EUGENE WALTER LAVERONI JR. (NPI# 1285621474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285621474 |
| Entity Type | Individual |
| Full Name | EUGENE WALTER LAVERONI JR. |
| Credential | DO |
| Practice Address |
28080 Grand River Ave Suite 207 Farmington Hills MI 48336-5966 |
| Practice Telephone | 2484718829 |
| Practice Fax Number | 2484718352 |
| Mailing Telephone | 2484718829 |
| Mailing Fax Number | 2484718352 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2011-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
5101009202 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3020482 | 05 | |
| MI | DMC | 500564 | 01 |
| MI | BCN | P69099 | 01 |
| Street Address |
28080 GRAND RIVER AVE SUITE 207 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053762211 | Ashley Armbruster | Surgery | 28080 Grand River Ave, #209, Farmington Hills, MI 48336-5966 | 2016-06-28 |
| 1255782603 | Love Pandey Vimal | Surgery | 28080 Grand River Ave, Suite 208-n, Farmington Hills, MI 48336-5966 | 2016-06-27 |
| 1235589227 | Allison Cristine Dillon | Surgery | 28080 Grand River Ave, Suite 208 North, Farmington Hills, MI 48336-5966 | 2016-06-21 |
| 1093164873 | Marisa Bauters | Surgery | 28080 Grand River Ave, Suite 208-n, Farmington Hills, MI 48336-5966 | 2016-06-13 |
| 1306292438 | Mindy Raminick | Internal Medicine | 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336-5966 | 2016-05-07 |
| 1871907303 | Botsford General Hospital | Internal Medicine | 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336-5966 | 2014-06-12 |
| 1326330945 | George Edward Gopoian | Podiatrist | 28080 Grand River Ave, Farmington Hills, MI 48336-5966 | 2011-05-16 |
| 1497068795 | Daniel Johnston Cranford | Radiology | 28080 Grand River Ave, Farmington Hills, MI 48336-5966 | 2010-07-15 |
| 1669705687 | Anthony John Lutz | Internal Medicine | 28080 Grand River Ave, Ste. 306 N, Farmington Hills, MI 48336-5966 | 2009-09-09 |
| 1003055971 | Casey Ashby | Otolaryngology | 28080 Grand River Ave, Farmington Hills, MI 48336-5966 | 2009-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
| 1891957155 | Elie D. Aboulafia | Surgery | 27501 W 14 Mile Rd, Farmington Hills, MI 48334-1812 | 2008-06-27 |
| 1437345378 | Eugene W Laveroni Jr Do PC | Surgery | 28080 Grand River Ave, Ste 207n, Farmington Hills, MI 48336-5966 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
| 1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
| 1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
| 1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
| 1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
| 1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
| 1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
| 1437383197 | Barbara D'agnoluzzo Moreira | Surgery | 3663 Woodward Ave Ste 200, Wsu Detroit Medical Center, Detroit, MI 48201-2400 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
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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.