SADIQ HAQUE (NPI# 1265649222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265649222 |
| Entity Type | Individual |
| Full Name | SADIQ HAQUE |
| Credential | D.O. |
| Practice Address |
28800 Ryan Rd Suite 120 Warren MI 48092-4272 |
| Mailing Address |
Po Box 673671 Detroit MI 48267-3671 |
| Practice Telephone | 5865582860 |
| Practice Fax Number | 5865584624 |
| Mailing Telephone | 8107205715 |
| Mailing Fax Number | 8107320891 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5101015606 | MI | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
5101015606 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
28800 RYAN RD SUITE 120 |
| City | WARREN |
| State | MI |
| Zip Code | 48092-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967815 | Gary G Gilyard | Orthopaedic Surgery | 28800 Ryan Rd, Suite 280, Warren, MI 48092-4272 | 2006-01-17 |
| 1982055943 | Melissa Wummel | Social Worker | 28800 Ryan Rd, Ste 320, Warren, MI 48092-4272 | 2016-06-30 |
| 1477920510 | Yasmin Keshavjee | Family Medicine | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2015-08-24 |
| 1033502224 | Neurocognitive Center of Michigan Group | Psychologist | 28800 Ryan Rd, Suite 300, Warren, MI 48092-4272 | 2015-03-11 |
| 1801207907 | Kathryn Aurand | Physician Assistant | 28800 Ryan Rd, Suite 280, Warren, MI 48092-4272 | 2014-05-12 |
| 1952721862 | Samantha Reichling | Specialist | 28800 Ryan Rd, Warren, MI 48092-4272 | 2014-04-17 |
| 1700204328 | Neurocognitive Center of Michigan Inc. | Psychologist | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2014-04-01 |
| 1487081782 | Sara Louise Blomeling-deroo | Social Worker | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2013-10-01 |
| 1275872376 | Dima Sprague | Physician Assistant | 28800 Ryan Rd, Warren, MI 48092-4272 | 2013-02-08 |
| 1568712370 | Behavioral Infermiera Care Solutions Inc | Psychologist | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2012-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366550105 | D-care PC | Family Medicine | 25932 Dequindre Rd, Suite C, Warren, MI 48091-1071 | 2006-08-29 |
| 1780704999 | Britta Anderson | Family Medicine | 28800 Ryan Rd, Ste 120, Warren, MI 48092-4272 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413236 | Sports and Regenerative Medicine Pllc | Family Medicine | 526 W Genesee St Ste 3, Frankenmuth, MI 48734-1357 | 2018-04-05 |
| 1982138442 | Stephen Michael Spadafore | Family Medicine | 2951 Earhart Rd, Ann Arbor, MI 48105-9728 | 2017-04-11 |
| 1447606801 | Central Michigan University | Family Medicine | Cmu Sports Medicine, Rose 100, Mt Pleasant, MI 48859-0001 | 2016-05-04 |
| 1962808162 | Mclaren Greater Lansing | Family Medicine | 2479 Woodlake Cir, Suite 340, Okemos, MI 48864 | 2014-11-15 |
| 1306080213 | Caroline E Beall | Family Medicine | 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 | 2009-04-22 |
| 1104038629 | Robert Edward Poley | Family Medicine | 15959 Hall Rd Ste 405, Macomb, MI 48044 | 2007-05-04 |
| 1063563187 | Lee Stephen Fruman | Family Medicine | 24670 S Cromwell Dr, Franklin, MI 48025-1644 | 2007-01-15 |
| 1366505802 | Sports Medicine Associates,plc | Family Medicine | 3121 University Dr, Ste 140, Auburn Hills, MI 48326-2385 | 2006-12-18 |
| 1538220561 | Thomas K Jamieson | Family Medicine | 2720 Pleasant Grove Rd, Lansing, MI 48910-2410 | 2006-12-13 |
| 1144243114 | Jules Reinhardt D O PC | Family Medicine | 1457 Suncrest Dr, Lapeer, MI 48446-1151 | 2006-07-25 |
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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.