERLING HEIGHTS
State MI
Zip Code 48310-5110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255763678 Carrie Nicole Evatz Nurse Practitioner 5456 15 Mile Rd, Sterling Heights, MI 48310-5110 2013-08-08
1962755058 Kristina Cunningham Nurse Practitioner 5456 15 Mile Rd, 101, Sterling Heights, MI 48310-5110 2012-10-26
1306125885 Orthopedic Surgeons P.C. Physical Medicine & Rehabilitation 5456 15 Mile Rd, Suite 101, Sterling Heights, MI 48310-5110 2011-08-15
1881986677 Jason N Peter Do Pllc Physical Medicine & Rehabilitation 5456 15 Mile Rd, Ste 102, Sterling Heights, MI 48310-5110 2011-05-11
1801050083 Michigan Pain Clinic Associates PC Anesthesiology 5456 15 Mile Rd, Suite 101, Sterling Heights, MI 48310-5110 2008-07-16
1184833667 Rakesh V Vakhariya Anesthesiology 5456 15 Mile Rd, 101, Sterling Heights, MI 48310-5110 2007-05-22
1326170952 Wendy K Howard Physician Assistant 5456 15 Mile Rd, Ste 101, Sterling Heights, MI 48310-5110 2007-03-09
1346207206 Lisa Mueller Nurse Anesthetist, Certified Registered 5456 15 Mile Rd, Suite 101, Sterling Heights, MI 48310-5110 2006-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476961 Briana Smiley Behavior Technician 34475 Mound Road, Sterling Heights, MI 48310 2020-07-31
1902442262 Evolve Physical Therapy LLC Physical Therapist 35654 Dequindre Rd, Sterling Heights, MI 48310 2019-11-21
1245715291 Brooksprings Dialysis, LLC Clinic/Center 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 2018-09-26
1942784368 Brittany Lee Anderson Chiropractor 34770 Dequindre Rd., Sterling Heights, MI 48310 2018-09-21
1386140572 Arpan Patel Nurse Practitioner 37303 Tericrest Dr, Sterling Heights, MI 48310 2018-04-05
1306340955 Prestige Specialty Pharmacy LLC Pharmacy 3739 15 Mile Rd, Sterling Heights, MI 48310 2018-03-20
1942704663 Tazul Choudhury Occupational Therapist 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 2018-03-19
1013410950 Robert Parent Physical Therapist 34643 Ketsin Drive, Sterling Heighs, MI 48310 2018-03-16
1194231563 Total Orthopedic Performance Physical Therapy, LLC Physical Therapist 3522 15 Mile Road, Sterling Heights, MI 48310 2017-12-21
1851807309 Happy Life 2 Inc Clinic/Center 3727 15 Mile Rd, Sterling Heights, MI 48310 2017-12-20
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649752650 Pioneer Endoscopy & Surgery Center Clinic/Center 36401 Van Dyke Ave, Sterling Heights, MI 48312-2763 2018-09-06
1912917931 Henry Ford Medical Center Lakeside Clinic/Center 14500 Hall Rd, Sterling Heights, MI 48313-1229 2006-08-09
1215919113 Vision Institute of Michigan Surgery Center PC Clinic/Center 44650 Delco Blvd, Sterling Heights, MI 48313-1024 2005-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891306114 Spine and Joint Surgical Institute of Michigan, LLC Clinic/Center 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 2020-08-11
1588285050 Hall Road Asc LLC Clinic/Center 11051 Hall Rd Ste 100, Utica, MI 48317-5737 2020-05-06
1235750431 Precision Surgery Center LLC Clinic/Center 22701 Hall Road, Macomb, MI 48042 2020-04-29
1790306991 Grass Lake Surgery Center LLC Clinic/Center 3800 Centennial Blvd, Grass Lake, MI 49240 2020-04-29
1992339147 Movi Asc Management LLC Clinic/Center 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 2020-02-26
1609409929 Firestone Procedure Center LLC Clinic/Center 4520 Firestone St Ste C, Dearborn, MI 48126-4602 2020-02-14
1255972113 Center Health Surgery Center LLC Clinic/Center 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 2019-10-02
1942851639 Northern Michigan Surgical Suites, LLC Clinic/Center 825 Moll Dr, Boyne City, MI 49712-9182 2019-09-24
1699328146 Alliance Surgery Center, LLC Clinic/Center 3663 North Country Drive, Traverse City, MI 49684-4587 2019-07-23
1407313802 Spectrum Health Hospitals Clinic/Center 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 2019-02-22
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Competitor

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City STERLING HEIGHTS
Zip Code 48310

Improve Information

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Dataset Information

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.

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