MARK DEVORE


Address: 22250 Providence Dr, 703, Southfield, MI 48075-6214
Phone: 2485691770

MARK DEVORE (NPI# 1578521217) 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) 1578521217
Entity Type Individual
Full Name MARK DEVORE
Credential MD
Practice Address 22250 Providence Dr
703
Southfield
MI 48075-6214
Practice Telephone 2485691770
Mailing Telephone 2485691770
Enumeration Date 2006-05-03
Last Update Date 2014-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD048964 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 3461834 05

Office Location

Street Address 22250 PROVIDENCE DR
703
City SOUTHFIELD
State MI
Zip Code 48075-6214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710981071 Anthony Edward Boutt Obstetrics & Gynecology 22250 Providence Dr, 408, Southfield, MI 48075-4825 2005-06-02
1871110015 Abbas Chehab Internal Medicine 22250 Providence Dr, Southfield, MI 48075-4825 2020-07-04
1013531854 Anicia Mirchandani Radiology 22250 Providence Dr, Southfield, MI 48075-4825 2020-06-06
1285258442 Kidist Tamirat Arficho Student in an Organized Health Care Education/Training Program 22250 Providence Dr, Southfield, MI 48075-4825 2020-06-03
1386268035 Denas Andrijauskis Surgery 22250 Providence Dr, Southfield, MI 48075-4825 2020-05-28
1669030748 Cyrus Garmo Student in an Organized Health Care Education/Training Program 22250 Providence Dr, Southfield, MI 48075-4825 2019-06-03
1922661297 Ammar Hassen Alsalahi Student in an Organized Health Care Education/Training Program 22250 Providence Dr, Suite #601, Southfield, MI 48075-4814 2019-04-22
1265963797 Cameron Whitler Internal Medicine 22250 Providence Dr, Suite 705, Southfield, MI 48075-4818 2017-03-26
1144671082 Jessica Anne Hudson Family Medicine 22250 Providence Dr, Ste. 500, Southfield, MI 48075-4825 2016-06-22
1689024960 Yessar Takruri Internal Medicine 22250 Providence Dr, Southfield, MI 48075-4825 2016-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
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 Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750813234 Iana Gueorguieva Internal Medicine 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2017-04-03
1285927921 Ahmad Aburashed Md PC Internal Medicine 27209 Lahser Rd, Suite 124, Southfield, MI 48034-8402 2011-05-26
1881996197 Gastrointestinal and Liver Disorders Specialists Pllc Internal Medicine 27200 Lahser Rd, Suite 100, Southfield, MI 48034-2137 2010-11-19
1306075551 Phoenix Medical Group, P.C. Internal Medicine 29201 Telegraph Rd, 450, Southfield, MI 48034-1331 2009-07-09
1396923603 Mark S Devore, Md PC Internal Medicine 22250 Providence Dr, 703, Southfield, MI 48075-4825 2008-02-08
1720199938 Sami Akkary Internal Medicine 27209 Lahser Rd, Suite 128, Southfield, MI 48034-8401 2006-08-31
1326151960 North Woodward Capsule Imaging, LLC Internal Medicine 26771 W 12 Mile Rd, Ste 106, Southfield, MI 48034-1539 2006-08-17
1245246354 Anthony Dwayne Williams Internal Medicine 23077 Greenfield Rd, Ste 231, Southfield, MI 48075-3709 2006-07-31
1609880236 Manuel Sklar Internal Medicine 28411 Northwestern Hwy, Suite 1050, Southfield, MI 48034-5544 2006-07-28
1003856410 Freddy R Sosa Internal Medicine 22250 Providence Dr, Suite 703, Southfield, MI 48075-4825 2006-06-07
Find all providers in SOUTHFIELD

Competitor

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City SOUTHFIELD
Zip Code 48075

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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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