MARK DIXON YANCY SR. (NPI# 1881176105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881176105 |
| Entity Type | Individual |
| Full Name | MARK DIXON YANCY SR. |
| Practice Address |
5869 Marble Dr Troy MI 48085-3967 |
| Practice Telephone | 2489437111 |
| Mailing Telephone | 2489437111 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401016811 | MI | Behavioral Health & Social Service Providers |
| Street Address |
5869 MARBLE DR |
| City | TROY |
| State | MI |
| Zip Code | 48085-3967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561945 | Jennifer Nichole Susan | Counselor | 1080 Kirts Blvd Ste 100, Troy, MI 48084-4853 | 2020-09-02 |
| 1275151631 | Kristin Colleen Ansel | Counselor | 838 Norwich Dr, Troy, MI 48084-2630 | 2020-07-10 |
| 1376167221 | Paula Denyes, Ma, Lpc, LLC | Counselor | 5705 Whitfield Dr, Troy, MI 48098-5112 | 2020-06-05 |
| 1750914818 | Karen Haley Cersley | Counselor | 5578 Richmond Rd Ste 203, Troy, VA 22974-4421 | 2020-02-18 |
| 1750920922 | Kimberly Lynn Roberts | Counselor | 68 Shirley Dr, Troy, MO 63379-6304 | 2020-01-05 |
| 1619532165 | Leslie Myers | Counselor | 116 E Missoula Ave, Troy, MT 59935-5993 | 2019-05-09 |
| 1669933842 | Carrie Pardon | Counselor | 3668 Livernois Rd, Troy, MI 48083-5035 | 2019-03-28 |
| 1265999353 | Jaime Collins | Counselor | 2489 Derby Rd, Troy, MI 48084-2663 | 2019-02-25 |
| 1255804126 | Natalie Elizabeth Grierson | Counselor | 305 Public Sq Ste 1, Troy, OH 45373-3894 | 2019-01-03 |
| 1538630231 | Felicia K Ewing | Counselor | 197 E Us Highway 40, Troy, IL 62294-2262 | 2018-12-06 |
| Find all providers in TROY | ||||
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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.