CANTON FAMILY MEDICINE AND MEDICAL SPA, PLLC (NPI# 1386081529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386081529 |
| Entity Type | Organization |
| Organization Name | CANTON FAMILY MEDICINE AND MEDICAL SPA, PLLC |
| Practice Address |
5958 N Canton Center Rd Suite 200 Canton MI 48187-2765 |
| Practice Telephone | 7346671648 |
| Practice Fax Number | 7346671649 |
| Mailing Telephone | 7346671648 |
| Mailing Fax Number | 7346671649 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | DR. MIGUEL GRANADOS (PHYSICIAN OWNER) |
| Authorized Official Telephone | 7346671648 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4301061850 | MI | Ambulatory Health Care Facilities |
| Street Address |
5958 N CANTON CENTER RD SUITE 200 |
| City | CANTON |
| State | MI |
| Zip Code | 48187-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043283286 | Miguel Granados | Family Medicine | 5958 N Canton Center Rd, Ste 200, Canton, MI 48187-2769 | 2006-02-08 |
| 1427693506 | Hufsah Bhatti | Dentist | 5958 N Canton Center Rd, Canton, MI 48187-2765 | 2019-11-12 |
| 1275047342 | Michele Lynn Selover | Psychologist | 5958 N Canton Center Rd, Canton, MI 48187-2765 | 2017-11-27 |
| 1427586965 | Mary Ann Hillier | Social Worker | 5958 N Canton Center Rd, Canton, MI 48187-2765 | 2017-05-29 |
| 1750732822 | Christina Martin | Social Worker | 5958 N Canton Center Rd, Canton, MI 48187-2765 | 2016-06-29 |
| 1871944348 | Advanced Counseling Services | Social Worker | 5958 N Canton Center Rd, 900, Canton, MI 48187-2765 | 2016-06-27 |
| 1811348238 | Nasreen R Meah | Social Worker | 5958 N Canton Center Rd, Suite 900, Canton, MI 48187-2765 | 2016-06-27 |
| 1417349861 | Samer Shoukfeh, D.d.s. PC | Dentist | 5958 N Canton Center Rd, Suite 100, Canton, MI 48187-2765 | 2015-02-23 |
| 1316386071 | Ju-hee Ma | Dentist | 5958 N Canton Center Rd, Suite 400, Canton, MI 48187-2765 | 2013-06-17 |
| 1013350404 | Premier Medicine of Canton PC | Pediatrics | 5958 N Canton Center Rd, Canton, MI 48187-2765 | 2013-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1326435199 | Forever Kids Pediatric Clinic | Clinic/Center | 182 Privatet Road 6413, Canton, TX 75103 | 2015-04-20 |
| 1265834949 | Kcc Health Promotion Services LLC | Clinic/Center | 1821 Maple Park Dr W, Canton, MI 48188-4829 | 2014-09-24 |
| 1033435680 | Psp Medical Clinic, LLC | Clinic/Center | 1171 Hart St., Canton, MS 39046 | 2010-04-07 |
| 1982933487 | Atlas Healthcare and Rehab Holly Springs | Clinic/Center | 2945 Holly Springs Pkwy, Canton, GA 30115-7449 | 2009-12-11 |
| 1902088453 | Canton Family Clinic Inc. | Clinic/Center | 120 E Academy St, Canton, MS 39046-4502 | 2007-11-27 |
| 1255413639 | Vibha Vig Md Pa | Clinic/Center | 156 River Oaks Dr, Suite A, Canton, MS 39046-5376 | 2006-10-19 |
| 1235671926 | Canton South Family Healthcare, LLC | Clinic/Center | 4822 Cleveland Ave S, Canton, OH 44707-1034 | 2016-11-11 |
| 1861818460 | Majid M Taj Md Pllc | Clinic/Center | 41750 Michigan Ave, Canton, MI 48188-2679 | 2014-03-07 |
| 1063736726 | Michael Tirmonia, Do, Inc | Clinic/Center | 1330 Mercy Dr Nw Ste 324, Canton, OH 44708-2625 | 2010-03-23 |
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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.