MICHIGAN VISITING PHYSICIANS (NPI# 1841522141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841522141 |
Entity Type | Organization |
Organization Name | MICHIGAN VISITING PHYSICIANS |
Other Organization Name | GREAT LAKES PORTABLE DIAGNOSTICS |
Practice Address |
6240 Rashelle Dr Suite 103 Flint MI 48507-3934 |
Practice Telephone | 5862793250 |
Enumeration Date | 2010-02-11 |
Last Update Date | 2010-02-11 |
Authorized Official Name | RAM GUNABALAN (OWNER) |
Authorized Official Telephone | 5862799850 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 429780 | MI | Technologists, Technicians & Other Technical Service Providers |
Other Name | Type Code |
---|---|
Great Lakes Portable Diagnostics | Doing Business As Name - Organization |
Street Address |
6240 RASHELLE DR SUITE 103 |
City | FLINT |
State | MI |
Zip Code | 48507-3934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144292038 | Dilip M Desai | Internal Medicine | 6240 Rashelle Dr, Suite 201, Flint, MI 48507-3934 | 2006-02-03 |
1477861045 | The Digestive Endoscopy Center of Michigan Pllc | Clinic/Center | 6240 Rashelle Dr, Ste 101, Flint, MI 48507-3934 | 2010-09-17 |
1013179738 | Mundy Diagnostics PC | Pain Medicine | 6240 Rashelle Dr, Suite 103, Flint, MI 48507-3934 | 2008-06-25 |
1174726863 | Dr. Rabbi Salimi, P.C. | Specialist | 6240 Rashelle Dr, Suite 204, Flint, MI 48507 | 2007-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
Find all providers in zip 48507 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831440593 | Donald Gene Graham | Radiologic Technologist | 2751 Woodlake Rd Sw Apt 2, Wyoming, MI 49519-4653 | 2012-09-20 |
1275864464 | Robin Edward Feringa | Radiologic Technologist | 76181 33rd St, Lawton, MI 49065-9343 | 2010-01-27 |
1659592350 | Christine Mcneil | Radiologic Technologist | 7852 Rockcress Dr, Freeland, MI 48623-8431 | 2007-05-01 |
1063802270 | Veliisha Brown | Radiologic Technologist | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2015-01-26 |
1295125409 | Brad Kalleberg | Radiologic Technologist | 38777 6 Mile Rd, Livonia, MI 48152-2694 | 2015-01-26 |
1457740631 | Brittney Roach | Radiologic Technologist | 38777 6 Mile Rd, #209, Livonia, MI 48152-2694 | 2015-01-12 |
1356741946 | Skin Cancer Treatment Center of Michigan | Radiologic Technologist | 2246 N Monroe St, Ste 3, Monroe, MI 48162-4254 | 2014-09-02 |
1487091997 | Jason Wayne Jones | Radiologic Technologist | 205 N East Ave, Jackson, MI 49201-1753 | 2013-05-24 |
1487832895 | Rachelle Bigras | Radiologic Technologist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-02-07 |
1992983951 | Rochelle Shipway | Radiologic Technologist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-02-01 |
Find all providers with the same taxonomy |
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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.