IPS OF DETROIT PLLC (NPI# 1588800304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588800304 |
| Entity Type | Organization |
| Organization Name | IPS OF DETROIT PLLC |
| Practice Address |
16100 19 Mile Rd Clinton Township MI 48038-1148 |
| Mailing Address |
201 Montgomery Ave Sarasota FL 34243-1519 |
| Practice Telephone | 5862637657 |
| Mailing Telephone | 9413601566 |
| Mailing Fax Number | 9413589818 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | CARL RICHARDSON NOBACK (MEMBER) |
| Authorized Official Telephone | 9413601566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
16100 19 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887300 | Plastic Surgery Center Inc | Clinic/Center | 16100 19 Mile Rd, Suite 100, Clinton Township, MI 48038-1148 | 2005-11-11 |
| 1356905962 | Alison Sandra Yousif | Nurse Practitioner | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2019-04-29 |
| 1275004251 | Woodward Transportation, LLC | Non-emergency Medical Transport (VAN) | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2018-12-17 |
| 1528511821 | Allison Brynaert | Registered Nurse | 16100 19 Mile Rd, Suite 100, Clinton Township, MI 48038-1148 | 2016-08-03 |
| 1902295801 | Us Health Pharmaceuticals LLC | Pharmacy | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2015-01-15 |
| 1558696351 | Greater Lakes Anesthesia, Pllc | Anesthesiology | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2009-10-12 |
| 1679717466 | Greater Lakes Ambulatory Surgical Center, LLC | Clinic/Center | 16100 19 Mile Rd, Suite 100, Clinton Township, MI 48038-1148 | 2009-04-24 |
| 1912937335 | Gregory E Punches | Specialist | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982084497 | Anesthesia Surgical Associates, Pllc | Anesthesiology | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2015-06-01 |
| 1760725675 | Robert Ginnebaugh | Anesthesiology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-03-28 |
| 1134437684 | Blue Water Anesthesia Consultants, PC | Anesthesiology | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 | 2010-09-17 |
| 1558696351 | Greater Lakes Anesthesia, Pllc | Anesthesiology | 16100 19 Mile Rd, Clinton Township, MI 48038-1148 | 2009-10-12 |
| 1841368297 | In Sik Jeon | Anesthesiology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2006-12-02 |
| 1639248206 | Macomb Anesthesia, PC | Anesthesiology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940670 | Paragon Anesthesia Pllc | Anesthesiology | 1144 Brookwood St, Birmingham, MI 48009-1010 | 2020-10-19 |
| 1790318475 | Kalamazoo Endo Center LLC | Anesthesiology | 3300 Cooley Ct, Portage, MI 49024-7430 | 2020-02-20 |
| 1497394712 | Universal Anesthesia Services Pllc | Anesthesiology | 2700 S Rochester Rd Ste B, Rochester Hills, MI 48307-4547 | 2020-01-03 |
| 1023659802 | Edward W Sparrow Hospital Association | Anesthesiology | 1200 E Michigan Ave Ste 101, Lansing, MI 48912-1800 | 2019-10-03 |
| 1174039184 | Zaki Anesthesia Pllc | Anesthesiology | 350 N Main St Unit 818, Royal Oak, MI 48067-4126 | 2017-12-28 |
| 1508378027 | Anesthesia Associates of Grand Rapids, Pllc | Anesthesiology | 200 Jefferson Ave., Se, Grand Rapids, MI 49503 | 2017-10-25 |
| 1396292322 | American Medical Center Group Pllc | Anesthesiology | 20905 Greenfield Rd Ste 603m, Southfield, MI 48075-5355 | 2016-09-07 |
| 1033562889 | Meagan Mcdavid | Anesthesiology | 4201 Saint Antoine St Dept Of, Detroit, MI 48201-2153 | 2016-07-18 |
| 1316303589 | Elite Anesthesia Services, Pllc | Anesthesiology | 8765 Clark Rd, Grand Ledge, MI 48837-9283 | 2016-01-04 |
| 1689051989 | Heriberto Juarez | Anesthesiology | 1848 E Sherman Blvd Ste Y, Muskegon, MI 49444-1963 | 2015-05-06 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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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.