PEDIATRIC NEPHROLOGY ASSOCIATES OF MICHIGAN PLC (NPI# 1730320177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730320177 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC NEPHROLOGY ASSOCIATES OF MICHIGAN PLC |
| Practice Address |
5333 Mcauley Drive Suite 4003 Ypsilanti MI 48197-1099 |
| Practice Telephone | 7347123888 |
| Mailing Telephone | 7347123888 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-31 |
| Authorized Official Name | OLGA BLANEY (PRATICE MANAGER) |
| Authorized Official Telephone | 7347123471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
5333 MCAULEY DRIVE SUITE 4003 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705170 | David Paul Steinberg | Physical Medicine & Rehabilitation | 5333 Mcauley Drive, Suite 2009, Ypsilanti, MI 48197-1014 | 2005-10-28 |
| 1225640162 | Nima Mohamoud Abdi | Internal Medicine | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-08-21 |
| 1619593860 | Salar Daud | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-06-23 |
| 1871116202 | Elliot Michael Berinstein | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-05-20 |
| 1871112128 | Jessica Montgomery | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-04-15 |
| 1225666373 | Veena Janardan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-04-01 |
| 1427686807 | Grace Elizabeth Chen | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-03-31 |
| 1659909380 | Ann Saliares | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-03-30 |
| 1033747688 | Tori Nicole Diedring | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-03-30 |
| 1306307970 | Karina Andrea Pone | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197 | 2019-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
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| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265697601 | Donald Barry Kaufman | Pediatrics | 16763 Meadowbrook, Haslett, MI 48840-8869 | 2008-07-24 |
| 1841858677 | Manpreet Kaur Grewal | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2019-06-05 |
| 1386094548 | Brooke Blazius | Pediatrics | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2016-06-20 |
| 1376905554 | Spectrum Health Primary Care Partners | Pediatrics | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2016-03-25 |
| 1508165630 | Alejandro Quiroga | Pediatrics | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2514 | 2011-03-15 |
| 1063688760 | Larisa Gabriela Kovacevic | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-05-02 |
| 1922202308 | Amrish Jain | Pediatrics | 3901 Beaubien St, Pediatric Nephrology,children's Hospital of Michigan, Detroit, MI 48201-2119 | 2007-06-12 |
| 1093885394 | Pinhas Geva | Pediatrics | 1200 E Michigan Ave, Suite 145, Lansing, MI 48912-1800 | 2006-11-08 |
| 1144246760 | Jens Wolf-dieter Goebel | Pediatrics | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2006-07-15 |
| 1164463600 | Rudolph P. Valentini | Pediatrics | Childrens Hospital of Michigan, 3901 Beaubien Blvd - Nephrology, Detroit, MI 48201 | 2006-06-08 |
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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.