DR. DWIJEN C MISRA (NPI# 1538140843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538140843 |
| Entity Type | Individual |
| Full Name | DR. DWIJEN C MISRA |
| Credential | MD |
| Practice Address |
44199 Dequindre Rd Ste 412 Troy MI 48085 |
| Practice Telephone | 2488795590 |
| Practice Fax Number | 2488796912 |
| Mailing Telephone | 2488795590 |
| Mailing Fax Number | 2488796912 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2008-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301406835 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPIGROUP | 1376624031 | 01 |
| MI | PTAN | 0P52490002 | 01 |
| MI | PTANGROUP | 0P52490 | 01 |
| MI | NPI | 1538140843 | 01 |
| MI | 2787190 | 05 |
| Street Address |
44199 DEQUINDRE RD STE 412 |
| City | TROY |
| State | MI |
| Zip Code | 48085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631184 | Ceres A Guzman-morales | Pediatrics | 44199 Dequindre Rd, Suite 222, Troy, MI 48085-1128 | 2005-07-07 |
| 1184274573 | Kristina Brown | Nurse Practitioner | 44199 Dequindre Rd, Troy, MI 48085-1128 | 2019-09-17 |
| 1306320726 | Dominic B Filippis | Physician Assistant | 44199 Dequindre Rd, Troy, MI 48085-1128 | 2018-09-21 |
| 1952790925 | University Neurosurgical Associates PC | Neurological Surgery | 44199 Dequindre Rd, Area C Ste 518, Troy, MI 48085-1128 | 2015-01-14 |
| 1386072122 | Shelley Sue Binkley Md Pllc | Clinic/Center | 44199 Dequindre Rd, Suite 412, Troy, MI 48085-1128 | 2013-10-14 |
| 1255770186 | Rebecka May Olds | Nurse Practitioner | 44199 Dequindre Rd, Ste. 311, Troy, MI 48085-1128 | 2013-06-25 |
| 1598060428 | Timothy P. Baessler, Dpm, PC | Podiatrist | 44199 Dequindre Rd, Suite 112, Troy, MI 48085-1128 | 2011-01-25 |
| 1346551074 | Comprehensive Breast Care Pllc | Surgery | 44199 Dequindre Rd, Suite 609, Troy, MI 48085-1128 | 2010-06-28 |
| 1043549165 | Josephine Iskander, Md Pllc | Medicare Defined Swing Bed Unit | 44199 Dequindre Rd, Ste 304, Troy, MI 48085-1128 | 2009-12-19 |
| 1467618694 | Mary Chisholm Jordan | Obstetrics & Gynecology | 44199 Dequindre Rd, Suite 415, Troy, MI 48085-1128 | 2008-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689104358 | Joseph Taseer Syed | Surgery | 3793 Coolidge Hwy, Troy, MI 48084-1418 | 2017-06-15 |
| 1184012403 | Roger Howard | Surgery | 5726 Sussex Ct, Troy, MI 48098-2395 | 2015-01-08 |
| 1811284425 | Azmath Mohammed | Surgery | 6832 Fredmoor Dr, Troy, MI 48098-1727 | 2011-07-03 |
| 1992017685 | William P Brown | Surgery | Rr 2 Box 61a, Troy, PA 16947-9501 | 2010-07-09 |
| 1881927903 | Reza Ghazi | Surgery | 1868 Kirts Blvd, Apt No#208, Troy, MI 48084-4337 | 2009-09-08 |
| 1265685143 | Inad Naim Janineh | Surgery | 5600 Rochester Rd, Troy, MI 48085-3374 | 2008-10-23 |
| 1992960157 | Pradeesh M. George | Surgery | 3130 N County Road 25a Ste 214, Troy, OH 45373-1337 | 2008-07-26 |
| 1619167640 | Matthew Dennis Mcdonald | Surgery | 720 Hoosick Road, Bariatric and Metabolic Care, Troy, NY 12180 | 2007-07-26 |
| 1942415849 | Peter G. Perakis | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2007-05-14 |
| 1780759852 | Wagdi E Credi | Surgery | 201 Eckford Dr, Troy, MI 48085-4769 | 2006-11-22 |
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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.