DR. ROGER MATTHEW KUSHNER (NPI# 1962467621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962467621 |
| Entity Type | Individual |
| Full Name | DR. ROGER MATTHEW KUSHNER |
| Credential | D.O. |
| Practice Address |
20276 Middlebelt Rd Suite 2 Livonia MI 48152-2054 |
| Mailing Address |
20276 Middlebelt Road Suite 2 Livonia MI 48152-2054 |
| Practice Telephone | 2484764900 |
| Practice Fax Number | 2484765435 |
| Mailing Telephone | 2484764900 |
| Mailing Fax Number | 2484765435 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
5101006358 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OMNI | 47523 | 01 |
| MI | BCBS/BCN | 160H261380 | 01 |
| MI | HEALTH ALLIANCE PLAN | E26610 | 01 |
| MI | 4372550 | 05 | |
| MI | CARE CHOICES | 110978 | 01 |
| MI | AETNA | 4033701 | 01 |
| Street Address |
20276 MIDDLEBELT RD SUITE 2 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689645137 | Robert L Dock | Obstetrics & Gynecology | 20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 | 2006-01-31 |
| 1093230674 | Self-directed Budget Services | Home Health Aide | 20276 Middlebelt Rd, Suite 1, Livonia, MI 48152 | 2017-08-04 |
| 1548627854 | Team Rehabilitation Mb2 LLC | Physical Therapist | 20276 Middlebelt Rd, Suite 8, Livonia, MI 48152-2054 | 2016-01-19 |
| 1558645077 | Ladies Health Place PC | Obstetrics & Gynecology | 20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 | 2011-10-03 |
| 1083902738 | Kara Carravallah | Physical Therapist | 20276 Middlebelt Rd, Suite 8, Livonia, MI 48152-2054 | 2011-07-15 |
| 1326204157 | Michelle L Cissell | Physical Therapist | 20276 Middlebelt Rd, Suite 8, Livonia, MI 48152-2054 | 2008-07-31 |
| 1033268263 | Southfield Lathrup Obstetrics and Gynecology PC | Obstetrics & Gynecology | 20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 | 2007-01-09 |
| 1144386053 | Professional Obgyn PC | Obstetrics & Gynecology | 20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 | 2006-12-28 |
| 1154367977 | Sylvia R Santos-sio | Obstetrics & Gynecology | 20276 Middlebelt Rd, Livonia, MI 48152-2054 | 2006-06-21 |
| 1790729366 | Ronald Gene Zack | Obstetrics & Gynecology | 20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184260754 | Kelly Jo Aguilera | Obstetrics & Gynecology | 3985 E Brooks Rd, Freeland, MI 48623-9436 | 2019-11-19 |
| 1598089542 | Mansion Street Womens Health Pllc | Obstetrics & Gynecology | 215 E Mansion St., Suite 3d, Marshall, MI 49068 | 2010-03-19 |
| 1285888347 | Shalom Mazaki-tovi | Obstetrics & Gynecology | 5858 Fineway Ct, West Bloomfield, MI 48322-1383 | 2008-11-15 |
| 1407051410 | Jane J Jawahir Md PC | Obstetrics & Gynecology | 3181 Prairie St Sw Ste 112, Grandville, MI 49418-2076 | 2007-06-19 |
| 1831300219 | Urological Solutions of Michigan, Plc | Obstetrics & Gynecology | 7110 Stadium Drive, Kalamazoo, MI 49009-9423 | 2007-05-25 |
| 1134339518 | Karen Lynn Plymel | Obstetrics & Gynecology | 25080 Michigan, Dearborn, MI 48124-1740 | 2007-05-23 |
| 1063622454 | Anupama Vansadia | Obstetrics & Gynecology | 6700 N Rochester Rd Ste 210, Rochester Hills, MI 48306-4378 | 2007-05-23 |
| 1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
| 1326257148 | Medical Resource Group | Obstetrics & Gynecology | 15990 W 9 Mile Rd, Southfield, MI 48075-4826 | 2007-05-21 |
| 1649394347 | Birth Control Center | Obstetrics & Gynecology | 2783 E 14 Mile Rd, Sterling Heights, MI 48310-5962 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
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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.