DR. IAN JACOB ANDERSON (NPI# 1669884433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669884433 |
| Entity Type | Individual |
| Full Name | DR. IAN JACOB ANDERSON |
| Credential | M.D. |
| Practice Address |
22101 Moross Rd # Ccb-sb Detroit MI 48236-2148 |
| Practice Telephone | 3133433520 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2017-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301101517 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447769997 | Ian Radford Anderson | Physical Therapist | 315 Medical Pkwy Ste 150, Greer, SC 29650-2456 | 2017-09-28 |
| 1962053314 | Ian Anderson | Counselor | 321 E Main St Ste 418, Bozeman, MT 59715-4702 | 2019-09-26 |
| 1134607534 | Ian Gerard Anderson | Hearing Instrument Specialist | 5602 Cortez Rd W, Bradenton, FL 34210-2819 | 2018-07-30 |
| 1821508268 | Ian Anderson | Specialist/Technologist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2017-10-11 |
| 1346409109 | Ian P Anderson | Internal Medicine | 825 Barret Ave, Louisville, KY 40204-1743 | 2008-06-06 |
| 1629277678 | Ian Scott Anderson | Anesthesiology | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2007-07-11 |
| 1518055573 | Ian Churchill Anderson | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-11 |
| Street Address |
22101 MOROSS RD # CCB-SB |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316202997 | Umer Nisar Sheikh | Pathology | 22101 Moross Rd # Ccb-sb, St. John Hospital & Medical Center, Dept of Pathology, Detroit, MI 48236-2148 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1144636895 | Ramya Gadde | Pathology | 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 | 2014-07-02 |
| 1316202997 | Umer Nisar Sheikh | Pathology | 22101 Moross Rd # Ccb-sb, St. John Hospital & Medical Center, Dept of Pathology, Detroit, MI 48236-2148 | 2012-07-10 |
| 1053521799 | Jyotinder Nain Punia | Pathology | Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202-2608 | 2007-05-23 |
| 1093924466 | Kewang Li | Pathology | 4500 Cass Ave, Apt#1010, Detroit, MI 48201-1288 | 2007-05-22 |
| 1760422638 | John D Crissman | Pathology | 9374 Scott Hall 540 E Canfield Ave, Wayne State University School of Medicine, Detroit, MI 48201-1928 | 2006-06-07 |
| 1336187061 | Lucia A Schuger | Pathology | Detroit Receiving Hospital Pathology, 4201 St Antoine Ste 3e, Detroit, MI 48201 | 2006-06-03 |
| 1992743017 | Husain A Saleh | Pathology | Sinai Grace Hospital Pathology, 6071 W Outer Dr, Detroit, MI 48235 | 2006-06-02 |
| 1851338842 | Shashi K Madan | Pathology | Harper Hospital Pathology, 3990 John R, Detroit, MI 48201-2097 | 2006-05-31 |
| 1205873296 | Raj Dulari Bhan | Pathology | Hutzel Hospital Pathology, 4707 St Antoine, Detroit, MI 48201 | 2006-05-31 |
| Find all providers in DETROIT | ||||
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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.