MRS. CARLA ELYSE SHOCK (NPI# 1245339290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245339290 |
| Entity Type | Individual |
| Full Name | MRS. CARLA ELYSE SHOCK |
| Credential | RN, MSN, APRN-BC |
| Practice Address |
26755 Ballard St Harrison Township MI 48045-2419 |
| Practice Telephone | 5864665464 |
| Practice Fax Number | 5864665352 |
| Mailing Telephone | 5864665464 |
| Mailing Fax Number | 5864665352 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704159521 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26755 BALLARD ST |
| City | HARRISON TOWNSHIP |
| State | MI |
| Zip Code | 48045-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043478910 | Ascension St John Hospital | Podiatrist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2008-05-28 |
| 1245446541 | Beatrice A Erdos | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-05-15 |
| 1558576504 | Mary Ellen Mclain | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-05-13 |
| 1740312685 | St John Hospital and Medical Center | Nurse Anesthetist, Certified Registered | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-03-09 |
| 1295867133 | St. John North Shores Hospital | Clinic/Center | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-03-09 |
| 1598811614 | Jennifer Litzenberg | Specialist/Technologist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-01-25 |
| 1255484382 | Leslie Ellen Mcgill-mayotte | Registered Nurse | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-01-20 |
| 1376613638 | St John North Shores Emergency Physicians, P. C. | Emergency Medicine | 26755 Ballard St, Emergency Department, Harrison Township, MI 48045-2419 | 2006-11-08 |
| 1477669224 | Shirley Sayles | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602040 | Integrated Solution LLC | Social Worker | 24791 Parkside St., Apt. 206, Harrison Township, MI 48045 | 2016-07-07 |
| 1598908352 | Andrew Frank Langlois | Pharmacist | 28350 S.river Rd, Harrison Twp, MI 48045 | 2009-04-09 |
| 1629241559 | Brandon Charles Holda | Technician, Other | 43401 N. Jefferson Bldg #825, Selfridge Angb, MI 48045 | 2008-04-11 |
| 1902022601 | Detroit Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 43355 North Jefferson, Uscg Clinic - Bldg 825, Detroit, MI 48045 | 2007-04-18 |
| 1477620755 | Uscg Clinic Sector Detroit | Clinic/Center | 43401 N. Jefferson, Bldg 825, Selfridge Angb, MI 48045 | 2006-11-29 |
| 1568561983 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 410 Mitchell, Selfridge Air Base, MI 48045 | 2006-09-22 |
| 1477661700 | Bridgeview Chiropractic Center | Chiropractor | 28326 S River Rd, Harrison Twp, MI 48045 | 2006-08-28 |
| 1851362586 | St. John Hospital and Medical Center | General Acute Care Hospital | 26755 Ballard Road, Harrison Township, MI 48045 | 2006-01-31 |
| 1013256296 | Mclaren Macomb | Emergency Medicine | 39833 Bridgeview St, Harrison Township, MI 48045 | 2013-02-07 |
| 1265467682 | Venkateswara Rao Malineni | Psychiatry & Neurology | 215 North Ave, St Joseph Specialty Hospital 215, Mt Clemens, MI 48045 | 2006-07-12 |
| Find all providers in zip 48045 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | HARRISON TOWNSHIP |
| Zip Code | 48045 |
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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.