LEGARIUS (NPI# 1366976375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366976375 |
| Entity Type | Organization |
| Organization Name | LEGARIUS |
| Other Organization Name | LEGARIUS, LLC |
| Practice Address |
23077 Greenfield Rd Ste156 Southfield MI 48075-3709 |
| Mailing Address |
6424 Summer Ct West Bloomfield MI 48322-2234 |
| Practice Telephone | 3135223939 |
| Mailing Telephone | 3135223939 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | MRS. DANYELLE SYVETTE ARMOUR (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3135223939 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301055371 | MI | Allopathic & Osteopathic Physicians |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704238009 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Legarius, LLC | Other Name - Individual/Organization |
| Street Address |
23077 GREENFIELD RD STE156 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036849 | Thomas M Flake Jr. | Surgery | 23077 Greenfield Rd, Suite 445, Southfield, MI 48075-3709 | 2005-10-10 |
| 1972954865 | Caitlyn Crawford | Nurse Anesthetist, Certified Registered | 23077 Greenfield Rd, Southfield, MI 48075-3709 | 2016-06-22 |
| 1154776003 | Karen Alyse Waldrop | Counselor | 23077 Greenfield Rd, Suite 430, Southfield, MI 48075-3709 | 2016-04-28 |
| 1336510072 | Nephro-care Md Plc | Internal Medicine | 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 | 2015-10-07 |
| 1063880359 | Gasper Novara | Social Worker | 23077 Greenfield Rd, #430, Southfield, MI 48075-3709 | 2015-09-03 |
| 1235513623 | Greenfield Medical Orthopedic Pllc | Clinic/Center | 23077 Greenfield Rd, Suite 159, Southfield, MI 48075-3709 | 2015-07-15 |
| 1649651332 | Comprehensive Clinical Neurology | Specialist | 23077 Greenfield Rd, 222, Southfield, MI 48075-3709 | 2015-06-18 |
| 1548640766 | Pilltalk Pharmacy | Pharmacy | 23077 Greenfield Rd, 220, Southfield, MI 48075-3709 | 2015-06-03 |
| 1679987424 | Infectious Diseases Consultants of Detroit PC | Internal Medicine | 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 | 2014-06-19 |
| 1184050999 | Horsley Foot and Ankle Surgeons Pllc | Podiatrist | 23077 Greenfield Rd, Ste 255, Southfield, MI 48075-3750 | 2013-09-25 |
| Find all providers in the same location | ||||
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849544 | Imaobong Ibokette Vanderpool | Nurse Practitioner | 17256 Roseland Blvd, Southfield, MI 48076-2823 | 2019-09-05 |
| 1255974374 | Mercy Sangwe Amah | Nurse Practitioner | 21650 W 11 Mile Rd, Southfield, MI 48076-3715 | 2019-10-21 |
| 1477012185 | Julija Burakauskas | Nurse Practitioner | 24463 W 10 Mile Rd, Southfield, MI 48033-2931 | 2019-03-13 |
| 1851855845 | Chinyere Mercy Mbamah | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2019-01-24 |
| 1528545720 | Milena Kljaic | Nurse Practitioner | 29877 Telegraph Rd Ste 200, Southfield, MI 48034 | 2018-07-20 |
| 1538544218 | Jacqueline Elizabeth Smith | Nurse Practitioner | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on LEGARIUS.
| 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.