CLIFFORD L WELDON M D P L C


Address: 30695 Little Mack Ave Ste 500, Roseville, MI 48066-1772
Phone: 5862859270

CLIFFORD L WELDON M D P L C (NPI# 1912228743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912228743
Entity Type Organization
Organization Name CLIFFORD L WELDON M D P L C
Practice Address 30695 Little Mack Ave Ste 500
Roseville
MI 48066-1772
Practice Telephone 5862859270
Practice Fax Number 5862859271
Mailing Telephone 5862859270
Mailing Fax Number 5862859271
Enumeration Date 2010-06-16
Last Update Date 2013-01-09
Authorized Official Name DR. CLIFFORD L WELDON (PHYSICIAN/OWNER)
Authorized Official Telephone 5862859270
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
CW054557 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCN P87524 01
MI CHAMPS 7001298 01
MI TOTAL HEALTHCARE 0166726 01
MI 1528194545 05
MI MOLINA QMXPR0020661 01
MI BCBSM 0500966 01
MI TRICARE M-006492 01
MI OMNICARE 21606 01
MI LICENSE CW054557 01

Office Location

Street Address 30695 LITTLE MACK AVE STE 500
City ROSEVILLE
State MI
Zip Code 48066-1772

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1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730725789 Norcal Medical Services, Inc Internal Medicine 2267 Lava Ridge Ct, Roseville, CA 95661-3062 2019-11-25
1811190713 Reetu Sharma Internal Medicine 2 Medical Plaza Drive, 175, Roseville, CA 95661-3049 2007-06-07
1306948435 Mukhtar Ahmad Khan Internal Medicine 25779 Kelly Rd, Suite C, Roseville, MI 48066-4973 2006-09-01
1629083407 Peter Daniel Jurisich Internal Medicine 2 Medical Plaza Dr Ste 175, Roseville, CA 95661-3049 2006-07-30
1134144017 Madjid Mesgarzadeh Internal Medicine 25910 Kelly Rd, Suite B, Roseville, MI 48066-4466 2006-07-13
1194714980 St Clair Cardiovascular Surgeons Plc Internal Medicine 25599 Kelly Rd, Ste A, Roseville, MI 48066-4975 2005-10-14
1689676223 Luis Antonio Pires Internal Medicine 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 2005-08-12
1336141977 Narayanan Vikraman Internal Medicine 18325 E 10 Mile Rd, Suite 400, Roseville, MI 48066-4990 2005-08-12
1255337689 Joel C Engel Internal Medicine 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 2005-06-21
1194729053 Douglas R Moore Internal Medicine 25195 Kelly Rd Ste A, Roseville, MI 48066-4909 2005-06-09
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Competitor

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City ROSEVILLE
Zip Code 48066

Improve Information

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Dataset Information

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.

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