FARMBROOK FAMILY PRACTICE PLLC (NPI# 1417384199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417384199 |
Entity Type | Organization |
Organization Name | FARMBROOK FAMILY PRACTICE PLLC |
Practice Address |
29877 Telegraph Rd Suite 302 Southfield MI 48034-1332 |
Mailing Address |
23688 Paddock Dr Farmington Hills MI 48336-2226 |
Practice Telephone | 2487967486 |
Practice Fax Number | 2483503519 |
Mailing Telephone | 2487967486 |
Enumeration Date | 2013-09-26 |
Last Update Date | 2016-04-28 |
Authorized Official Name | ANDREI KATYCHEV (OWNER) |
Authorized Official Telephone | 2484706038 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 302R00000X | Health Maintenance Organization | 4301085733 | MI | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1417384199 | 05 |
Street Address |
29877 TELEGRAPH RD SUITE 302 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48034-1332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720078587 | Walter J Cukrowski | Ophthalmology | 29877 Telegraph Rd, Suite 100, Southfield, MI 48034-1332 | 2005-10-24 |
1710547823 | Christina Akaraz | Nurse Practitioner | 29877 Telegraph Rd, Southfield, MI 48034-1332 | 2019-06-20 |
1669919379 | Wook Kim Md PC | Specialist | 29877 Telegraph Rd, Ste 401, Southfield, MI 48034-1332 | 2017-01-20 |
1538544218 | Jacqueline Elizabeth Smith | Nurse Practitioner | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2015-07-23 |
1356779391 | Michigan Premier Geriatrics Pllc | Internal Medicine | 29877 Telegraph Rd, Suite 200, Southfield, MI 48034-7659 | 2013-10-30 |
1063735058 | Hassan Amirikia Md PC | Obstetrics & Gynecology | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2010-03-05 |
1093045791 | Care Continuum Counseling Services | Counselor | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2010-01-04 |
1134459969 | Wook Kim Md PC | Durable Medical Equipment & Medical Supplies | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-7661 | 2009-12-29 |
1053640557 | Plastic Surgery of Michigan | Plastic Surgery | 29877 Telegraph Rd, Suite 107, Southfield, MI 48034-1332 | 2009-12-11 |
1306078415 | John H. Finley D.o. & Assoc P.C. | Surgery | 29877 Telegraph Rd, Suite 304, Southfield, MI 48034-1332 | 2009-08-23 |
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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 | 302R00000X |
Grouping | Managed Care Organizations |
Classification | Health Maintenance Organization |
(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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1679181416 | Aetna Health of Michigan Inc. | Health Maintenance Organization | 28588 Northwestern Hwy Ste 100, Southfield, MI 48034-8335 | 2020-07-17 |
1780119214 | Rebirth Community Inclusion Program | Health Maintenance Organization | 16951 Maryland St, Southfield, MI 48075-2903 | 2017-04-21 |
1194098301 | Prestige Home Health Care Inc | Health Maintenance Organization | 17520 W 12 Mile Rd, Suite # 212, Southfield, MI 48076-1945 | 2012-02-17 |
1801099494 | Raf Care Services Lcc | Health Maintenance Organization | 21776 Colony Park Cir, #205, Southfield, MI 48076-1689 | 2007-06-09 |
1386679892 | Doctors Home Care | Health Maintenance Organization | 24361 Greenfield Rd, 115, Southfield, MI 48075-3139 | 2006-07-12 |
1538515002 | Angel Foster's Massage Studio, Pllc | Health Maintenance Organization | 19111 W 10 Mile Rd, Suite 224, Southfield, MI 48075-2417 | 2016-05-13 |
1295125623 | I Care Therapy LLC | Health Maintenance Organization | 26699 W 12 Mile Rd, Ste 102, Southfield, MI 48034-1578 | 2015-01-22 |
1851718720 | Sylvia K Hollowell | Health Maintenance Organization | 20905 Greenfield Road, Suite 507, Southfield, MI 48075 | 2014-03-27 |
1770829996 | Vhcs | Health Maintenance Organization | 25140 Lahser Rd, Ste 203a, Southfield, MI 48033-2753 | 2012-12-15 |
1568714731 | Star Rehab. LLC | Health Maintenance Organization | 15565 Northland Dr., Suite 205 E., Southfield, MI 48075 | 2012-10-11 |
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.