DR. AHMED E. EZZ (NPI# 1407843774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407843774 |
| Entity Type | Individual |
| Full Name | DR. AHMED E. EZZ |
| Credential | MD |
| Practice Address |
28595 Orchard Lake Rd #110 Farmington Hills MI 48334-2977 |
| Mailing Address |
2234 Colonial Blvd Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 2485530606 |
| Practice Fax Number | 2485537674 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2012-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4301060864 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | 300041558 | 01 |
| MA | 3057642 | 05 | |
| MI | 4711299 | 05 | |
| MI | CARE CHOICES HMO PROV. # | 101715 | 01 |
| Street Address |
28595 ORCHARD LAKE RD #110 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546192 | Louis E Rentz | Psychiatry & Neurology | 28595 Orchard Lake Rd, Stuite 200, Farmington Hills, MI 48334-2979 | 2005-05-24 |
| 1477058964 | Mina Baha Essak | Student in an Organized Health Care Education/Training Program | 28595 Orchard Lake Rd, Farmington Hills, MI 48334-2977 | 2018-03-27 |
| 1174953020 | Wendy Sue Evola | Nurse Practitioner | 28595 Orchard Lake Rd, Farmington Hills, MI 48334-2977 | 2013-11-13 |
| 1619244142 | Colleen Devoe Altman | Nurse Practitioner | 28595 Orchard Lake Rd, Building #110 M.i.n.d., Farmington Hills, MI 48334 | 2011-11-29 |
| 1679888630 | Angela Darlene Brennan | Nurse Practitioner | 28595 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-2977 | 2010-08-16 |
| 1922312487 | Meghan Regina Harper-shankie | Pediatrics | 28595 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-2977 | 2010-07-27 |
| 1619293818 | Heather Anne Little | Psychiatry & Neurology | 28595 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-2977 | 2010-04-13 |
| 1346470234 | Erin Frankowicz | Psychiatry & Neurology | 28595 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-2977 | 2009-07-25 |
| 1760640445 | Bradley J Aymen | Psychiatry & Neurology | 28595 Orchard Lake Rd, Farmington Hills, MI 48334-2977 | 2008-05-29 |
| 1508046020 | Michelle M Dismondy | Psychiatry & Neurology | 28595 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-2977 | 2007-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316918519 | James Fontanesi | Radiology | 27900 Grand River Ave, Suite 220, Farmington Hills, MI 48336-5939 | 2006-01-27 |
| 1376513127 | Linda Sue Rissman | Radiology | 31995 Northwestern Hwy, Weisberg Cancer Treatment Center, Farmington Hills, MI 48334-1625 | 2006-01-25 |
| 1184684136 | Alvaro A. Martinez | Radiology | 28595 Orchard Lake Rd, Farmington Hills, MI 48334-2977 | 2006-03-24 |
| 1720053218 | Miro-farmington Hills | Radiology | 28595 Orchard Lake Rd, Suite 110, Farmington Hills, MI 48334-2977 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1811444235 | Gwendolyn Henderson Parker | Radiology | 48165 Liberty Dr, Shelby Twp, MI 48315-4061 | 2016-09-01 |
| 1376097733 | Munson Medical Center | Radiology | 217 S Madison Avenue, Traverse City, MI 49684-2320 | 2016-08-15 |
| 1972985737 | Andrew Thompson | Radiology | 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 | 2015-06-29 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1932533692 | Compass Healthcare, Plc | Radiology | 2175 Coolidge Rd, East Lansing, MI 48823-1379 | 2013-08-29 |
| 1083903256 | Omar Hesham Gayar | Radiology | 4100 Beecher Rd Ste A, Flint, MI 48532-3661 | 2011-03-28 |
| 1881906519 | Sanath Kumar | Radiology | 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 | 2010-07-10 |
| 1376772574 | Matthew W Packard | Radiology | 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 | 2009-07-08 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on DR. AHMED E. EZZ.
| 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.