THOMAS M FLAKE JR MD PC (NPI# 1518260744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518260744 |
| Entity Type | Organization |
| Organization Name | THOMAS M FLAKE JR MD PC |
| Practice Address |
23077 Greenfield Rd Suite 445 Southfield MI 48075-3709 |
| Practice Telephone | 2485695407 |
| Practice Fax Number | 2485695594 |
| Mailing Telephone | 2485695407 |
| Mailing Fax Number | 2485695594 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | DR. THOMAS M FLAKE JR. (PRESIDENT) |
| Authorized Official Telephone | 2485695407 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
4301043819 | MI | Ambulatory Health Care Facilities |
| Street Address |
23077 GREENFIELD RD SUITE 445 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036849 | Thomas M Flake Jr. | Surgery | 23077 Greenfield Rd, Suite 445, Southfield, MI 48075-3709 | 2005-10-10 |
| 1366976375 | Legarius | Internal Medicine | 23077 Greenfield Rd, Ste156, Southfield, MI 48075-3709 | 2017-04-17 |
| 1972954865 | Caitlyn Crawford | Nurse Anesthetist, Certified Registered | 23077 Greenfield Rd, Southfield, MI 48075-3709 | 2016-06-22 |
| 1154776003 | Karen Alyse Waldrop | Counselor | 23077 Greenfield Rd, Suite 430, Southfield, MI 48075-3709 | 2016-04-28 |
| 1336510072 | Nephro-care Md Plc | Internal Medicine | 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 | 2015-10-07 |
| 1063880359 | Gasper Novara | Social Worker | 23077 Greenfield Rd, #430, Southfield, MI 48075-3709 | 2015-09-03 |
| 1235513623 | Greenfield Medical Orthopedic Pllc | Clinic/Center | 23077 Greenfield Rd, Suite 159, Southfield, MI 48075-3709 | 2015-07-15 |
| 1649651332 | Comprehensive Clinical Neurology | Specialist | 23077 Greenfield Rd, 222, Southfield, MI 48075-3709 | 2015-06-18 |
| 1548640766 | Pilltalk Pharmacy | Pharmacy | 23077 Greenfield Rd, 220, Southfield, MI 48075-3709 | 2015-06-03 |
| 1679987424 | Infectious Diseases Consultants of Detroit PC | Internal Medicine | 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 | 2014-06-19 |
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| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
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| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1811158280 | Robert I Gans, M.d. PC | Clinic/Center | 26615 Greenfield Rd, Southfield, MI 48076-7201 | 2008-06-19 |
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| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.