BAKKE MEDICAL PC (NPI# 1265576888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265576888 |
| Entity Type | Organization |
| Organization Name | BAKKE MEDICAL PC |
| Practice Address |
1039 Washington St Dearborn MI 48124-2016 |
| Mailing Address |
21723 Garrison St Dearborn MI 48124-2368 |
| Practice Telephone | 3135631033 |
| Practice Fax Number | 3135632930 |
| Mailing Telephone | 3132744215 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | DR. DAISY S ANGELES (PRESIDENT) |
| Authorized Official Telephone | 3135631033 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4301037608 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1361633 | 05 |
| Street Address |
1039 WASHINGTON ST |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512752 | Daisy S Angeles | Internal Medicine | 1039 Washington St, Dearborn, MI 48124-2016 | 2005-07-15 |
| 1346750262 | Lowella Camille Dequiros | Nurse Practitioner | 1039 Washington St, Dearborn, MI 48124-2016 | 2017-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1093356917 | My Doctors Clinic Pllc | Clinic/Center | 4520 Firestone St Ste B, Dearborn, MI 48126-4602 | 2019-10-02 |
| 1992210397 | Brighter Pathways LLC | Clinic/Center | 7600 Calhoun St, Dearborn, MI 48126-1149 | 2017-12-06 |
| 1538317235 | Theramatrix, Inc. | Clinic/Center | 24050 Oxford St, Dearborn, MI 48124-2694 | 2008-09-05 |
| 1598944696 | United Group Services, Inc. | Clinic/Center | 24018 Michigan Ave, Dearborn, MI 48124 | 2007-10-25 |
| 1942392782 | Dearborn Medical & Rehabilitation Center | Clinic/Center | 23917 Ford Rd, Dearborn, MI 48128-1207 | 2006-09-29 |
| 1245839752 | Daoud Faraj PC | Clinic/Center | 5479 Schaefer Rd, Dearborn, MI 48126-3222 | 2020-10-26 |
| 1538694054 | Hs Management LLC | Clinic/Center | 13530 Michigan Ave, Ground Floor, Dearborn, MI 48126-3574 | 2017-04-21 |
| 1609026335 | Shaker Haddad Md PC | Clinic/Center | 12813 W Warren Ave, Dearborn, MI 48126-1532 | 2008-09-30 |
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|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| 1902431653 | Recovery Mobile Clinic | Clinic/Center | 3050 Steeple Road, White Lake, MI 48383 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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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.