MCNICHOLS XRAY CLINIC PC (NPI# 1013070135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013070135 |
| Entity Type | Organization |
| Organization Name | MCNICHOLS XRAY CLINIC PC |
| Practice Address |
21230 Dequindre Road Southeast Michigan Surgical Hospital Warren MI 48091 |
| Mailing Address |
Po Box 1123 Anesthesia Business Consultants LLC 774 W Michigan Ave Jackson MI 49204-9923 |
| Practice Telephone | 5864271000 |
| Practice Fax Number | 5867590237 |
| Mailing Telephone | 5177876440 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN ANTHONY DALESSANDRO (PRESIDENT) |
| Authorized Official Telephone | 3138812257 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4612 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
21230 DEQUINDRE ROAD SOUTHEAST MICHIGAN SURGICAL HOSPITAL |
| City | WARREN |
| State | MI |
| Zip Code | 48091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1720046188 | Superior Air-ground Ambulance Service of Michigan, Inc | Ambulance | 2000 Centerwood Dr, Warren, MI 48091 | 2006-05-03 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497959183 | Bi-county Physicians Practices | Radiology | 13355 East 10 Mile Road, Warren, MI 48089-2048 | 2007-06-14 |
| 1598786451 | Walter H Kuhnen | Radiology | 2 12 Crescent Park, Warren, PA 16365 | 2006-07-23 |
| 1457370330 | Neha Kothari | Radiology | 9 Cotswold Ln, Warren, NJ 07059-6900 | 2006-07-19 |
| 1871518449 | Radiology Specialties PC | Radiology | 13355 East Ten Mile Rd, Warren, MI 48089-1240 | 2006-07-13 |
| 1477578144 | Diagnostic Radiology Consultants PC | Radiology | 11800 E Twelve Mile Road, St John Macomb Hospital, Warren, MI 48093 | 2006-07-13 |
| 1144263153 | Franklin D Wald | Radiology | 9 Nottingham Way, Warren, NJ 07059-6754 | 2006-06-14 |
| 1881651909 | Robert Palmer Stecher | Radiology | 2900 Sandpiper Trl Se, Warren, OH 44484-5706 | 2006-05-01 |
| 1972586717 | Great Lakes Mri of Michigan LLC | Radiology | 27301 Schoenherr Rd, Suite 100, Warren, MI 48088-6649 | 2005-11-25 |
| 1154319259 | Medical Imaging Network Inc | Radiology | 5500 E Market St, Warren, OH 44484-2214 | 2005-10-12 |
| 1942206818 | Barry H Katz | Radiology | 16 Mountain Blvd, Warren, NJ 07059-5614 | 2005-06-24 |
| Find all providers in WARREN | ||||
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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.