ELLIOTT S ATTISHA (NPI# 1578567830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578567830 |
| Entity Type | Individual |
| Full Name | ELLIOTT S ATTISHA |
| Credential | DO |
| Practice Address |
32100 Telegraph Rd Suite 110 Bingham Farms MI 48025-2452 |
| Practice Telephone | 2486441221 |
| Practice Fax Number | 2486442748 |
| Mailing Telephone | 2486441221 |
| Mailing Fax Number | 2486442748 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2009-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
5101013649 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 433451311 | 05 |
| Street Address |
32100 TELEGRAPH RD SUITE 110 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023032 | Nylexia Dzhon Allen | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-11-05 |
| 1487255667 | Brianna Montgomery | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-11-04 |
| 1700487840 | Jenna Harajli | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-11-04 |
| 1942801477 | Ahlim Ali Aljahmi | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-11-02 |
| 1154920775 | Elizabeth Swartzendruber | Behavior Technician | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-10-23 |
| 1023617727 | Suraiya Matin | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-10-22 |
| 1447858816 | Paultilia Lee | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-10-16 |
| 1205434099 | Jamya Horton | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-10-13 |
| 1710585690 | April Daenzer | Psychologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-10-13 |
| 1437757598 | Megan L Pawlowski | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2020-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on ELLIOTT S ATTISHA.
| 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.