DEREK EINHORN (NPI# 1801855762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801855762 |
| Entity Type | Individual |
| Full Name | DEREK EINHORN |
| Credential | M.D. |
| Practice Address |
39475 Lewis Drive Suite 130 Novi MI 48377-2977 |
| Practice Telephone | 2483740502 |
| Practice Fax Number | 2483740567 |
| Mailing Telephone | 2483740502 |
| Mailing Fax Number | 2483740567 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301071970 | MI | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 4301071970 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 1106346950 | 01 |
| MI | 4640867 | 05 |
| Street Address |
39475 LEWIS DRIVE SUITE 130 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261878 | James Allen Golden | Internal Medicine | 39475 Lewis Drive, Suite 130, Novi, MI 48377-2977 | 2005-08-09 |
| 1104993559 | Donald Max Fisher | Dentist | 39475 Lewis Drive, Suite 100, Novi, MI 48377 | 2006-11-29 |
| 1649215914 | Novi Internal Medicine and Pediatrics, Pllc | Pediatrics | 39475 Lewis Drive, Ste 130, Novi, MI 48377-2961 | 2006-06-19 |
| 1629038526 | Daniel Rosenberg | Internal Medicine | 39475 Lewis Drive, Suite 130, Novi, MI 48377-2977 | 2006-03-24 |
| 1790772697 | Louis W Schwartz | Family Medicine | 39475 Lewis Drive, Suite 130, Novi, MI 48377-2977 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255750683 | Angelika Rector | Pediatrics | 44070 W 12 Mile Rd Ste 100, Novi, MI 48377-2648 | 2014-04-14 |
| 1215093778 | Preeti Venkataraman | Pediatrics | 50002 Streamwood Dr, Novi, MI 48374-2148 | 2006-12-29 |
| 1417055229 | Jeffrey Lee Dembs | Pediatrics | 41935 W Twelve Mile Road, Suite 102, Novi, MI 48377-3111 | 2006-09-20 |
| 1265478788 | Maruthavanan Ram | Pediatrics | 26850 Providence Pkwy Ste 455, Novi, MI 48374-1265 | 2006-06-22 |
| 1639132541 | Srilakshmi Pinnamaraju | Pediatrics | 26850 Providence Pkwy Ste 320, Novi, MI 48374-1259 | 2006-04-11 |
| 1568439669 | Seth H Forman | Pediatrics | 46325 W 12 Mile Rd Ste 240, Novi, MI 48377-2462 | 2006-03-07 |
| 1497735542 | Badie M Najem | Pediatrics | 26850 Providence Pkwy Ste 300, Novi, MI 48374-1259 | 2006-01-17 |
| 1457354953 | Lara Azzi | Pediatrics | 26850 Providence Pkwy, Suite 455, Novi, MI 48374-1213 | 2005-05-27 |
| 1770073819 | Najem Md Plc | Pediatrics | 26850 Providence Pkwy Ste 300, Novi, MI 48374-1259 | 2018-05-15 |
| 1740770015 | Najem Md Plc | Pediatrics | 26850 Providence Pkwy Ste 300, Novi, MI 48374-1259 | 2018-05-13 |
| Find all providers in NOVI | ||||
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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.