MERIDIAN MEDICAL PLLC (NPI# 1447499694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447499694 |
| Entity Type | Organization |
| Organization Name | MERIDIAN MEDICAL PLLC |
| Other Organization Name | MERIDIAN CLINIC PC |
| Practice Address |
25650 Outer Dr Suite 400 Lincoln Park MI 48146-2096 |
| Mailing Address |
30781 Stephenson Hwy Madison Hts MI 48071-1618 |
| Practice Telephone | 3133839400 |
| Practice Fax Number | 3133837163 |
| Mailing Telephone | 2485838922 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-04-10 |
| Authorized Official Name | RAM GUNABALAN (MANAGER) |
| Authorized Official Telephone | 3133839400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Meridian Clinic PC | Doing Business As Name - Organization |
| Street Address |
25650 OUTER DR SUITE 400 |
| City | LINCOLN PARK |
| State | MI |
| Zip Code | 48146-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487695920 | Occupational and Rehabailitation Medicine, PC | Specialist | 25650 Outer Dr, Ste 500, Lincoln Park, MI 48146-2096 | 2006-06-08 |
| 1447763230 | Whitney Renee White | Nurse Practitioner | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2017-11-15 |
| 1598293987 | Rebecca J Schwarcz | Dentist | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2017-05-30 |
| 1053705269 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2015-03-25 |
| 1710306055 | Gregory Treado | Pediatrics | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2014-04-15 |
| 1508280116 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2014-02-18 |
| 1700129251 | Brooke Bendix | Social Worker | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2013-04-03 |
| 1841433588 | Michigan Visiting Physicians PC | General Practice | 25650 Outer Dr, Suite 401, Lincoln Park, MI 48146-2096 | 2009-04-10 |
| 1164571824 | Oakwood Young Programs, LLC | Pediatrics | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2007-01-10 |
| 1982766192 | Oakwood Ambulatory, LLC | Internal Medicine | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967251 | Luisa Sofia Amaya | Behavior Technician | 1360 Porter Ave, Lincoln Park, MI 48146 | 2020-06-17 |
| 1851854129 | Abhi Patel | Physical Therapist | 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 | 2019-04-12 |
| 1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
| 1326568221 | Priscilla Cano | Social Worker | 1600 Porter, Detroit, MI 48146 | 2017-06-21 |
| 1952650194 | Melissa Margaret Belinc | Psychologist | 26300 Outer Drive, Lincoln Park, MI 48146 | 2012-09-04 |
| 1497011746 | Richard John Daniels | Physical Therapy Assistant | 1538 Morris, Lincoln Park, MI 48146 | 2012-04-11 |
| 1740563261 | Myesha Renee Thurman | Social Worker | 26180 W. Outer Drive, Lincoln Park, MI 48146 | 2011-09-21 |
| 1033491162 | Heidi Bremer | Social Worker | 26180 West Outer Drive, Lincoln Park, MI 48146 | 2011-09-14 |
| 1871823526 | Richard Dale Mott | Counselor | 1564 Arlington, Lincoln Park, LA 48146 | 2009-12-31 |
| 1386801777 | Laura Ann Kaakati-weber | Psychologist | 26184 West Outer Drive, Lincoln Park, MI 48146 | 2008-05-22 |
| Find all providers in zip 48146 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053705269 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2015-03-25 |
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|---|---|---|---|---|
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
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| 1669087854 | Advance Counseling Services, LLC | Clinic/Center | 110 Trealout Dr Ste 103, Fenton, MI 48430-3211 | 2020-09-14 |
| 1104439033 | Otevwa Homes Inc | Clinic/Center | 6556 Rustic Ridge Trl, Grand Blanc, MI 48439-4956 | 2020-08-29 |
| 1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
| 1689204703 | Professional Ergonomics LLC | Clinic/Center | 1754 Central Park Dr Apt H, Okemos, MI 48864-1258 | 2020-01-16 |
| 1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
| 1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN PARK |
| Zip Code | 48146 |
Please comment or provide details below to improve the information on MERIDIAN MEDICAL PLLC.
| 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.