DR. JOSE V NERI (NPI# 1558478784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558478784 |
| Entity Type | Individual |
| Full Name | DR. JOSE V NERI |
| Credential | M.D |
| Practice Address |
2561 Elizabeth Lake Rd Waterford MI 48328-3313 |
| Practice Telephone | 2486825121 |
| Practice Fax Number | 2486827470 |
| Mailing Telephone | 2486825121 |
| Mailing Fax Number | 2486827470 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
JN049284 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM-BCN | 3506353441 | 01 |
| MI | CARE CHOICES/ PREFFERED C | 102892 | 01 |
| MI | MCARE | C3924 | 01 |
| Street Address |
2561 ELIZABETH LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518916147 | Devyani S Khambete | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2006-05-10 |
| 1114556537 | Tiffany Nicole Gerke | Nurse Practitioner | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2020-04-07 |
| 1417461807 | Danielle Christine Talavera | Nurse Practitioner | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2017-11-22 |
| 1841702651 | Cathryn Freeman | Nurse Practitioner | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2017-11-02 |
| 1669815155 | Sarah Cummings | Nurse Practitioner | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2013-04-15 |
| 1114136462 | Devyani Khambete, M.d.,p.c. | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2007-05-22 |
| 1194845925 | Mary Targosz | Nurse Practitioner | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2007-03-29 |
| 1790872711 | Parvathi Sivaramakrishnan | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2006-10-10 |
| 1437260437 | Lynn M Alling-jones | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2006-08-31 |
| 1417964263 | Marie Ann Mcdonald | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
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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.