CIVELLO SPINAL CENTER PLLC (NPI# 1801001102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801001102 |
| Entity Type | Organization |
| Organization Name | CIVELLO SPINAL CENTER PLLC |
| Practice Address |
34441 8 Mile Rd Suite 116 Livonia MI 48152-4013 |
| Practice Telephone | 2486151533 |
| Practice Fax Number | 2486159068 |
| Mailing Telephone | 2486151533 |
| Mailing Fax Number | 2486159068 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | DR. WILLIAM B CIVELLO (OWNER) |
| Authorized Official Telephone | 2486151533 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 950H223640 | 01 |
| Street Address |
34441 8 MILE RD SUITE 116 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194141 | Edwin J., Jr. Rennell | Dentist | 34441 8 Mile Rd, Ste 107, Livonia, MI 48152-4013 | 2005-06-15 |
| 1013387570 | Linda Ann Lhost | Psychologist | 34441 8 Mile Rd, Ste 104, Livonia, MI 48152-4013 | 2015-09-28 |
| 1760718571 | Doris A. Landry, M.s., P.C. | Case Management | 34441 8 Mile Rd, Suite 108, Livonia, MI 48152-4013 | 2009-10-29 |
| 1396918348 | Stanford Dental,pllc. | Clinic/Center | 34441 8 Mile Rd, Suite 114, Livonia, MI 48152-4013 | 2008-04-10 |
| 1023216165 | Blessed Mc, LLC. | General Practice | 34441 8 Mile Rd, Ste 104, Livonia, MI 48152-4013 | 2007-07-10 |
| 1942333851 | Mark A Stanford | Dentist | 34441 8 Mile Rd, Suite 114, Livonia, MI 48152-4013 | 2007-03-13 |
| 1417092180 | Livonia Life Center Corp | Clinic/Center | 34441 8 Mile Rd, Suite 104, Livonia, MI 48152-4013 | 2007-02-21 |
| 1295846699 | Gregory Kramer | Chiropractor | 34441 8 Mile Rd, Ste 116, Livonia, MI 48152-4013 | 2006-08-31 |
| 1891724944 | Terry L Tipton | Chiropractor | 34441 8 Mile Rd, Ste 116, Livonia, MI 48152-4013 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928952 | Kelsi Mcclure | Chiropractor | 31395 7 Mile Rd Ste G, Livonia, MI 48152-4335 | 2019-05-22 |
| 1194259788 | Kristin Coleman | Chiropractor | 15825 Middlebelt Rd # 3811, Livonia, MI 48154-3811 | 2017-04-20 |
| 1932551769 | Travis Jordan Dockery | Chiropractor | 27620 Five Mile Rd, Livonia, MI 48154-3946 | 2016-07-05 |
| 1386034684 | Kyle Wallner | Chiropractor | 12403 Stark Rd, Livonia, MI 48150-1552 | 2015-01-26 |
| 1558783571 | John Thomas | Chiropractor | 34730 Plymouth Rd, Livonia, MI 48150-1440 | 2014-01-09 |
| 1144666751 | Todd Joseph Sonquist | Chiropractor | 31395 7 Mile Rd, Suite G, Livonia, MI 48152-4334 | 2013-05-22 |
| 1013264241 | Kramer Chiropractic PC | Chiropractor | 34441 8 Mile Rd Ste 116, Livonia, MI 48152-4013 | 2012-08-07 |
| 1003124652 | Trupp Transformation Health | Chiropractor | 18444 Farmington Rd, Livonia, MI 48152-3588 | 2010-09-16 |
| 1124264528 | Wendy Marlene Slinkard | Chiropractor | 36016 Five Mile Rd, Livonia, MI 48154-1918 | 2009-01-06 |
| 1689863334 | Westcott Chiropractic Center P.C. | Chiropractor | 29701 6 Mile Rd Ste 150a, Livonia, MI 48152-8604 | 2007-10-18 |
| Find all providers in LIVONIA | ||||
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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.