DR. MARK ALLEN MENESTRINA (NPI# 1265498059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265498059 |
Entity Type | Individual |
Full Name | DR. MARK ALLEN MENESTRINA |
Credential | MD |
Practice Address |
12851 E Grand River Brighton Hospital Brighton MI 48116-8596 |
Mailing Address |
17351 Inkster Rd Livonia MI 48152 |
Practice Telephone | 8102271211 |
Practice Fax Number | 8102276893 |
Mailing Telephone | 7344217997 |
Enumeration Date | 2006-04-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
045529 | MI | Allopathic & Osteopathic Physicians |
Street Address |
12851 E GRAND RIVER BRIGHTON HOSPITAL |
City | BRIGHTON |
State | MI |
Zip Code | 48116-8596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
Find all providers in zip 48116 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
1508812231 | Marilyn Beth Williams | Family Medicine | 12851 E Grand River Ave, Brighton Hospital, Brighton, MI 48116-9969 | 2006-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740836444 | White Lake Urgent Care | Family Medicine | 9178 Highland Rd Ste 1a, White Lake, MI 48386-4619 | 2019-08-18 |
1669665154 | Daniel A. Schwarz | Family Medicine | 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075-2653 | 2007-08-20 |
1134335359 | Jerry Avrum Appel | Family Medicine | 1720 South Hill Blvd, Bloomfield Township, MI 48304-1135 | 2007-05-15 |
1417099417 | Bio-med Behavioral Healthcare, Inc. | Family Medicine | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2007-02-13 |
1457469330 | Eric N. Coffman | Family Medicine | 27550 Joy Rd, Livonia, MI 48150-4145 | 2006-08-29 |
1598703621 | Carl Woodrow Christensen | Family Medicine | 4870 W Clark Rd Ste 201, Ypsilanti, MI 48197-1104 | 2006-06-02 |
1790745966 | Douglas Lawrence Marsh | Family Medicine | 18590 Allen Rd, Melvindale, MI 48122-1516 | 2006-03-23 |
1952377566 | Bruce Henry Baker | Family Medicine | 3210 Eagle Run Dr, Suite 200, Grand Rapids, MI 49525 | 2006-02-23 |
1689275026 | Lindsey Ruth Mitchell | Family Medicine | 28477 Hoover Rd, Warren, MI 48093-5400 | 2020-11-03 |
1568084333 | Great Lakes Addiction Recovery Services Pllc | Family Medicine | 142 E Maumee St, Adrian, MI 49221-2735 | 2020-05-14 |
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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.