STEPHANIE A REA (NPI# 1356678866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356678866 |
| Entity Type | Individual |
| Full Name | STEPHANIE A REA |
| Other Name | STEPHANIE A MANDUZZI |
| Credential | PAC |
| Practice Address |
8338 Allen Road Suite 101 Allen Park MI 48101 |
| Practice Telephone | 3133865500 |
| Practice Fax Number | 3133861339 |
| Mailing Telephone | 3133865500 |
| Mailing Fax Number | 3133861339 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5601005671 | MI | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 5601005671 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | ST LISC | 5601005671 | 01 |
| Street Address |
8338 ALLEN ROAD SUITE 101 |
| City | ALLEN PARK |
| State | MI |
| Zip Code | 48101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
| 1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
| 1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
| 1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
| 1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
| 1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
| 1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
| 1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
| 1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
| 1215065446 | Kelly Infante | Counselor | 7000 Roosevelt Ave Ste 101, Allen Park, MI 48101 | 2007-03-01 |
| Find all providers in zip 48101 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265930275 | Allen Park Family Physicians Plc | Family Medicine | 7445 Allen Rd Ste 210, Allen Park, MI 48101-1995 | 2018-01-24 |
| 1568836385 | Daniel Carl Angell | Family Medicine | 8338 Allen Rd Ste 101, Allen Park, MI 48101-1399 | 2015-11-17 |
| 1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
| 1982826467 | Childrens and Family Medical Clinic PC | Family Medicine | 8209 Allen Rd, Allen Park, MI 48101-1401 | 2007-05-03 |
| 1033273008 | House Calls Physicians Pllc | Family Medicine | 6842 Park Ave, Allen Park, MI 48101-2084 | 2006-12-21 |
| 1952483372 | Michael D Simms | Family Medicine | 7226 Allen Rd, Allen Park, MI 48101 | 2006-10-19 |
| 1588746903 | Ronald G Baker | Family Medicine | 7226 Allen Road, Allen Park, MI 48101 | 2006-10-19 |
| 1891768057 | Robert Jackson | Family Medicine | 8338 Allen Rd, Ste 101, Allen Park, MI 48101-1399 | 2006-02-08 |
| 1326010828 | Patricia Nester | Family Medicine | 7445 Allen Rd, Suite 250, Allen Park, MI 48101-1963 | 2006-02-07 |
| 1568432441 | Jalal J Thwainey | Family Medicine | 7106 Park Ave, Allen Park, MI 48101-2038 | 2006-01-24 |
| Find all providers in ALLEN PARK | ||||
| City | ALLEN PARK |
| Zip Code | 48101 |
Please comment or provide details below to improve the information on STEPHANIE A REA.
| 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.