PRIME RHEUMATOLOGY CENTER PLLC (NPI# 1295191484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295191484 |
| Entity Type | Organization |
| Organization Name | PRIME RHEUMATOLOGY CENTER PLLC |
| Practice Address |
1623 Ford Ave Wyandotte MI 48192-2303 |
| Practice Telephone | 7343897167 |
| Mailing Telephone | 7343897167 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | DR. MALINI VENKATRAM (MD) |
| Authorized Official Telephone | 7345784642 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1623 FORD AVE |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039522 | Girish C Mangalick | Specialist | 1623 Ford Ave, Wyandotte, MI 48192-2303 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326051665 | Michigan Neurology Center | Specialist | 1848 Biddle Ave., Suite 101, Wyandotte, MI 48192-4064 | 2006-08-15 |
| 1912939539 | Dana B. Driscoll | Specialist | 966 Ford Ave, Wyandotte, MI 48192-3851 | 2006-07-06 |
| 1184696213 | Dr Ravinder Gandhi | Specialist | 2025 Ford Ave, Wyandotte, MI 48192-2312 | 2006-02-02 |
| 1225039522 | Girish C Mangalick | Specialist | 1623 Ford Ave, Wyandotte, MI 48192-2303 | 2005-08-09 |
| 1750569992 | Downriver Rehabilitation Associates PC | Specialist | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2008-02-08 |
| 1144402165 | Metro Infectious Disease Specialists P.c | Specialist | 1628 Ford Ave, Wyandotte, MI 48192-2304 | 2007-11-30 |
| 1255385548 | Richard A Vantuyl | Specialist | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-05-20 |
| 1952369662 | Aaron Lupovitch | Specialist | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-05-02 |
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|---|---|---|---|---|
| 1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
| 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.