SUBURBAN OCCUPATIONAL HEALTH (NPI# 1366988438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366988438 |
Entity Type | Organization |
Organization Name | SUBURBAN OCCUPATIONAL HEALTH |
Practice Address |
29750 Ecorse Rd Romulus MI 48174-3528 |
Practice Telephone | 7347284445 |
Practice Fax Number | 7347284442 |
Enumeration Date | 2017-01-13 |
Last Update Date | 2017-01-13 |
Authorized Official Name | JAMES SISKOSKY (CFO) |
Authorized Official Telephone | 7347284445 |
Authorized Official Credential | D.O |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
1841318029 | MI | Ambulatory Health Care Facilities |
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
1962523308 | MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | NPI | 1508913047 | 01 |
MI | NPI | 1962523308 | 01 |
MI | NPI | 1841318029 | 01 |
Street Address |
29750 ECORSE RD |
City | ROMULUS |
State | MI |
Zip Code | 48174-3528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467599233 | Anthony D. Burton | Preventive Medicine | 29750 Ecorse Rd, Romulus, MI 48174-3528 | 2007-01-31 |
1548594187 | American Current Care of Michigan, P.C. | Clinic/Center | 29750 Ecorse Rd, Romulus, MI 48174-3528 | 2009-09-30 |
1821253600 | Kim R Coelho | Physical Therapist | 29750 Ecorse Rd, Romulus, MI 48174-3528 | 2008-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
Find all providers in zip 48174 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447602628 | Hackley Hospital | Clinic/Center | 5730 W Us Highway 10, Ludington, MI 49431-2452 | 2016-07-12 |
1134470941 | Occupational Health Centers of Michigan PC | Clinic/Center | 19200 West Rd, Woodhaven, MI 48183-3386 | 2012-09-20 |
1205111465 | Therapy Unlimited, LLC | Clinic/Center | 44125 W Twelve Mile Road, E-123, Box D7, Novi, MI 48377-1980 | 2011-10-19 |
1902038847 | Tonicity Therapy Group, Inc. | Clinic/Center | 34663 Valley Forge Dr, Farmington Hills, MI 48331-3205 | 2009-08-11 |
1447414511 | Husan Ara Rahman | Clinic/Center | 6060 W Bristol Rd, Mc 485-542-250, Flint, MI 48554-0001 | 2008-07-17 |
1578727467 | Rehab Focus, Incorporated | Clinic/Center | 820 Center St, Owosso, MI 48867-1416 | 2008-07-10 |
1518046598 | Michigan State University | Clinic/Center | 804 Clinical Center, A114, East Lansing, MI 48824-1313 | 2006-11-02 |
1255347068 | Spectrum Health Hospitals | Clinic/Center | 973 Ottawa Ave Nw, Attn: Pat Poling, Grand Rapids, MI 49503-1431 | 2006-08-01 |
1689690125 | Hackley Hospital | Clinic/Center | 117 W Colby St, Whitehall, MI 49461-1014 | 2006-07-15 |
1548895550 | Insight Urgent Care PC | Clinic/Center | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2020-03-10 |
Find all providers with the same taxonomy |
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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.