BARRY O'MALLEY (NPI# 1700398211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700398211 |
| Entity Type | Individual |
| Full Name | BARRY O'MALLEY |
| Practice Address |
1410 S Telegraph Rd Bloomfield Hills MI 48302-0046 |
| Mailing Address |
1200 N Telegraph Rd Bldg 32e Pontiac MI 48341-1032 |
| Practice Telephone | 2484513743 |
| Mailing Telephone | 2484512600 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1410 S TELEGRAPH RD |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720090 | Talia Danielle Mcnamara | Psychiatry & Neurology | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2008-05-21 |
| 1336631944 | Eric Randell Simmons | Emergency Medical Technician, Basic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-05-31 |
| 1881192219 | Anderia Jackson | Registered Nurse | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-31 |
| 1659879872 | Jeffrey Good | Emergency Medical Technician, Paramedic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-23 |
| 1396253639 | Ryan Wells | Emergency Medical Technician, Paramedic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-22 |
| 1053828137 | Kevin Ezell Sanders | Counselor | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-10 |
| 1871003673 | Valeria Diaz | Case Manager/Care Coordinator | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-10-06 |
| 1831614361 | Lee Clark Green | Emergency Medical Technician, Basic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-08-05 |
| 1053841825 | Susan Rebecca Malott | Registered Nurse | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-06-14 |
| 1144675836 | Joyce Danielle Clark-flood I | Registered Nurse | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2016-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407175102 | Synapse Neurodiagnostics | Specialist/Technologist, Other | 2055 Franklin Rd, Suite 300, Bloomfield Hills, MI 48302-0327 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295227692 | Angel May | Specialist/Technologist, Other | 3905 Brenton Ct Se, Grand Rapids, MI 49508-8948 | 2018-05-31 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1326599937 | Joel Bergwerff | Specialist/Technologist, Other | 2345 Riley St, Hudsonville, MI 49426-9678 | 2016-10-18 |
| 1093264715 | Brittany Adams | Specialist/Technologist, Other | 39749 Fox Valley Dr, Canton, MI 48188-1532 | 2016-09-22 |
| 1790238277 | Lana Ann Colwell | Specialist/Technologist, Other | 102 Arlene Ct, White Lake, MI 48386-1901 | 2016-08-01 |
| 1427400969 | Diane Hines | Specialist/Technologist, Other | 17530 Strathmoor St, Detroit, MI 48235-2725 | 2016-07-08 |
| 1588016331 | Martez Williams | Specialist/Technologist, Other | 3631 Wayburn St, Detroit, MI 48224-3370 | 2016-07-05 |
| 1366893182 | Morgan Kaylee Gadowski | Specialist/Technologist, Other | 197 Lynn Ct, Imlay City, MI 48444-1240 | 2016-06-22 |
| 1124478318 | Katharine Elisabeth Seal | Specialist/Technologist, Other | 45211 Helm St, Plymouth, MI 48170-6023 | 2016-06-17 |
| 1700236247 | Tanya Patrick | Specialist/Technologist, Other | 2306 Mountain Ave, Flint, MI 48503-2298 | 2016-06-15 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.