MIDWEST HEALTH CENTER-BROOKSIDE (NPI# 1629274030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629274030 |
| Entity Type | Organization |
| Organization Name | MIDWEST HEALTH CENTER-BROOKSIDE |
| Practice Address |
8790 Telegraph Rd Taylor MI 48180-2491 |
| Practice Telephone | 3132923900 |
| Practice Fax Number | 3132920038 |
| Mailing Telephone | 3132923900 |
| Mailing Fax Number | 3132920038 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK B SAFFER (CEO) |
| Authorized Official Telephone | 3135866038 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
========= | MI | Allopathic & Osteopathic Physicians |
| Street Address |
8790 TELEGRAPH RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-2491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437182557 | Brookside Health Center, P.C. | Internal Medicine | 8790 Telegraph Rd, Taylor, MI 48180-2491 | 2006-07-09 |
| 1407033848 | Brookside Health Center PC | Internal Medicine | 8790 Telegraph Rd, Taylor, MI 48180-2491 | 2008-01-29 |
| 1952587149 | Brookside Health Center P.C. | Podiatrist | 8790 Telegraph Rd, Taylor, MI 48180-2491 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730305566 | Mark Alan Nugent | Preventive Medicine | 21107 Eureka Rd, Taylor, MI 48180-5232 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407329261 | Lakeland Medical Practices | Preventive Medicine | 2500 Niles Rd Ste 4, Saint Joseph, MI 49085-3225 | 2019-01-04 |
| 1588153209 | Bellin Health Iron Mountain Inc | Preventive Medicine | 1707 S Stephenson Ave Ste 102, Iron Mountain, MI 49801-3667 | 2018-05-08 |
| 1700200086 | Donald Jackson Jr. | Preventive Medicine | 2500 E Grand Blvd, Medical Dept, Detroit, MI 48211-2006 | 2014-02-07 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1710229661 | Raymond Jones | Preventive Medicine | 16822 Warwick St, Detroit, MI 48219-4042 | 2013-03-19 |
| 1992064851 | Sharon Rothstein | Preventive Medicine | 30865 Running Stream, Suite 1, Farmington Hills, MI 48334 | 2012-05-14 |
| 1053699744 | Nancy Murto | Preventive Medicine | 6062 Kings Ct, Dryden, MI 48428-9336 | 2011-07-28 |
| 1538469085 | Richard Alan Rood | Preventive Medicine | 11322 Silverlake Ct, Shelby Township, MI 48317-2647 | 2010-11-01 |
| 1679802425 | Susan M Madden | Preventive Medicine | 532 Kingsley Trl, Bloomfield Hills, MI 48304-2316 | 2009-12-08 |
| 1972839447 | John A Geralt | Preventive Medicine | 19041 E 12 Mile Rd, Roseville, MI 48066-2609 | 2009-10-19 |
| Find all providers with the same taxonomy | ||||
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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.