USA VEIN CLINICS OF DETROIT PLLC (NPI# 1447878160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447878160 |
| Entity Type | Organization |
| Organization Name | USA VEIN CLINICS OF DETROIT PLLC |
| Practice Address |
29984 Telegraph Rd Southfield MI 48034-1355 |
| Mailing Address |
304 Wainwright Dr Northbrook IL 60062-1900 |
| Practice Telephone | 8475938460 |
| Mailing Telephone | 8475938460 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | AMI ALMEDA (SR. CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8475938460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | USA VEIN CLINICS OF DETROIT PLLC | 29984 Telegraph Rd Ste A, Southfield, MI 48034-1355 |
| Street Address |
29984 TELEGRAPH RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104206978 | Michigan Medical Clinics | Neuromusculoskeletal Medicine, Sports Medicine | 29984 Telegraph Rd, Ste A, Southfield, MI 48034-1355 | 2015-06-05 |
| 1154705374 | Michigan Medical Clinics, Inc | Clinic/Center | 29984 Telegraph Rd, Ste B, Southfield, MI 48034-1355 | 2015-07-17 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
| 1083672968 | Marc Gregory Webb | Surgery | 21701 W 11 Mile Rd, Southfield, MI 48076-3713 | 2006-05-02 |
| 1235442732 | Pritham P. Reddy, Pllc | Surgery | 22250 Providence Drive, Suite #555, Southfield, MI 48152 | 2010-07-26 |
| 1922266808 | Wound Care Clinics of America PC | Surgery | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2008-05-28 |
| 1609077783 | Michigan Vascular Access, PC | Surgery | 21701 W 11 Mile Rd, Southfield, MI 48076-3713 | 2007-05-29 |
| 1134332919 | Pritham Pingli Reddy | Surgery | 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | 2007-05-08 |
| 1215967872 | John W Sealey | Surgery | 16250 Northland Dr, Suite 310, Southfield, MI 48075-5205 | 2006-07-03 |
| 1235165770 | Victor Ubom | Surgery | 24111 Southfield Rd, Southfield, MI 48075-2817 | 2006-06-25 |
| 1679525539 | Tamer Nady Boules | Surgery | 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | 2006-05-17 |
| 1871560979 | Kevin David Nolan | Surgery | 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | 2006-03-07 |
| 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.