DR. NIKKO SIRDENIS (NPI# 1568099661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568099661 |
| Entity Type | Individual |
| Full Name | DR. NIKKO SIRDENIS |
| Practice Address |
9065 Corey Ct Plymouth MI 48170-3497 |
| Mailing Address |
2799 W Grand Blvd Detroit MI 48202-2689 |
| Practice Telephone | 9062317787 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
9065 COREY CT |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-3497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986281 | Courtney Laperriere | Student in an Organized Health Care Education/Training Program | 19 Welton Dr, Plymouth, MA 02360-2367 | 2020-06-09 |
| 1053934588 | Kailey Weichel | Student in an Organized Health Care Education/Training Program | 308 N Columbus Ave, Plymouth, NE 68424 | 2020-05-19 |
| 1437793676 | Kaitlin Mccuskey | Student in an Organized Health Care Education/Training Program | 3050 Rosewood Ln N, Plymouth, MN 55441-2740 | 2019-10-31 |
| 1134760515 | Natalie Ann Ondayko | Student in an Organized Health Care Education/Training Program | 1698 Nantucket Rd, Plymouth, MI 48170-7000 | 2019-10-07 |
| 1407406143 | Peng Lee | Student in an Organized Health Care Education/Training Program | 190 Main St Apt C, Plymouth, NH 03264-1566 | 2019-09-15 |
| 1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
| 1013475540 | Miqdad Tambawala | Student in an Organized Health Care Education/Training Program | 19 Highland Ave Ste 1057, Plymouth, NH 03264-1585 | 2019-03-04 |
| 1710480967 | Jeffrey Beauregard | Student in an Organized Health Care Education/Training Program | 47088 Brooks Ln, Plymouth, MI 48170-3476 | 2018-03-14 |
| 1588164198 | Mackenzie Rae Schuler | Student in an Organized Health Care Education/Training Program | 722 N Walnut St, Plymouth, IN 46563-1550 | 2018-02-20 |
| 1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
| Find all providers in PLYMOUTH | ||||
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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.