ALLEDA E MACK (NPI# 1487910030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487910030 |
Entity Type | Individual |
Full Name | ALLEDA E MACK |
Practice Address |
4967 Crooks Rd Troy MI 48098-5801 |
Mailing Address |
130 Town Center Dr Ste 203 Troy MI 48084-1744 |
Practice Telephone | 7344640887 |
Mailing Telephone | 2485858221 |
Mailing Fax Number | 2485858270 |
Enumeration Date | 2012-04-09 |
Last Update Date | 2017-09-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 4301108787 | MI | Allopathic & Osteopathic Physicians |
Street Address |
4967 CROOKS RD |
City | TROY |
State | MI |
Zip Code | 48098-5801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831191170 | Osama N. Nunu | Internal Medicine | 4967 Crooks Rd, Ste 130, Troy, MI 48098-5801 | 2005-06-01 |
1780006254 | Stacey Allen | Nurse Practitioner | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2014-01-17 |
1831436393 | Sarah Markiewicz | Physician Assistant | 4967 Crooks Rd, Ste. 130, Troy, MI 48098-5801 | 2013-01-03 |
1609112580 | Zeinab Kenaan | Physician Assistant | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2012-12-20 |
1669717146 | Patrycja Lubas | Nurse Practitioner | 4967 Crooks Rd, Ste. 130, Troy, MI 48098-5801 | 2012-12-10 |
1780966622 | Vanessa A Ruffino | Physician Assistant | 4967 Crooks Rd, Ste. 130, Troy, MI 48098-5801 | 2011-09-16 |
1083902761 | Zaid Kasmikha | Internal Medicine | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2011-07-15 |
1336436716 | Bernard G. Westbury | Physician Assistant | 4967 Crooks Rd, Ste. 130, Troy, MI 48098-5801 | 2011-07-06 |
1407149420 | Mini M Tommy | Nurse Practitioner | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2011-05-24 |
1972892305 | Chenaull Van Jordan | Nurse Practitioner | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2011-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
Find all providers in zip 48098 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346801032 | Compassionate Medical Services Plc | Internal Medicine | 2847 Briarwood Dr, Troy, MI 48085-1153 | 2019-06-24 |
1891262341 | James Bazzi Md PC | Internal Medicine | 3455 Livernois Rd, Troy, MI 48083-5063 | 2018-11-01 |
1649707134 | Aspan Medical Services, Pllc | Internal Medicine | 3400 Livernois Rd, Troy, MI 48083-5063 | 2017-05-16 |
1689105421 | Ausi Medical Center PC | Internal Medicine | 5032 Rochester Rd, Suite 200, Troy, MI 48085-3454 | 2017-03-23 |
1598202467 | Mercy Family Care Center Pllc | Internal Medicine | 4091 Chatwal Ct, Troy, MI 48085-0001 | 2017-01-30 |
1811349822 | Kruthika Shanmugam | Internal Medicine | 2064 Coolidge Hwy, Apt 210, Troy, MI 48084-3616 | 2016-07-01 |
1437506052 | Lequishia Alexander Md Pllc | Internal Medicine | 2366 John R Rd Apt 205, Troy, MI 48083-2573 | 2016-05-24 |
1528478948 | Ahmed Mostafa Naderramadan Mohamed | Internal Medicine | 2791 Charter Dr Apt 117, Troy, MI 48083-1325 | 2014-05-07 |
1033539846 | Nashwa Khogali-jakary | Internal Medicine | 3290 W Big Beaver Rd Ste 420, Troy, MI 48084-2931 | 2014-04-18 |
1154740942 | Waseem Ghanim Petros | Internal Medicine | 2221 Livernois Rd Ste 100, Troy, MI 48083-1603 | 2014-04-09 |
Find all providers in TROY |
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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.