MR. BORHAN AL-ATASSI (NPI# 1679706493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679706493 |
Entity Type | Individual |
Full Name | MR. BORHAN AL-ATASSI |
Credential | MD |
Practice Address |
4800 S Saginaw St Suite 1800 Flint MI 48507-2677 |
Mailing Address |
10 Amsterdam Ave Apt 808 New York NY 10023-7464 |
Practice Telephone | 8107328336 |
Mailing Telephone | 9179296940 |
Enumeration Date | 2009-08-27 |
Last Update Date | 2012-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
4800 S SAGINAW ST SUITE 1800 |
City | FLINT |
State | MI |
Zip Code | 48507-2677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427020452 | Jawad A. Shah | Specialist | 4800 S Saginaw St, Ste1800, Flint, MI 48507-2669 | 2006-02-03 |
1033741533 | Stephanie Olson | Nurse Practitioner | 4800 S Saginaw St, Flint, MI 48507-2677 | 2020-02-12 |
1467082529 | Julie Widzinski | Nurse Practitioner | 4800 S Saginaw St, Flint, MI 48507-2677 | 2020-01-17 |
1245892363 | Noelle Renee Epps | Specialist/Technologist | 4800 S Saginaw St, Flint, MI 48507-2677 | 2019-06-29 |
1164082285 | Kelly Hopper | Nurse Practitioner | 4800 S Saginaw St, Flint, MI 48507-2677 | 2019-06-20 |
1871157057 | Jawad A Shah Md PC | Registered Nurse | 4800 S Saginaw St, Flint, MI 48507-2677 | 2019-04-23 |
1245767243 | Jawad A Shah Md PC | Clinical Medical Laboratory | 4800 S Saginaw St, Flint, MI 48507-2677 | 2017-05-22 |
1437680808 | Sally Rashmawi | Massage Therapist | 4800 S Saginaw St, Flint, MI 48507-2677 | 2017-03-27 |
1811437098 | Janell Klosterman | Physical Therapist | 4800 S Saginaw St, Suite 1625, Flint, MI 48507-2677 | 2017-03-07 |
1942746979 | Rachel Sullivant | Chiropractor | 4800 S Saginaw St, Flint, MI 48507-2677 | 2017-01-14 |
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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 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487262978 | Sajidmiahejiah Issachar Ramsey | Student in an Organized Health Care Education/Training Program | 812 Root St Fl 2, Flint, MI 48503-1516 | 2020-07-21 |
1265051858 | Yandy Rodriguez Orozco | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw Rd, Flint, MI 48505-4452 | 2020-04-13 |
1194351130 | Alexander Raouf Mikhail | Student in an Organized Health Care Education/Training Program | 1299 Hickory Hollow Dr, Flint, MI 48532-2036 | 2020-03-22 |
1336794429 | Mousa Gomaa Eissa | Student in an Organized Health Care Education/Training Program | 2 Hurley Plz Ste 101, Flint, MI 48503-5904 | 2019-08-06 |
1871146423 | Tasheikya Hunter | Student in an Organized Health Care Education/Training Program | 6004 Lancaster Dr, Flint, MI 48532-3213 | 2019-07-23 |
1134781198 | Abdelrahman Assem Hammat Yousif | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz Ste 101, Flint, MI 48503-5902 | 2019-06-30 |
1598324329 | Santosh Kumar Dhungana | Student in an Organized Health Care Education/Training Program | 2 Hurley Plz Ste 2, Flint, MI 48503-5903 | 2019-06-05 |
1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
1174027270 | Jennifer Tripp | Student in an Organized Health Care Education/Training Program | 111 E Court St Ste 1b-1, Flint, MI 48502-1600 | 2018-03-22 |
1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
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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.