DEFPOTEC CORPORATION (NPI# 1306395546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306395546 |
| Entity Type | Organization |
| Organization Name | DEFPOTEC CORPORATION |
| Other Organization Name | DEFPOTEC CORPORATION |
| Practice Address |
17260 W 10 Mile Rd Southfield MI 48075-2949 |
| Mailing Address |
14200 W 8 Mile Rd 37047 Oak Park MI 48237-7700 |
| Practice Telephone | 2488094633 |
| Mailing Telephone | 3134554146 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | MS. KRISTIE VOLAURA LEE (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2485958271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 132700000X | Dietary Manager | Dietary & Nutritional Service Providers | ||
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
Nursing Service Providers | ||
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
Nursing Service Providers | ||
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| DEFPOTEC CORP. | Former Legal Business Name - Organization |
| DEFPOTEC CORPORATION | Former Legal Business Name - Organization |
| Street Address |
17260 W 10 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972733327 | Health Plus Rehab Inc. | Clinic/Center | 17260 W 10 Mile Rd, Suite # D, Southfield, MI 48075-2949 | 2009-07-20 |
| 1407489289 | Total Health Care Managment P.c | Clinic/Center | 17260 W 10 Mile Rd, Southfield, MI 48075-2949 | 2020-02-19 |
| 1376814699 | Visiting Physicians, PC | Clinic/Center | 17260 W 10 Mile Rd, Southfield, MI 48075-2949 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104015080 | Dentalexpress.net, LLC | Point of Service | 23225 Northwestern Hwy, Southfield, MI 48075-7707 | 2007-10-17 |
| 1922541739 | Diversified Health Care Management Consultants, Inc | Point of Service | 16250 Northland Dr, Suite # 241, Southfield, MI 48075-5205 | 2016-11-28 |
| 1730431214 | Advantage Professional Rehab Services Ltd | Point of Service | 15565 Northland Dr., Suite 208 E., Southfield, MI 48075 | 2012-10-09 |
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| 1669016317 | Rocket Billing Services LLC | Point of Service | 1355 Hollywood St, Dearborn, MI 48124-4041 | 2019-11-05 |
| 1376059238 | Special Driving Services, Inc. | Point of Service | 3945 Okemos Rd Ste A5, Okemos, MI 48864-4207 | 2017-12-14 |
| 1093228124 | Khidmah LLC | Point of Service | 9315 Joseph Campau St, Hamtramck, MI 48212-3433 | 2017-11-11 |
| 1508307273 | Central Michigan University | Point of Service | 203 E Broomfield, Rose 145, Mt Pleasant, MI 48859-0001 | 2017-03-15 |
| 1083159545 | Marley Gannon Pagel Lmsw, Acsw, LLC | Point of Service | 474 Iris Ln, Saline, MI 48176-9092 | 2016-12-19 |
| 1295277663 | Oceansblue 24 Hr Home Care 4 | Point of Service | 15336 Washburn St, Detroit, MI 48238-1662 | 2016-11-16 |
| 1720434384 | Kelly Mcclain | Point of Service | 2125 Denwood Ave Sw, Wyoming, MI 49509-1962 | 2016-05-12 |
| 1902266356 | Central Michigan Care | Point of Service | 798 S Whiteville Rd, Mt Pleasant, MI 48858-8776 | 2016-02-28 |
| 1073982070 | Bellis | Point of Service | 33037 Grand River Ave, Farmington, MI 48336-3119 | 2015-09-20 |
| 1740666098 | Nariman Shamoon | Point of Service | 14585 Sparrow Dr, Shelby Township, MI 48315-5042 | 2015-08-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.