DR. AMY ANNA EAPEN (NPI# 1659784718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659784718 |
Entity Type | Individual |
Full Name | DR. AMY ANNA EAPEN |
Credential | M.D. |
Practice Address |
19401 Hubbard Dr Dearborn MI 48126-2641 |
Practice Telephone | 3135938100 |
Enumeration Date | 2014-06-06 |
Last Update Date | 2020-05-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
4301502178 | MI | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 11017745A | IN | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
705 Riley Hospital Dr, Room 5867, Indianapolis, IN 462025109 | 3179444034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083859631 | Amy Eapen | Physical Therapist | 306 Nassau Blvd, Garden City, NY 11530-5314 | 2008-12-11 |
Street Address |
19401 HUBBARD DR |
City | DEARBORN |
State | MI |
Zip Code | 48126-2641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245205525 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 19401 Hubbard Dr, Suite 100, Dearborn, MI 48126-2641 | 2006-02-21 |
1881208783 | Elizabeth Anne Labodie | Nurse Practitioner | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2020-09-08 |
1396378931 | Camiron Alicia Andrews | Massage Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2699 | 2020-02-21 |
1851944573 | Andrew Sedra | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-07-22 |
1780244509 | Randa Abu Sayf | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-06-14 |
1134788110 | Kathryn Ann Rankin | Physician Assistant | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-06-12 |
1366907982 | Fadi Fardous | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-02-07 |
1952885220 | Miranda H Rippin | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-09-21 |
1366943417 | Carrie Marie Foggia | Occupational Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-02-23 |
1265958656 | Scott Backman | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2017-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
Find all providers in zip 48126 |
Taxonomy Code | 2080P0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Allergy/Immunology |
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770970246 | Jenny Huang | Pediatrics | 3950 Beaubien St, Detroit, MI 48201-2166 | 2015-04-22 |
1316334253 | Jeffrey Kepes | Pediatrics | 3950 Beaubien St, Detroit, MI 48201-2166 | 2015-04-17 |
1568671972 | Allergy & Immunology Associates of Ann Arbor, P.C. | Pediatrics | 2000 N Huron River Dr Ste 200, Ypsilanti, MI 48197-1791 | 2007-05-22 |
1497823934 | Robert N. Enberg | Pediatrics | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-01 |
1124096367 | Carter D Brooks | Pediatrics | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2006-03-14 |
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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.