LOUIS D SOVERINSKY D.O. PLLC (NPI# 1912237512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912237512 |
| Entity Type | Organization |
| Organization Name | LOUIS D SOVERINSKY D.O. PLLC |
| Practice Address |
1701 Baldwin Ave Suite 203 Pontiac MI 48340-3412 |
| Practice Telephone | 2483342311 |
| Practice Fax Number | 2483346738 |
| Mailing Telephone | 2483342311 |
| Mailing Fax Number | 2483346738 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |
| Authorized Official Name | DR. LOUIS DONALD SOVERINSKY (OWNER) |
| Authorized Official Telephone | 2483342311 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
5101005076 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4094758 | 05 |
| Street Address |
1701 BALDWIN AVE SUITE 203 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664254 | Deborah Lynne Eckert | Nurse Practitioner | 1701 Baldwin Ave, Suite 101, Pontiac, MI 48340-3412 | 2005-07-26 |
| 1881189918 | Mackenzie Bedor | Social Worker | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2018-07-01 |
| 1457711202 | Oakland Integrated Healthcare Network | Clinic/Center | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-03-07 |
| 1780044131 | Molly Mitchell | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-02-27 |
| 1578931630 | Arlie Land | Pharmacist | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2015-09-07 |
| 1528330420 | Great Lakes Foot Care P.C. | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2012-02-07 |
| 1295981470 | Deshonda Shonta Tyynismaa | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-08-07 |
| 1184892143 | Pine Knob Pharmacy #6 | Durable Medical Equipment & Medical Supplies | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-02-13 |
| 1295931517 | Arnold C. Fellman, M.d., P.C. | Dermatology | 1701 Baldwin Ave, Suite 207, Pontiac, MI 48340-3412 | 2007-06-24 |
| 1053496554 | Steven R Binder | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1760664353 | Creamean Chiropractic Clinic | Clinic/Center | 820 W Howard St, Pontiac, IL 61764-1603 | 2007-12-05 |
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| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
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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.