COLBY L MAIORANA


Address: 4201 Saint Antoine St, Suite 3r, Detroit, MI 48201-2153
Phone: 3137453330

COLBY L MAIORANA (NPI# 1518260884) 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) 1518260884
Entity Type Individual
Full Name COLBY L MAIORANA
Other Name NICOLE BROWN
Credential P.A.C
Practice Address 4201 Saint Antoine St
Suite 3r
Detroit
MI 48201-2153
Mailing Address 21031 Michigan Ave
Dearborn
MI 48124-2339
Practice Telephone 3137453330
Mailing Telephone 3132776700
Enumeration Date 2010-12-08
Last Update Date 2019-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 363A00000X Physician Assistant 5601006690 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 12564682 01

Office Location

Street Address 4201 SAINT ANTOINE ST
SUITE 3R
City DETROIT
State MI
Zip Code 48201-2153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760477871 John Mckay Perkowski Nurse Anesthetist, Certified Registered 4201 Saint Antoine St, Detroit, MI 48201-2153 2005-09-14
1013517028 Madappulli Arachchige Wickrama Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-10-28
1134731466 Helda Bacall Nurse Practitioner 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-08-18
1568088680 Michelle De Varennes Physician Assistant 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-24
1235754144 Saren Yeranosian Pharmacist 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-16
1083239230 Jacqueline Ferraro-jaworski Pharmacist 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-13
1770107617 Zamaan Sayeed Sohel Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-06
1881218790 Erin Marie Dinnell Nurse Practitioner 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-05
1487276721 Andrew R Kumar Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-05-09
1598386005 Kayla Richelle Robinson Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-05-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619583994 Isabella Lapuz Dela Cruz Physician Assistant 18463 Livernois Ave, Detroit, MI 48221-2254 2020-09-22
1932750684 Patrick D Wharton Physician Assistant 5053 Commonwealth St # 1s, Detroit, MI 48208-2039 2019-09-24
1942869300 Laura Dorothy Konsitzke Physician Assistant 22201 Moross Rd Ste 380, Detroit, MI 48236-2176 2019-06-10
1619419553 Erica Ellen Schweitzer Physician Assistant 4701 Saint Antoine St Ste E-510, Detroit, MI 48201-1428 2016-11-09
1992167027 Heather Michelle Sutton Physician Assistant 3901 Beaubien Drive, Detroit, MI 48201 2016-03-28
1659769107 Zhi Li Physician Assistant 22201 Moross Rd Ste 370, Detroit, MI 48236 2015-01-07
1619371564 Charlene Sharon Staff Physician Assistant 17701 Warwick St, Detroit, MI 48219-4210 2014-10-21
1245646025 Sara Gibrael Physician Assistant 259 Mack Ave # 2590, Detroit, MI 48201-2427 2014-07-01
1497076434 Mary Beth Morse Physician Assistant 4201 St. Antoine - Uhc 5d #226, University Pediatricians, Detroit, MI 48201-2153 2010-06-14
1265550487 Claudine Lilla Physician Assistant 6071 W Outer Dr Dept Of, Detroit, MI 48235-2624 2007-03-26
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Competitor

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City DETROIT
Zip Code 48201

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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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