MR. ROGER A DOAK


Address: 1100 Ionia Rd, Portland, MI 48875-1035
Phone: 6167801188

MR. ROGER A DOAK (NPI# 1629617402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629617402
Entity Type Individual
Full Name MR. ROGER A DOAK
Credential AT
Practice Address 1100 Ionia Rd
Portland
MI 48875-1035
Mailing Address 7222 Cedar Ridge Dr
Portland
MI 48875-8678
Practice Telephone 6167801188
Mailing Telephone 6167801188
Enumeration Date 2019-12-27
Last Update Date 2019-12-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2601000486 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1215 E Michigan Ave, Lansing, MI 489121811 5173641000

Office Location

Street Address 1100 IONIA RD
City PORTLAND
State MI
Zip Code 48875-1035

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750635025 Gretchen Findlay Speech-Language Pathologist 1330 E. Grand River Ave., Suite B, Portland, MI 48875 2012-11-07
1902970734 Roger Duane Miller Dentist 811 West Grand River Ave, Portland, MI 48875 2006-11-20
1174612618 Tom's Pharmacy LLC Pharmacy 1462 E Grand River Ave, Portland, MI 48875 2006-10-12
1033168828 Jami M. Schneider Dentist 119 Bridge St., Portland, MI 48875 2006-05-09
1134197593 Charlene Ann Pahl Social Worker 212 Kent St Ste 5, Child and Family Wellness Counseling Ctr, Portland, MI 48875 2006-03-10
1932187911 Suzanne R Maystead Optometrist 1311 E Bridge Street, Portland, MI 48875 2006-01-09
1407143811 Nicole Ann Mccrumb Pharmacist 1339 E Grand River Ave, Portland, MI 48875 2011-07-06
1518312032 Brenda Hiemstra Technician, Other 120 Bethel Dr, Portland, MI 48875-1104 2016-05-03
1750574950 Judy Ann Fryover Nurse Practitioner 427 W Grand River Ave, Portland, MI 48875-1122 2007-08-21
1104274992 Morgan Alexandra Thelen Dentist 811 W Grand River Ave, Portland, MI 48875-1126 2016-06-02
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639782550 Madeleine Vivian Reid Specialist/Technologist 204 Maine Ave, Portland, ME 04103-3906 2020-08-29
1154933158 Jennifer Owens Specialist/Technologist 2 Jobs Gate 1, Portland, CT 06480-1750 2020-08-20
1083232847 Bailey Michelle Allen Specialist/Technologist 3521 Ne 154th Ave, Portland, OR 97230-4677 2020-07-08
1568097061 Rob Gersky Specialist/Technologist 2712 Se 170th Ave, Portland, OR 97236-1215 2020-03-05
1922630037 Vanessa A Guerrero Specialist/Technologist 2219 Se 68th Ave # 410, Portland, OR 97215-4026 2020-02-06
1386284453 Richard J Campbell Specialist/Technologist 300 N Winning Way, Portland, OR 97227-2108 2020-01-07
1417597584 Sarah Ashley Mcsweeney Specialist/Technologist 2105 Nw Flanders St Apt 4, Portland, OR 97210-3450 2020-01-07
1366096448 Madeleine Knutson Specialist/Technologist 12617 Nw Avignon Ln, Portland, OR 97229-9405 2019-07-28
1720648215 Nicholas Ryan Thomas Specialist/Technologist 4800 Ne 122nd Ave, Portland, OR 97230-1001 2019-06-17
1952964686 Shane Norman Cardinal Specialist/Technologist 521 Glastonbury Tpke, Portland, CT 06480-1003 2019-04-18
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Competitor

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City PORTLAND
Zip Code 48875

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Dataset Information

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.

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