MICHELLE COLEEN FEDORUK (NPI# 1891148573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891148573 |
| Entity Type | Individual |
| Full Name | MICHELLE COLEEN FEDORUK |
| Practice Address |
1226 E 6th St Royal Oak MI 48067-2909 |
| Practice Telephone | 5869186561 |
| Mailing Telephone | 5869186561 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1226 E 6TH ST |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407305311 | Latasha Danielle Gray | Technician, Other | 3027 W 13 Mile Rd Apt 339, Royal Oak, MI 48073-2971 | 2016-10-04 |
| 1467901967 | Robert Shefsky | Technician, Other | 1531 W 13 Mile Rd, Royal Oak, MI 48073-2447 | 2016-09-25 |
| 1346693173 | Victoria Marie Engel | Technician, Other | 2931 Rochester Rd, Royal Oak, MI 48073-3501 | 2016-07-17 |
| 1669821674 | Taryn Eaton | Technician, Other | 1725 Gardenia Ave Apt 5, Royal Oak, MI 48067-2133 | 2016-06-09 |
| 1316394463 | Keona Peeples | Technician, Other | 200 W 2nd St Unit 411, Royal Oak, MI 48068-7018 | 2016-05-18 |
| 1134575020 | Anna Reef | Technician, Other | 2665 Burnham Rd, Royal Oak, MI 48073-3714 | 2016-05-10 |
| 1053766394 | Shawna Grumbles | Technician, Other | 4273 Crooks Rd, 6, Royal Oak, MI 48073-1933 | 2016-04-24 |
| 1891152997 | Rachel Mitchell | Technician, Other | 1506 N Alexander Ave, Royal Oak, MI 48067-3633 | 2016-01-20 |
| 1780040170 | Korri St. Clair | Technician, Other | 403 E Farnum Ave, Royal Oak, MI 48067-3781 | 2016-01-14 |
| 1396113924 | Andrew Allred | Technician, Other | 3242 Albert Ave, Apt 426, Royal Oak, MI 48073-6834 | 2015-09-14 |
| Find all providers in ROYAL OAK | ||||
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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.