COLLEEN LAROSE MIELE (NPI# 1265431696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265431696 |
| Entity Type | Individual |
| Full Name | COLLEEN LAROSE MIELE |
| Credential | MD |
| Practice Address |
47601 Grand River Ave B233 Novi MI 48374-1233 |
| Mailing Address |
25925 Telegraph Rd 210 Southfield MI 48034-2518 |
| Practice Telephone | 2484654847 |
| Practice Fax Number | 2484654809 |
| Mailing Telephone | 2487460342 |
| Mailing Fax Number | 2487460308 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
4301061288 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
47601 GRAND RIVER AVE B233 |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610478 | Harjot Gill | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-16 |
| 1417578147 | Sean Patrick Hohl | Registered Nurse | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-05 |
| 1952946972 | Adam C Donnellon | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-11-13 |
| 1508412826 | Kathleen Ruffolo | Nurse Practitioner | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-08-13 |
| 1073167532 | Candace Lee Hogrefe | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374 | 2019-08-01 |
| 1134780794 | Taylor Garland | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-06-25 |
| 1881253375 | Alessandra Vincenza Palazzolo | Internal Medicine | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-06-10 |
| 1598238172 | Lisa Hydorn | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-01-07 |
| 1558863365 | Jocelyn Cartujano Baisa | Physical Therapist | 47601 Grand River Ave, Novi, MI 48374-1233 | 2018-03-07 |
| 1417459991 | Jennifer Kay Mcdonald | Physical Therapist | 47601 Grand River Ave, Novi, MI 48374-1233 | 2018-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013061951 | Child Health Associates, P.C. | Pediatrics | 25500 Meadowbrook, Ste. 190, Novi, MI 48375-1882 | 2007-01-22 |
| 1902879448 | Vinaya Kumar Gavini | Pediatrics | 26850 Providence Pkwy, Suite 300, Novi, MI 48374-1213 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
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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.