MR. MARK ALLEN PERIUS (NPI# 1578684189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578684189 |
Entity Type | Individual |
Full Name | MR. MARK ALLEN PERIUS |
Credential | R.D., MSA |
Practice Address |
50201 Jefferson Ave Chesterfield MI 48047-4303 |
Practice Telephone | 2487907944 |
Mailing Telephone | 2487907944 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers | ||
X | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
Street Address |
50201 JEFFERSON AVE |
City | CHESTERFIELD |
State | MI |
Zip Code | 48047-4303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
Find all providers in zip 48047 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942811351 | Detroit Kidney Care, P.C. | Dietitian, Registered | 100 Kercheval Ave Ste C, Grosse Pointe Farms, MI 48236-3635 | 2020-08-11 |
1497395537 | Amy Wendt | Dietitian, Registered | 131 Vreeland Dr, Rochester Hills, MI 48309-1907 | 2020-01-07 |
1780993246 | Beth Ann Webb | Dietitian, Registered | 484 Cypress Rd, Rochester Hills, MI 48309-2225 | 2010-10-01 |
1275765737 | Glenda Bjornson | Dietitian, Registered | 23596 Clarewood St, Macomb, MI 48042-4828 | 2009-08-18 |
1841457330 | Ann S Lubeckyj | Dietitian, Registered | 6757 Main Street, Thumb Area Dialysis, Cass City, MI 48726 | 2008-05-21 |
1164689949 | Tina M Kennedy | Dietitian, Registered | 2522 W Wackerly St Ste B, Midland, MI 48640-6921 | 2008-05-20 |
1467634014 | Melissa Dawn Pieper | Dietitian, Registered | 12745 S. Saginaw Rd., Ste. 806-177, Grand Blanc, MI 48439-2437 | 2007-12-05 |
1073728754 | Dietitian for All L.L.C. | Dietitian, Registered | 22030 Park Street, Dearborn, MI 48124 | 2007-05-14 |
1184109969 | Sandra Kay Mcdonald-hangach | Dietitian, Registered | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2018-09-27 |
1144705195 | Holley Lee Holloway | Dietitian, Registered | 2050 Livernois Rd, Troy, MI 48083-1757 | 2018-09-26 |
Find all providers with the same taxonomy |
City | CHESTERFIELD |
Zip Code | 48047 |
Please comment or provide details below to improve the information on MR. MARK ALLEN PERIUS.
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.