ALONZO GERRARD GROGGINS (NPI# 1417509902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417509902 |
| Entity Type | Individual |
| Full Name | ALONZO GERRARD GROGGINS |
| Credential | ATC, AT |
| Practice Address |
13800 Ford Rd Dearborn MI 48126-3296 |
| Mailing Address |
20434 Klinger St Detroit MI 48234-1746 |
| Practice Telephone | 3133087195 |
| Mailing Telephone | 3133087195 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001380 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13800 FORD RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1730723578 | Ashley Mattern | Specialist/Technologist | 3605 Academy St, Dearborn, MI 48124-3382 | 2019-11-05 |
| 1093367906 | Kelly Scala | Specialist/Technologist | 19501 Outer Dr, Dearborn, MI 48124-1600 | 2019-07-10 |
| 1912568320 | Jacob Johnson | Specialist/Technologist | 116 Elmwood St, Dearborn, MI 48124-1424 | 2019-06-26 |
| 1548610710 | Donald Jon Moran | Specialist/Technologist | 1330 Nightingale St, Dearborn, MI 48128-1007 | 2016-06-17 |
| 1669882783 | Alexander Salinas | Specialist/Technologist | 7716 Bingham St, Dearborn, MI 48126-1174 | 2014-04-28 |
| 1982022653 | Kimberly Weindel | Specialist/Technologist | 4901 Evergreen Rd, 205 Fieldhouse, Dearborn, MI 48128-2406 | 2014-03-31 |
| 1104950112 | Kristin A Levin | Specialist/Technologist | 5225 Auto Club Dr, Dearborn, MI 48126-2620 | 2007-03-14 |
| 1124178066 | Angela Marie Hudson | Specialist/Technologist | 2727 S Gulley Rd, Dearborn, MI 48124-3165 | 2007-01-11 |
| 1518015742 | Kerri Anne Burke | Specialist/Technologist | 24918 Oxford St, Dearborn, MI 48124-2465 | 2007-01-05 |
| Find all providers in DEARBORN | ||||
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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.