DR. CRYSTAL M BANKS (NPI# 1962400556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962400556 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL M BANKS |
| Credential | MD |
| Practice Address |
29255 Northwestern Hwy Suite 100 Southfield MI 48034-1018 |
| Mailing Address |
Po Box 33321 Drawer 117 Detroit MI 48232-5321 |
| Practice Telephone | 2483582410 |
| Practice Fax Number | 2483582470 |
| Mailing Telephone | 2483582410 |
| Mailing Fax Number | 2483582470 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2009-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301057725 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4483489 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998874 | Crystal Maria Banks | Assisted Living Facility | 3434 2nd Ave S, St Petersburg, FL 33711-1308 | 2019-12-04 |
| 1417485483 | Crystal Monique Banks | Behavior Technician | 7884 Westbank Ct, Sacramento, CA 95828-5287 | 2017-06-02 |
| 1174953806 | Crystal Banks | Registered Nurse | 3702 Lindholm Rd, Shaker Heights, OH 44120-5129 | 2013-11-15 |
| 1255619409 | Crystal Leigh Banks | Pediatrics | 219b E Railroad Row, Giddings, TX 78942-2639 | 2011-07-21 |
| 1629080452 | Crystal Lynn Banks | Social Worker | 9409 Columbia Ave, Cleveland, OH 44108-2911 | 2006-08-12 |
| 1588045827 | Crystal Banks | Psychologist | 28303 Joy Rd, Westland, MI 48185-5524 | 2015-06-12 |
| Street Address |
29255 NORTHWESTERN HWY SUITE 100 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460152 | Marie-jeanne D Monde-matthews | Pediatrics | 29255 Northwestern Hwy, Suite 100, Southfield, MI 48034-1018 | 2005-07-08 |
| 1205346509 | Ace Pharmacy LLC | Pharmacy | 29255 Northwestern Hwy, Suite 101, Southfield, MI 48034-1018 | 2017-10-02 |
| 1831555390 | Charlotte Mary Spicuzzi | Physical Therapist | 29255 Northwestern Hwy, Suite 300, Southfield, MI 48034-1018 | 2016-01-13 |
| 1821397076 | Amanda Jean Davis | Physical Therapist | 29255 Northwestern Hwy, Suite 300, Southfield, MI 48034-1018 | 2011-03-26 |
| 1770896631 | Molly Anne Balbach | Physical Therapist | 29255 Northwestern Hwy, Suite 300, Southfield, MI 48034-1018 | 2010-07-21 |
| 1750618898 | Auto & Work Comp Rehab LLC | Clinic/Center | 29255 Northwestern Hwy, Ste 300, Southfield, MI 48034-1018 | 2009-11-11 |
| 1295968188 | Home Rehab Specialists, LLC | Home Health | 29255 Northwestern Hwy, Suite 302, Southfield, MI 48034-1018 | 2009-08-26 |
| 1386777019 | John Krauss | Physical Therapist | 29255 Northwestern Hwy, Suite 300, Southfield, MI 48034-1018 | 2007-03-13 |
| 1316014566 | Rodrigo Tobar Jr. | Family Medicine | 29255 Northwestern Hwy, Suite 203, Southfield, MI 48034-1018 | 2006-11-30 |
| 1952473506 | Physicians for Women, Pllc | Specialist | 29255 Northwestern Hwy, Suite 301, Southfield, MI 48034-1018 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1184993404 | Hasan Hasaba Md Pllc | Pediatrics | 22255 Greenfield Rd Ste 320, Southfield, MI 48075-3729 | 2011-12-14 |
| 1235148222 | Eliyahou Kam | Pediatrics | 22255 Greenfield Ste 128, Providence Pavilion, Southfield, MI 48075 | 2006-08-07 |
| 1932126752 | Sarveswararao Talla | Pediatrics | 17356 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2128 | 2006-07-16 |
| 1477537157 | Amy E Youn | Pediatrics | 30503 Greenfield Rd, Southfield, MI 48076-1594 | 2005-12-06 |
| 1568460152 | Marie-jeanne D Monde-matthews | Pediatrics | 29255 Northwestern Hwy, Suite 100, Southfield, MI 48034-1018 | 2005-07-08 |
| 1245859446 | Vpa PC | Pediatrics | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2020-04-09 |
| 1669091864 | Vpa PC | Pediatrics | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2020-04-09 |
| 1902325384 | Peace & Harmony Services LLC | Pediatrics | 17330 Northland Park Ct, Southfield, MI 48075-4318 | 2017-09-16 |
| 1326422908 | Marisa Elias | Pediatrics | 22777 W 11 Mile Rd, Southfield, MI 48033 | 2015-07-14 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.