CARL MICHAEL PESTA SR. (NPI# 1235179201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235179201 |
| Entity Type | Individual |
| Full Name | CARL MICHAEL PESTA SR. |
| Credential | DO |
| Practice Address |
23575 15 Mile Rd Clinton Township MI 48035 |
| Mailing Address |
Po Box 1108 Ann Arbor MI 48106-1108 |
| Practice Telephone | 5867597494 |
| Practice Fax Number | 7346777407 |
| Mailing Telephone | 5867597494 |
| Mailing Fax Number | 7346777407 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101005236 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2798943 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114983913 | Carl Matthew Pesta | Surgery | 1030 Harrington St, 302a, Mount Clemens, MI 48043-2967 | 2006-04-21 |
| Street Address |
23575 15 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063913200 | Cecilia Powell | Occupational Therapist | 23575 15 Mile Rd, Clinton Township, MI 48035-3108 | 2018-02-22 |
| 1548705783 | Soua Kue | Nurse Practitioner | 23575 15 Mile Rd, Clinton Township, MI 48035-3108 | 2016-12-26 |
| 1134401193 | Nadia Fatima Kent | Registered Nurse | 23575 15 Mile Rd, Clinton Township, MI 48035-3108 | 2011-09-15 |
| 1063604536 | Balasubramaniam Sundaram | Physical Therapist | 23575 15 Mile Rd, Clinton Township, MI 48035-3108 | 2007-08-17 |
| 1932308988 | Karen Renee Smithson | Occupational Therapy Assistant | 23575 15 Mile Rd, Clinton Township, MI 48035-3108 | 2007-07-11 |
| 1932118718 | Church of Christ Home for The Aged | Skilled Nursing Facility | 23575 15 Mile Rd, Clinton Township, MI 48035-3108 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155950 | Convenient Ct PC | Dentist | 35992 S. Gratiot Ave, Clinton Twp, MI 48035 | 2019-07-10 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1093233884 | Justin Scott Lemanski | Student in an Organized Health Care Education/Training Program | 23162 Talbot, Cinton Twp., MI 48035 | 2017-08-31 |
| 1689035842 | Audionet America Inc | Audiologist | 33830 Harper Ave, Clinton Twp, MI 48035 | 2016-03-16 |
| 1194149054 | Cherian Kochuparampil | Behavioral Analyst | 23195 Elmira, Clinton Township, MI 48035 | 2014-02-13 |
| 1417255688 | Laura Christine Miller | Speech-Language Pathologist | 21173 Suffolk St, Clinton Township, MI 48035 | 2011-03-11 |
| 1780987404 | Cindy Sue Rodammer | Physical Therapy Assistant | 35746 Harper, Clinton Twp, MI 48035 | 2010-12-20 |
| 1427376953 | Heather Kuczynski | Physical Therapy Assistant | 35746 Harper St, Clinton Twp., MI 48035 | 2010-05-07 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| Find all providers in zip 48035 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508132283 | Jonathan Edward Beaulac | Internal Medicine | 15855 Nineteen Mile Rd., Henry Ford Macomb Hospital, Clinton Township, MI 48038 | 2012-03-28 |
| 1457664864 | Aalok Dave | Internal Medicine | 15885 19 Mile, Henry Ford Macomb Hospital, Clinton Township, MI 48038 | 2010-07-15 |
| 1255512661 | Vasudevar Rao Mandava Md PC | Internal Medicine | 43171 Dalcoma Dr Ste 8, Ste 8, Clinton Township, MI 48038-6307 | 2007-11-14 |
| 1093904500 | Sentinel Wound Care Associates PC | Internal Medicine | 19697 Driftwood Dr, Clinton Township, MI 48038-6906 | 2007-10-21 |
| 1700956356 | Rudyard Limsingian Dimson | Internal Medicine | 43351 Commons Dr, Clinton Township, MI 48038-1109 | 2006-11-09 |
| 1437242914 | Regina Del Rosario Villanueva | Internal Medicine | 43361 Commons Drive, Clinton Township, MI 48038 | 2006-10-02 |
| 1417968827 | Nina Habib Rehman | Internal Medicine | 15520 19 Mile Rd Ste 480, Clinton Township, MI 48038 | 2006-08-10 |
| 1871015560 | Firdhous Alimathunis Abdul Kather | Internal Medicine | 15855 19 Mile Rd, Henry Ford Macomb Hospitals, Clinton Township, MI 48038 | 2017-07-13 |
| 1417480849 | Nimmish Khera | Internal Medicine | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2017-04-04 |
| 1548624935 | Jordan Blake Siu | Internal Medicine | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2016-04-11 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
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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.