MARK SHIEVITZ (NPI# 1962884122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962884122 |
| Entity Type | Individual |
| Full Name | MARK SHIEVITZ |
| Credential | M.D. |
| Practice Address |
19401 Hubbard Dr Dearborn MI 48126-2641 |
| Mailing Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Practice Telephone | 3139828100 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301108344 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2488982001 |
| Street Address |
19401 HUBBARD DR |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205525 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 19401 Hubbard Dr, Suite 100, Dearborn, MI 48126-2641 | 2006-02-21 |
| 1881208783 | Elizabeth Anne Labodie | Nurse Practitioner | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2020-09-08 |
| 1396378931 | Camiron Alicia Andrews | Massage Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2699 | 2020-02-21 |
| 1851944573 | Andrew Sedra | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-07-22 |
| 1780244509 | Randa Abu Sayf | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-06-14 |
| 1134788110 | Kathryn Ann Rankin | Physician Assistant | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-06-12 |
| 1366907982 | Fadi Fardous | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-02-07 |
| 1952885220 | Miranda H Rippin | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-09-21 |
| 1366943417 | Carrie Marie Foggia | Occupational Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-02-23 |
| 1265958656 | Scott Backman | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2017-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1164785325 | Wasfeh Musheinesh | Emergency Medicine | 13846 Wellesley St, Dearborn, MI 48126 | 2012-06-21 |
| 1639307408 | Richard Garrett Hanzel | Emergency Medicine | 1557 Venice St, Dearborn, MI 48124-4063 | 2009-06-30 |
| 1366479040 | Richard Cieslak | Emergency Medicine | 19401 Hubbard Drive, Suite 207 Henry Ford Health System, Dearborn, MI 48126 | 2006-06-27 |
| 1316906142 | Ali Hassan | Emergency Medicine | 23455 Michigan Ave, Dearborn, MI 48124-1908 | 2006-03-21 |
| 1508844200 | Joyce M Blazejewski | Emergency Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-01-04 |
| 1528417573 | Khalil Mroue | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-06-10 |
| 1528416211 | Jaber Ali Abdo | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-06-02 |
| 1669854659 | Daniel John Deweert | Emergency Medicine | 19401 Hubbard Dr, Dearborn, MI 48126 | 2015-06-25 |
| 1124430574 | Madiha Khurshid | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2014-05-20 |
| Find all providers in DEARBORN | ||||
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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.