DR. KELLY ANNE LEVASSEUR (NPI# 1891904462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891904462 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANNE LEVASSEUR |
| Credential | D.O. |
| Practice Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Mailing Address |
1253 Lake Park Dr Birmingham MI 48009-1090 |
| Practice Telephone | 2482843270 |
| Mailing Telephone | 2482843270 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
5101016826 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3601 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
| 1023617735 | Kevin Wilson Curtis | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-22 |
| 1164020939 | Chelsea Cloke | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-14 |
| 1073111258 | Jaimie Danno | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-11 |
| 1447857883 | Pamela Ann Boyd | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-08 |
| 1528675618 | Riya Kaur Kalra | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-23 |
| 1174139612 | Kostiantyn Romaniv | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-21 |
| 1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1164038964 | Patricia W Choi | Pharmacy | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1598377004 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861913030 | Ashima Goyal | Pediatrics | 3535 W 13 Mile, South Clinic, Royal Oak, MI 48073 | 2017-06-28 |
| 1316342082 | Dhritiman Gurkha | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2014-10-23 |
| 1205805249 | Vijay Bhardwaj | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417985615 | Stephen Robert Knazik | Pediatrics | 3901 Beaubien Emergency Dept - Main Building, Childrens Hospital of Mi, Detroit, MI 48201 | 2006-06-28 |
| 1598296022 | Elizabeth Marie Budnik | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-03-26 |
| 1558817205 | Zina Alhaddad | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2016-08-31 |
| 1790103737 | Terry L Barrett | Pediatrics | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2014-04-06 |
| 1457774788 | Yagnaram Ravichandran | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2014-01-22 |
| 1316116486 | Nisrine El Chami | Pediatrics | 3901 Beaubien St, Division of Pediatric Emergency Medicine, Detroit, MI 48201-2119 | 2008-02-22 |
| 1326238924 | Katherine Anne Hebert | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-07-30 |
| 1528187762 | University Children 's Urgent Care | Pediatrics | 989 University Dr, Suite 101, Pontiac, MI 48342-1885 | 2007-03-28 |
| 1609907294 | Laura Maria Moody | Pediatrics | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2007-03-08 |
| 1467512871 | Maria D. Dorsch | Pediatrics | Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 | 2006-12-08 |
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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.