LIVONIA EMERGENCY PHYSICIANS PLLC


Address: 36475 5 Mile Rd, Livonia, MI 48154-1971
Phone: 9732511132

LIVONIA EMERGENCY PHYSICIANS PLLC (NPI# 1508472028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508472028
Entity Type Organization
Organization Name LIVONIA EMERGENCY PHYSICIANS PLLC
Practice Address 36475 5 Mile Rd
Livonia
MI 48154-1971
Mailing Address 2000 Green Rd
Ann Arbor
MI 48105-1598
Practice Telephone 9732511132
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Authorized Official Name KATHY KONDAS (OFFICER)
Authorized Official Telephone 9732511132
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 36475 5 MILE RD
City LIVONIA
State MI
Zip Code 48154-1971

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083698799 Thomas Daniel Oweis Surgery 36475 5 Mile Rd, Attn: Trauma Services, Livonia, MI 48154-1971 2005-12-06
1245866821 Christy Lynn Goward Clinical Nurse Specialist 36475 5 Mile Rd, Livonia, MI 48154-1971 2020-03-16
1215424874 Arceli Valenzuela Ramos Physical Therapist 36475 5 Mile Rd, Livonia, MI 48154-1971 2018-04-19
1033616834 Lisa Marie Barton Occupational Therapist 36475 5 Mile Rd, Livonia, MI 48154-1971 2018-04-09
1851898654 Reena George Philip Occupational Therapist 36475 5 Mile Rd, Livonia, MI 48154-1971 2018-04-09
1467957571 Hannah Cavicchio Physical Therapist 36475 5 Mile Rd, Livonia, MI 48154-1971 2018-03-29
1083119861 Lindsey Boutell Physical Therapist 36475 5 Mile Rd, Livonia, MI 48154-1971 2018-03-26
1851807879 Janice Lynn Ruggles Nurse Practitioner 36475 5 Mile Rd, Livonia, MI 48154 2017-12-28
1114475019 Elizabeth Souther Nurse Practitioner 36475 5 Mile Rd, Livonia, MI 48154-1971 2016-09-20
1407205990 Teresa Guastella Physician Assistant 36475 5 Mile Rd, Livonia, MI 48154-1971 2016-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699386227 Iha Health Service Corporation Durable Medical Equipment & Medical Supplies Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 2020-08-17
1972130136 Cameron Strong Student in an Organized Health Care Education/Training Program St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 2020-03-26
1447894019 Nova Pharmacy Pharmacy 15140 Levan Rd, Suite 40, Livonia, MI 48154 2019-11-06
1356992242 Milly Baydoun Registered Nurse 36650 Five Mile Rd Ste 106, Livonia, MI 48154 2019-09-23
1861059396 Align Family Chiropractic LLC Clinic/Center 19047 Middlebelt Rd, Livonia, MI 48154 2019-05-21
1619442159 Ashley Vaduva Counselor 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 2018-10-11
1245719434 Myron Rubin Dds PC Dentist 15357 Frmington Rd, Livonia, MI 48154 2018-08-09
1720578636 New Beginnings Addiction & Counseling Services Counselor 27677 Professional Center Drive Suite 135, Livonia, MI 48154 2018-05-16
1831693670 Robust Rehab Services, Inc. Occupational Therapist 32854 5 Mile Rd, Livonia, MI 48154 2018-03-19
1184139644 Nova Pharmacy LLC Pharmacy 15140 Levan Rd Suite 40, Livonia, MI 48154 2017-12-06
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689907206 Nicholas Branscomb Emergency Medicine 36475 Five Mile Road, Livonia, MI 48154-1971 2009-09-14
1255568259 Paul Robert Pomeroy Jr. Emergency Medicine 34069 Hathaway St, Livonia, MI 48150-5603 2009-06-17
1366563249 Elena Hn Kwon Emergency Medicine 17197 N Laurel Park Dr Ste 107, Livonia, MI 48152-7910 2007-04-02
1083707004 Glenn F Tokarski Emergency Medicine 36475 5 Mile Rd., Medical Staff Office, Livonia, MI 48154 2006-10-02
1265525281 Stephen D Chabala Emergency Medicine 36475 Five Mile Rd., Medical Staff Office, Livonia, MI 48154 2006-10-02
1790763878 Ernest John Sorini Emergency Medicine 38935 Ann Arbor Road, Livonia, MI 48150-3397 2006-01-09
1366801706 Honesty Lee Emergency Medicine 36475 Five Mile Rd, Livonia, MI 48154-1971 2016-02-13
1386030930 Michael Eric Degryse Emergency Medicine 36475 Five Mile Rd, Livonia, MI 48154-1971 2015-04-10
1922494905 Jesse Tran Emergency Medicine 36475 Five Mile Rd, Livonia, MI 48154-1971 2015-04-07
1508258468 Tuvia Joffe Emergency Medicine 36475 Five Mile Rd, Livonia, MI 48154-1971 2015-03-02
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Competitor

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City LIVONIA
Zip Code 48154

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Dataset Information

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.

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