EDISON HEALTH CARE ASSOCIATES, INC (NPI# 1952545329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952545329 |
| Entity Type | Organization |
| Organization Name | EDISON HEALTH CARE ASSOCIATES, INC |
| Practice Address |
20755 Greenfield Rd Suite 107 Southfield MI 48075-5403 |
| Practice Telephone | 2485573777 |
| Practice Fax Number | 2485572666 |
| Mailing Telephone | 2485573777 |
| Mailing Fax Number | 2485572666 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | DR. RAYMOND EDISON (PRESIDENT) |
| Authorized Official Telephone | 2485573777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MI | Ambulatory Health Care Facilities |
| Street Address |
20755 GREENFIELD RD SUITE 107 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310128 | Laz Medical Group PC | Family Medicine | 20755 Greenfield Rd, #1101, Southfield, MI 48075-5403 | 2005-07-20 |
| 1316467319 | Enlightened Medical Home Visit Pllc | Clinic/Center | 20755 Greenfield Rd, Suite 803, Southfield, MI 48075 | 2017-06-21 |
| 1245764737 | Sharon Blackshire-tubie | Nurse Practitioner | 20755 Greenfield Rd, #203, Southfield, MI 48075-5403 | 2017-04-12 |
| 1487198255 | Monique R Clark | Nurse Practitioner | 20755 Greenfield Rd, Suite 100, Southfield, MI 48075-5403 | 2016-12-13 |
| 1376094268 | Therahealth Physio Therapy | Preferred Provider Organization | 20755 Greenfield Rd, Suite 602, Southfield, MI 48075-5403 | 2016-10-17 |
| 1528518511 | Progressive Rehab Services, Inc. | Clinic/Center | 20755 Greenfield Rd, Ste 200, Southfield, MI 48075-5403 | 2016-10-13 |
| 1265982466 | Uche Obua | Nurse Practitioner | 20755 Greenfield Rd, Southfield, MI 48075-5403 | 2016-10-12 |
| 1831543768 | Metro Mobility, LLC | Non-emergency Medical Transport (VAN) | 20755 Greenfield Rd, Ste 810, Southfield, MI 48075 | 2016-04-18 |
| 1992183875 | Mobility Home Health Care Inc | Home Health | 20755 Greenfield Rd, Suite 202, Southfield, MI 48075-5403 | 2015-05-12 |
| 1114330966 | Kinetix Rehab Services, Inc. | Clinic/Center | 20755 Greenfield Rd, Southfield, MI 48075-5403 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215483938 | Care Crest Visiting Physician Services Pllc | Clinic/Center | 19100 W 10 Mile Rd Ste 201, Southfield, MI 48075 | 2016-09-01 |
| 1972898369 | Medical Home Visits Pllc | Clinic/Center | 26250 American Dr, Southfield, MI 48034-6110 | 2011-06-14 |
| 1023220159 | Jian Zu, M. D., Pllc | Clinic/Center | 22250 Providence Dr. Suite 403, Southfield, MI 48075 | 2007-05-03 |
| 1235513623 | Greenfield Medical Orthopedic Pllc | Clinic/Center | 23077 Greenfield Rd, Suite 159, Southfield, MI 48075-3709 | 2015-07-15 |
| 1235442435 | Watts Primary Care, Psc | Clinic/Center | 29425 Northwestern Hwy, Suite 125, Southfield, MI 48034-1080 | 2010-07-16 |
| 1366763161 | Hester S Pernell Md PC | Clinic/Center | 16250 Northland Dr, 312, Southfield, MI 48075-5205 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252458 | Midland Express Urgent and Family Care | Clinic/Center | 600 Cambridge St Ste 1, Midland, MI 48642-4508 | 2020-10-13 |
| 1841805306 | Alex Wagner, LLC | Clinic/Center | 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 | 2020-09-11 |
| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1588295463 | Scheurer Hospital | Clinic/Center | 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 | 2020-01-30 |
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on EDISON HEALTH CARE ASSOCIATES, INC.
| 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.