MELVIN G MCINNIS (NPI# 1295807113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295807113 |
| Entity Type | Individual |
| Full Name | MELVIN G MCINNIS |
| Credential | MD |
| Practice Address |
4250 Plymouth Road Ann Arbor MI 48109-2700 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347646443 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
4301084398 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301084398 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4722686 | 05 |
| Street Address |
4250 PLYMOUTH ROAD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184662454 | Debra Anne Pinals | Psychiatry & Neurology | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2006-06-02 |
| 1760916100 | Rebecca A Bowman Bufford | Social Worker | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2017-04-12 |
| 1184095101 | Nicole Lea Grow | Registered Nurse | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2015-10-16 |
| 1407264674 | Emily Laird Bilek | Psychologist | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2014-07-31 |
| 1942547930 | Joanne Shipman | Counselor | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2013-01-10 |
| 1447514765 | Erin N Hughes Krieger | Social Worker | 4250 Plymouth Road, Rachel Upjohn Bldg, Ann Arbor, MI 48109-2700 | 2012-07-02 |
| 1891059119 | Kimberly Bakhai | Social Worker | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2012-07-02 |
| 1245502301 | Jenna K Nienhuis | Social Worker | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2012-02-06 |
| 1083985352 | Reg A Williams | Nurse Practitioner | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2012-01-19 |
| 1417268699 | Courtney Elizabeth Rowling | Psychiatry & Neurology | 4250 Plymouth Road, Ann Arbor, MI 48105-5000 | 2010-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1235585829 | Andrew Timothy Schmale | Psychiatry & Neurology | 320 N Main St Ste 300, Ann Arbor, MI 48104-1127 | 2016-05-12 |
| 1386029445 | Louis Feurino Md Pllc | Psychiatry & Neurology | 900 Victors Way Ste 240, Ann Arbor, MI 48108-2705 | 2015-07-29 |
| 1568859635 | Joseph C Ikekwere | Psychiatry & Neurology | 4250 Plymouth Rd Dept Of, Ann Arbor, MI 48109-2700 | 2015-04-16 |
| 1700204609 | Sajeeb Adhikary | Psychiatry & Neurology | 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2014-03-29 |
| 1285900324 | Suzanne M Sutherland | Psychiatry & Neurology | 729 Peninsula Ct, Ann Arbor, MI 48105-2507 | 2012-03-22 |
| 1114235686 | Peter Blos Jr. Jr. | Psychiatry & Neurology | 111 S 4th Ave, #2, Ann Arbor, MI 48104-1901 | 2010-09-18 |
| 1962630897 | Numa P. Cabrera | Psychiatry & Neurology | 2115 Churchill, Ann Arbor, MI 48103-6000 | 2009-06-30 |
| 1417183047 | Kwang Cho Kim | Psychiatry & Neurology | 3745 Charter Pl, Ann Arbor, MI 48105-2826 | 2009-06-10 |
| 1376780742 | Jonathan A Sugar | Psychiatry & Neurology | 339 E Liberty St, Suite 330, Ann Arbor, MI 48104-2276 | 2009-01-07 |
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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.