DR. YASMIN KESHAVJEE (NPI# 1477920510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477920510 |
| Entity Type | Individual |
| Full Name | DR. YASMIN KESHAVJEE |
| Credential | M.D. |
| Practice Address |
28800 Ryan Rd Suite 320 Warren MI 48092-4272 |
| Mailing Address |
400 Stoddard Rd Richmond MI 48062-2505 |
| Practice Telephone | 5865820500 |
| Mailing Telephone | 5865820500 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
4301068882 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
28800 RYAN RD SUITE 320 |
| City | WARREN |
| State | MI |
| Zip Code | 48092-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967815 | Gary G Gilyard | Orthopaedic Surgery | 28800 Ryan Rd, Suite 280, Warren, MI 48092-4272 | 2006-01-17 |
| 1982055943 | Melissa Wummel | Social Worker | 28800 Ryan Rd, Ste 320, Warren, MI 48092-4272 | 2016-06-30 |
| 1033502224 | Neurocognitive Center of Michigan Group | Psychologist | 28800 Ryan Rd, Suite 300, Warren, MI 48092-4272 | 2015-03-11 |
| 1801207907 | Kathryn Aurand | Physician Assistant | 28800 Ryan Rd, Suite 280, Warren, MI 48092-4272 | 2014-05-12 |
| 1952721862 | Samantha Reichling | Specialist | 28800 Ryan Rd, Warren, MI 48092-4272 | 2014-04-17 |
| 1700204328 | Neurocognitive Center of Michigan Inc. | Psychologist | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2014-04-01 |
| 1487081782 | Sara Louise Blomeling-deroo | Social Worker | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2013-10-01 |
| 1275872376 | Dima Sprague | Physician Assistant | 28800 Ryan Rd, Warren, MI 48092-4272 | 2013-02-08 |
| 1568712370 | Behavioral Infermiera Care Solutions Inc | Psychologist | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2012-09-19 |
| 1932455599 | Kaitlyn Elizabeth Hefferan | Physician Assistant | 28800 Ryan Rd, Warren, MI 48092-4272 | 2012-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275026 | Lindsey Ruth Mitchell | Family Medicine | 28477 Hoover Rd, Warren, MI 48093-5400 | 2020-11-03 |
| 1215569033 | Morgan Vitale | Family Medicine | 28477 Hoover Rd, Warren, MI 48093-5400 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836444 | White Lake Urgent Care | Family Medicine | 9178 Highland Rd Ste 1a, White Lake, MI 48386-4619 | 2019-08-18 |
| 1669665154 | Daniel A. Schwarz | Family Medicine | 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075-2653 | 2007-08-20 |
| 1134335359 | Jerry Avrum Appel | Family Medicine | 1720 South Hill Blvd, Bloomfield Township, MI 48304-1135 | 2007-05-15 |
| 1417099417 | Bio-med Behavioral Healthcare, Inc. | Family Medicine | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2007-02-13 |
| 1457469330 | Eric N. Coffman | Family Medicine | 27550 Joy Rd, Livonia, MI 48150-4145 | 2006-08-29 |
| 1598703621 | Carl Woodrow Christensen | Family Medicine | 4870 W Clark Rd Ste 201, Ypsilanti, MI 48197-1104 | 2006-06-02 |
| 1265498059 | Mark Allen Menestrina | Family Medicine | 12851 E Grand River, Brighton Hospital, Brighton, MI 48116-8596 | 2006-04-21 |
| 1790745966 | Douglas Lawrence Marsh | Family Medicine | 18590 Allen Rd, Melvindale, MI 48122-1516 | 2006-03-23 |
| 1952377566 | Bruce Henry Baker | Family Medicine | 3210 Eagle Run Dr, Suite 200, Grand Rapids, MI 49525 | 2006-02-23 |
| 1568084333 | Great Lakes Addiction Recovery Services Pllc | Family Medicine | 142 E Maumee St, Adrian, MI 49221-2735 | 2020-05-14 |
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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.