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).
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 |
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 |
Street Address |
36475 5 MILE RD |
City | LIVONIA |
State | MI |
Zip Code | 48154-1971 |
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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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 |
Find all providers in zip 48154 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
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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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.