ANDREA CELESTE LIGHTBOURN (NPI# 1245264209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245264209 |
| Entity Type | Individual |
| Full Name | ANDREA CELESTE LIGHTBOURN |
| Credential | MD |
| Practice Address |
29600 Northwestern Hwy 104 Southfield MI 48034-1016 |
| Practice Telephone | 2482582332 |
| Practice Fax Number | 2483276082 |
| Mailing Telephone | 2482582332 |
| Mailing Fax Number | 2483276082 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301048299 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4408457 | 05 |
| Street Address |
29600 NORTHWESTERN HWY 104 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497260871 | Group Psychotherapy, PC | Psychiatry & Neurology | 29600 Northwestern Hwy, 100b, Southfield, MI 48034-1016 | 2017-12-07 |
| 1235520339 | The Chair | Counselor | 29600 Northwestern Hwy, Ste 100, Southfield, MI 48034-1016 | 2015-02-10 |
| 1336447028 | David A Baker | Social Worker | 29600 Northwestern Hwy, Suite 100, Southfield, MI 48034-1016 | 2011-03-04 |
| 1487955845 | Ultra Diagnostic Services PC | Nuclear Medicine | 29600 Northwestern Hwy, Suite 106, Southfield, MI 48034-1016 | 2010-11-16 |
| 1972814689 | Ronald Jacob Hook | Social Worker | 29600 Northwestern Hwy, Suite #100a, Southfield, MI 48034-1016 | 2010-06-28 |
| 1649429499 | Paul Poisel Shultz | Social Worker | 29600 Northwestern Hwy, #115, Southfield, MI 48034-1016 | 2008-09-17 |
| 1720255987 | Andrea C Lightbourn Md Pllc | Specialist | 29600 Northwestern Hwy, 104, Southfield, MI 48034-1016 | 2008-05-15 |
| 1083887822 | George A Lightbourn Md PC | Urology | 29600 Northwestern Hwy, Suite 104, Southfield, MI 48034-1016 | 2008-04-11 |
| 1962680587 | Natan Harpaz | Social Worker | 29600 Northwestern Hwy, Suite 103, Southfield, MI 48034-1016 | 2008-02-06 |
| 1386771087 | Leora Pnina Bar-levav | Counselor | 29600 Northwestern Hwy, Suite 100, Southfield, MI 48034-1016 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1386094464 | Ali Bazzi | Obstetrics & Gynecology | 26400 W 12 Mile Rd Ste 140, Southfield, MI 48034-1753 | 2016-06-20 |
| 1700268547 | Simisola Marie Caxton-idowu | Obstetrics & Gynecology | 22250 Providence Dr Ste 300, Southfield, MI 48075-6211 | 2015-06-28 |
| 1306223839 | Aylin Deniz Downey | Obstetrics & Gynecology | 29877 Telegraph Rd Ste 210, Southfield, MI 48034 | 2015-05-05 |
| 1902010085 | Janet C Mullings-britton | Obstetrics & Gynecology | 22250 Providence Dr Ste 408, Southfield, MI 48075-6212 | 2007-05-09 |
| 1487717666 | Harmony International PC | Obstetrics & Gynecology | 20905 Greenfield Rd #402, Northland Medical Tower, Southfield, MI 48075 | 2006-12-18 |
| 1588613921 | Korial J Atty | Obstetrics & Gynecology | 29425 Northwestern Hwy, Suite 200, Southfield, MI 48034-1080 | 2006-05-10 |
| 1902862436 | Michele Thomas | Obstetrics & Gynecology | 29255 Northwestern Hwy Ste 301, Southfield, MI 48034 | 2006-04-24 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.