DR. DELOREAN Q GRIFFIN (NPI# 1609000819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609000819 |
| Entity Type | Individual |
| Full Name | DR. DELOREAN Q GRIFFIN |
| Credential | M.D. |
| Practice Address |
4160 John R 400 Detroit MI 48202-2819 |
| Practice Telephone | 3137457514 |
| Mailing Telephone | 3137457514 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2012-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 4301090317 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4301090317 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715820 | Delorean Griffin | Case Manager/Care Coordinator | 686 Turney Rd Apt 4, Bedford, OH 44146-3394 | 2020-06-25 |
| Street Address |
4160 JOHN R 400 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070271 | Lisa M Flynn | Surgery | 4160 John R, Suite 615, Detroit, MI 48201-2020 | 2005-08-12 |
| 1215286976 | Danna Maria Brock | Nurse Practitioner | 4160 John R, Suite 917, Detroit, MI 48201-2020 | 2012-09-09 |
| 1346578127 | Ilyes Benchaala | Internal Medicine | 4160 John R, Suite 917, Detroit, MI 48201-2020 | 2009-12-07 |
| 1952638272 | Shaun Cardozo | Internal Medicine | 4160 John R, Suite 804, Detroit, MI 48201-2014 | 2009-11-06 |
| 1427228345 | Neather Odessa Libutsi | Social Worker | 4160 John R, Ste 804 Harper Professional Bldg, Detroit, MI 48201 | 2008-03-06 |
| 1871661348 | Ramarao Kaza Md PC | Urology | 4160 John R, Suite 809, Detroit, MI 48201 | 2006-12-01 |
| 1881762334 | Yahya M. Osman-malik | Internal Medicine | 4160 John R, Suite 917, Detroit, MI 48201-2020 | 2006-12-01 |
| 1659448751 | James J Glazier Md PC | Internal Medicine | 4160 John R, Suite 525, Detroit, MI 48201 | 2006-11-30 |
| 1366534232 | Shivkumar Prabhu, M.d., P.C. | Internal Medicine | 4160 John R, Suite 702, Detroit, MI 48201 | 2006-09-29 |
| 1346343449 | Xiaoping Huang | Internal Medicine | 4160 John R, Suite 729, Detroit, MI 48201 | 2006-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447517040 | Ryan Douglas Eubanks | Plastic Surgery | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2012-04-19 |
| 1922236983 | Tolga Gursel | Plastic Surgery | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2009-06-29 |
| 1750524534 | Rachel C Hooper | Plastic Surgery | 2799 W Grand Blvd, Henry Ford Hospital K-16, Detroit, MI 48202-2689 | 2009-04-09 |
| 1720228349 | Ruthie Mccrary | Plastic Surgery | 3990 John R St, Suite 400, Detroit, MI 48201-2018 | 2009-02-22 |
| 1437395308 | Faisal M Almufarrej | Plastic Surgery | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-12-26 |
| 1164631024 | Guillermina Nava | Plastic Surgery | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2007-05-21 |
| 1679694400 | Dunya Mary Atisha | Plastic Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-04-02 |
| 1063538429 | University Surgeons | Plastic Surgery | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-03-21 |
| 1023171659 | Aamir Siddiqui | Plastic Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-18 |
| 1487717013 | Donna G. Tepper | Plastic Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-18 |
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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.