MICHELE PENNINGTON MD FAMILY MEDICAL PLLC (NPI# 1366484693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366484693 |
| Entity Type | Organization |
| Organization Name | MICHELE PENNINGTON MD FAMILY MEDICAL PLLC |
| Practice Address |
25775 W 10 Mile Rd Suite B Southfield MI 48034-4856 |
| Mailing Address |
#6620 6620 Reliable Parkway Chicago IL 60686-0001 |
| Practice Telephone | 2483049400 |
| Practice Fax Number | 2483049401 |
| Mailing Telephone | 2483049400 |
| Mailing Fax Number | 2483049401 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | DR. MICHELE PENNINGTON (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2483049400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301070192 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBC BCN | 0806346602 | 01 |
| MI | RAILROAD MEDICARE | 0801975377 | 01 |
| Street Address |
25775 W 10 MILE RD SUITE B |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629432505 | Stacy Mcnerney | Massage Therapist | 25775 W 10 Mile Rd, Southfield, MI 48033-4856 | 2016-04-07 |
| 1508229295 | Joshua Skorupski | Massage Therapist | 25775 W 10 Mile Rd, Suite C, Southfield, MI 48033-4856 | 2016-03-31 |
| 1083081988 | It Works, Inc. | Clinic/Center | 25775 W 10 Mile Rd, Suite C, Southfield, MI 48033-4856 | 2015-08-26 |
| 1841224409 | Anita L Regalado | Dentist | 25775 W 10 Mile Rd, Suite 104, Southfield, MI 48034-4856 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| 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 |
|---|---|---|---|---|
| 1699398081 | Natalie Bacheldor | Family Medicine | 22250 Providence Drive Suite 557, Southfield, MI 48075-4818 | 2020-05-20 |
| 1346806734 | Michigan Visiting Physician Services, Inc | Family Medicine | 21751 W 11 Mile Rd Ste 204, Southfield, MI 48076-3779 | 2019-05-12 |
| 1174031942 | Providence Homecare Providers Pllc | Family Medicine | 25511 Southfield Rd Ste 118, Southfield, MI 48075-1830 | 2018-01-16 |
| 1225567944 | Bilal Tarek Malek | Family Medicine | 23648 Lahser Rd, Southfield, MI 48033-3250 | 2017-06-06 |
| 1457894461 | Residential Physicians Association, Pllc | Family Medicine | 28300 Franklin Rd Ste 100, Southfield, MI 48034-1657 | 2016-11-22 |
| 1194104885 | Lorenzo Ray Mata Lim | Family Medicine | 23077 Greenfield Rd Ste 195, Southfield, MI 48075-3750 | 2015-05-27 |
| 1194147959 | Premier Family Medicine Pllc | Family Medicine | 23031 Wrexford Dr, Southfield, MI 48033-6575 | 2014-01-14 |
| 1306195730 | Southfield Family Practice Pllc | Family Medicine | 22972 Lahser Road, Southfield, MI 48033 | 2012-08-30 |
| 1760745434 | Latoya Tamara Austin | Family Medicine | 22250 Providence Dr Ste 557, Southfield, MI 48075-4825 | 2012-06-19 |
| 1508124082 | Thomas Mays Md, PC | Family Medicine | 20905 Greenfield Rd Ste 201, Southfield, MI 48075-5346 | 2012-05-02 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.