PURUSHOTTAM NAIK (NPI# 1639189103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639189103 |
Entity Type | Individual |
Full Name | PURUSHOTTAM NAIK |
Credential | M.D. |
Practice Address |
2425 Austins Pkwy Suite 1 Flint MI 48507-1344 |
Practice Telephone | 8102388889 |
Practice Fax Number | 8102388912 |
Mailing Telephone | 8102388889 |
Mailing Fax Number | 8102388912 |
Enumeration Date | 2006-08-08 |
Last Update Date | 2012-12-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
4301058866 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 104284046 | 05 | |
MI | BLUE CROSS BLUE SHIELD | 1102502341 | 01 |
Street Address |
2425 AUSTINS PKWY SUITE 1 |
City | FLINT |
State | MI |
Zip Code | 48507-1344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578953980 | Kfr Pllc | Clinic/Center | 2425 Austins Pkwy, Suite 3, Flint, MI 48507-1344 | 2015-01-24 |
1073720389 | Dale G. Andrews | Dentist | 2425 Austins Pkwy, Suite 4, Flint, MI 48507-1344 | 2007-05-17 |
1003935982 | Dale G. Andrews, D.d.s., P.C. | Dentist | 2425 Austins Pkwy, Suite 4, Flint, MI 48507-1344 | 2007-03-29 |
1184766958 | Purushottam Naik, M.d, P.C. | Internal Medicine | 2425 Austins Pkwy, Suite 1, Flint, MI 48507-1344 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
Find all providers in zip 48507 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164443487 | Amy J Daros | Family Medicine | 5065 Miller Rd, Flint, MI 48507-1037 | 2006-07-21 |
1710058680 | Amy J Daros Do PC | Family Medicine | 5065 Miller Rd, Flint, MI 48507-1037 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124651435 | Navihealth Michigan Hbpc, PC | Family Medicine | 2 Towne Sq Ste 275, Southfield, MI 48076-3719 | 2020-02-14 |
1215481981 | Metro Physicians Pllc | Family Medicine | 5555 Conner St Ste 2075, Detroit, MI 48213-3492 | 2016-08-10 |
1447610704 | Provider Service Organization | Family Medicine | 7233 Provincial Ct, Canton, MI 48187-2121 | 2016-02-29 |
1659704633 | David Gordon Reed | Family Medicine | 3620 Chula Vista Dr, East Jordan, MI 49727-8629 | 2013-08-14 |
1174800411 | New Life Medical Senior Care PC | Family Medicine | 105 S Wildwood Xing Apt 20, Ludington, MI 49431-8719 | 2011-11-15 |
1306134085 | Jeremiah Lopez | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2011-07-15 |
1770819344 | Midmichigan Geriatric Services Pllc | Family Medicine | 4823 Henry Dr, Saginaw, MI 48638-5631 | 2009-11-02 |
1982871265 | Daniel R Smalley | Family Medicine | 105 S Wildwood Crossing 20, Ludington, MI 49431-8719 | 2008-05-15 |
1821267832 | Eastlake Medical Center | Family Medicine | 646 Chene St, Detroit, MI 48207-3979 | 2008-02-23 |
1740479278 | William Kerr Md PC | Family Medicine | 650 N Center Ave, Suite 3 B, Gaylord, MI 49735-1682 | 2007-10-22 |
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.