ELIZABETH DELORES DISCOLO (NPI# 1710264734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710264734 |
| Entity Type | Individual |
| Full Name | ELIZABETH DELORES DISCOLO |
| Other Name | ELIZABETH DELORES KLEIN |
| Credential | PA |
| Practice Address |
4160 John R St Ste 925 Detroit MI 48201-2017 |
| Mailing Address |
8433 Harcourt Rd Ste 100 Indianapolis IN 46260-2193 |
| Practice Telephone | 3137450000 |
| Mailing Telephone | 7347090396 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 4301099544 | MI | Allopathic & Osteopathic Physicians |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10003068A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4160 JOHN R ST STE 925 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518002070 | Sonia Veronica Eden | Neurological Surgery | 4160 John R St Ste 925, Detroit, MI 48201-2017 | 2007-02-21 |
| 1851904684 | Melissa Wiseheart | Registered Nurse | 4160 John R St Ste 925, Detroit, MI 48201-2017 | 2020-08-31 |
| 1053975680 | Areej Musa Fares | Physician Assistant | 4160 John R St Ste 925, Detroit, MI 48201-2017 | 2019-04-29 |
| 1215590674 | Raji George | Registered Nurse | 4160 John R St Ste 925, Detroit, MI 48201-2017 | 2019-04-20 |
| 1932657632 | Mary Achoo | Nurse Practitioner | 4160 John R St Ste 925, Detroit, MI 48201-2017 | 2016-09-12 |
| 1316329246 | Ashra Mirza | Nurse Practitioner | 4160 John R St Ste 925, Harper Professional Bldg, Detroit, MI 48201-2017 | 2015-06-27 |
| 1821488370 | Dipti Patel | Nurse Practitioner | 4160 John R St Ste 925, Detroit, MI 48201-2017 | 2015-02-04 |
| 1386877736 | Ali Luqman | Neurological Surgery | 4160 John R St Ste 925, Detroit, MI 48201-2017 | 2009-09-02 |
| 1821225145 | Wajd N Al-holou | Neurological Surgery | 4160 John R St Ste 925, Detroit, MI 48201-2017 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881822187 | Shea Mace | Physician Assistant | 6799 West Grand Blvd, Detroit, MI 48202 | 2009-06-24 |
| 1942469135 | Marcus Harris | Physician Assistant | 13949 Artesian St, Detroit, MI 48223-2915 | 2008-06-03 |
| 1316135379 | Clifford N Owhor | Physician Assistant | 4777 E Outer Dr Ste 1147, Detroit, MI 48234-3241 | 2007-10-04 |
| 1720513435 | Olivia Luisa Rojas | Physician Assistant | 2799 W Grand Blvd, Clinic K, 11th Floor, Detroit, MI 48202-2608 | 2017-05-01 |
| 1043760754 | Nicholas Joseph Michel | Physician Assistant | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2016-10-05 |
| 1013387174 | Sybrena Evans | Physician Assistant | 3901 Beaubien St, Detroit, MI 48201-2119 | 2015-10-01 |
| 1639574494 | Matthew Scott Mckay | Physician Assistant | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2014-10-22 |
| 1922348184 | Carleta Poydras | Physician Assistant | 6071 W Outer Dr, Joint Excel Plus Orthopedic Clinic, Detroit, MI 48235-2624 | 2013-02-26 |
| 1801162532 | Jodi Iacco | Physician Assistant | 22201 Moross Rd, Professional Building 1 Suite 132, Detroit, MI 48236-2169 | 2012-03-27 |
| 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.