DONOVAN DOUGLAS (NPI# 1497299036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497299036 |
Entity Type | Individual |
Full Name | DONOVAN DOUGLAS |
Practice Address |
25111 Grodan Dr Southfield MI 48033-2529 |
Practice Telephone | 3135105230 |
Mailing Telephone | 3135105230 |
Enumeration Date | 2016-12-16 |
Last Update Date | 2016-12-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
Street Address |
25111 GRODAN DR |
City | SOUTHFIELD |
State | MI |
Zip Code | 48033-2529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366996779 | Joycelyn Michelle Dier | Behavioral Analyst | 25111 Grodan Dr, Apt. 236, Southfield, MI 48033-2529 | 2016-08-15 |
1669993937 | Santreis L Cook | Pharmacist | 25111 Grodan Dr, Southfield, MI 48033 | 2017-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
Find all providers in zip 48033 |
Taxonomy Code | 247200000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477095396 | Kaylah Turner | Technician, Other | 25616 Hickory Hill St, Southfield, MI 48033-2982 | 2016-11-09 |
1538611496 | Christopher Cohen I | Technician, Other | 3 Woodbridge Towne St, Southfield, MI 48075-3413 | 2016-10-26 |
1578014221 | Kerri Hill | Technician, Other | 20855 Lahser Rd, Apt 403, Southfield, MI 48033-4433 | 2016-10-18 |
1588115307 | Aaliyah Chupp | Technician, Other | 26559 Berg Rd Apt 152, Southfield, MI 48033-2461 | 2016-10-17 |
1851840755 | Marjorie Bennettbaldwin | Technician, Other | 21374 Stahelin Rd, Southfield, MI 48075-4144 | 2016-10-03 |
1376092783 | Quentin Buchanan | Technician, Other | 24944 Auburn Ln, Southfield, MI 48033-4860 | 2016-09-26 |
1093263857 | Michele Gardner-rutledge | Technician, Other | 23551 Sutton Dr Apt 817, Southfield, MI 48033-3348 | 2016-09-21 |
1144777228 | Tyiesha Scott | Technician, Other | 25332 Shiawassee Cir Apt 106, Southfield, MI 48033-3837 | 2016-09-06 |
1861948127 | Austyn Driver | Technician, Other | 17439 Addison St, Southfield, MI 48075-2762 | 2016-08-28 |
1285188730 | Anita Harper | Technician, Other | 20360 Westpointe Ct, Southfield, MI 48076-4984 | 2016-08-12 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48033 |
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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.