WILLIAM CLISHAM (NPI# 1598260143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598260143 |
| Entity Type | Individual |
| Full Name | WILLIAM CLISHAM |
| Practice Address |
28345 Beck Rd Ste 103 Wixom MI 48393-4733 |
| Practice Telephone | 8667663783 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
28345 BECK RD STE 103 |
| City | WIXOM |
| State | MI |
| Zip Code | 48393-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316345010 | Rachel Chidester | Specialist/Technologist | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2014-12-11 |
| 1821603358 | Nicole Winters | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-09-11 |
| 1447862370 | Emiley Kreilach | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-21 |
| 1083224976 | Laura Starkes | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-05 |
| 1447860341 | Karolina Przybylski | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-05 |
| 1336758929 | Ashley Hott | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-07-29 |
| 1912516501 | Anthony Curvey | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-07-29 |
| 1356832703 | Amanda K Peters | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2018-05-22 |
| 1407351059 | Ryan Desantis | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2018-03-27 |
| 1417452061 | Stephanie Curhan | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2018-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
| 1306259718 | Omaka Mokambe | Licensed Practical Nurse | 47915 Thornwood St Apt 11103, Wixom, MI 48393 | 2014-06-04 |
| 1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
| 1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1629148853 | J & B Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W Pontiac Trail, Wixom, MI 48393 | 2006-11-08 |
| 1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| Find all providers in zip 48393 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1821603358 | Nicole Winters | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-09-11 |
| 1447862370 | Emiley Kreilach | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-21 |
| 1083224976 | Laura Starkes | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-05 |
| 1447860341 | Karolina Przybylski | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-08-05 |
| 1336758929 | Ashley Hott | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-07-29 |
| 1912516501 | Anthony Curvey | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2020-07-29 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| 1356832703 | Amanda K Peters | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2018-05-22 |
| 1407351059 | Ryan Desantis | Specialist/Technologist, Other | 28345 Beck Rd Ste 103, Wixom, MI 48393-4733 | 2018-03-27 |
| Find all providers in WIXOM | ||||
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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.