DORTHIA EGGLESTON (NPI# 1215387576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215387576 |
| Entity Type | Individual |
| Full Name | DORTHIA EGGLESTON |
| Practice Address |
1203 Gratiot Saginaw MI 48602 |
| Mailing Address |
1203 Gratiot Ave # 1 Saginaw MI 48602-2216 |
| Practice Telephone | 9899483385 |
| Mailing Telephone | 9899483385 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
2701153395 | MI | Other Service Providers |
| Street Address |
1203 GRATIOT |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1811371941 | Amy Adele Howley | Community/Behavioral Health | 500 Hancock, Saginaw, MI 48602 | 2015-07-18 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844943 | Daniel Herrera Iv | Specialist | 5560 State St, Saginaw, MI 48603-3496 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375915 | Derrick Darnell Gills | Specialist | 29935 Northwestern Hwy, Southfield, MI 48034-1020 | 2020-10-27 |
| 1609473511 | Laverne Denise Williams | Specialist | 19504 Steel St, Detroit, MI 48235-1240 | 2020-10-04 |
| 1619586682 | Saundranita Rezia Powe | Specialist | 5642 W Maple Rd Ste 15, West Bloomfield, MI 48322-3795 | 2020-07-27 |
| 1184232829 | Marlena Young | Specialist | 20141 Bramford St, Detroit, MI 48234-3201 | 2020-07-20 |
| 1770102725 | Nekia Morris Cutright | Specialist | 29584 Howard Ave, Madison Heights, MI 48071-2587 | 2020-04-09 |
| 1871122366 | I Am Ashley Monae Collection LLC | Specialist | 29746 Southfield Rd Ste 204, Southfield, MI 48076-2088 | 2020-04-06 |
| 1427695857 | Frederick Henry Moore Jr. | Specialist | 14000 Lakeside Cir, Sterling Heights, MI 48313-1320 | 2019-12-04 |
| 1982269320 | Shaana Whiteside | Specialist | 33423 Woodward Ave, Birmingham, MI 48009-0907 | 2019-05-01 |
| 1578023149 | Tyrus Wright | Specialist | 27208 Southfield Rd Ste 3, Lathrup Village, MI 48076-7912 | 2019-03-21 |
| 1427516343 | Ericka Samone Lewis | Specialist | 16000 W 9 Mile Rd Ste 525, Southfield, MI 48075-4839 | 2019-03-10 |
| Find all providers with the same taxonomy | ||||
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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.