DELORES L KEARSE (NPI# 1710437595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710437595 |
| Entity Type | Individual |
| Full Name | DELORES L KEARSE |
| Practice Address |
4321 E Mcnichols Rd Detroit MI 48212-1720 |
| Practice Telephone | 3133691717 |
| Practice Fax Number | 3133691728 |
| Mailing Telephone | 3133691717 |
| Mailing Fax Number | 3133691728 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4321 E MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48212-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495796 | Knight Drugs West Warren, Inc. | Pharmacy | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2005-08-26 |
| 1700491966 | Sydney Caitlan Edmundson | Social Worker | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2020-09-14 |
| 1184136889 | Mcnichols Rx LLC | Pharmacy | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2017-11-02 |
| 1649722901 | Jennifer Lewis | Nurse's Aide | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2016-11-02 |
| 1700336575 | Aline Gadson | Technician, Other | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2016-10-05 |
| 1962832675 | Jennifer J Gee | Social Worker | 4321 E Mcnichols Rd, Detroit, Detroit, MI 48212-1720 | 2013-11-15 |
| 1457602500 | Terrilynne Gause | Social Worker | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2012-09-28 |
| 1598930521 | Pallavi Munikrishna | Social Worker | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2008-04-30 |
| 1316154156 | Nitin M. Rajhans | Psychiatry & Neurology | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
| 1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
| 1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
| 1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
| 1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
| Find all providers in zip 48212 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952889743 | Myesha Gibson Wilson | Technician, Other | 22457 Kendall St, Detroit, MI 48223-2542 | 2018-08-02 |
| 1871071647 | Deidre Flowers | Technician, Other | 6776 Stahelin Ave # 23, Detroit, MI 48228-3465 | 2018-08-02 |
| 1750828489 | Charneil Tuggle | Technician, Other | 19017 Pierson St, Detroit, MI 48219-2517 | 2017-01-19 |
| 1720523293 | Eno Esu | Technician, Other | 8136 Appoline St, Detroit, MI 48228-4002 | 2016-12-20 |
| 1710420195 | Cassandra Wells | Technician, Other | 11691 Beaverland, Detroit, MI 48239-1358 | 2016-12-02 |
| 1306389945 | Arnesha Bernice Jennings | Technician, Other | 19210 Robson St, Detroit, MI 48235-1949 | 2016-11-30 |
| 1962945444 | Diane Christiine Issa | Technician, Other | 5081 Garland St, Detroit, MI 48213-3366 | 2016-11-30 |
| 1164974358 | Xavier Robertson | Technician, Other | 18451 Northlawn St, Detroit, MI 48221-2019 | 2016-11-04 |
| 1518418631 | Luebertha Mcclellan | Technician, Other | 15346 Dexter Ave, Detroit, MI 48238-2127 | 2016-10-24 |
| 1558812891 | Tommie D Dotson | Technician, Other | 19360 Renfrew Rd, Detroit, MI 48221-1836 | 2016-10-21 |
| 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.