THE CHILDREN'S CENTER OF WAYNE COUNTY INC (NPI# 1023361821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023361821 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S CENTER OF WAYNE COUNTY INC |
| Practice Address |
79 W Alexandrine St Detroit MI 48201-2015 |
| Practice Telephone | 3138315535 |
| Mailing Telephone | 3138315535 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | ROBERT BLUMENFELD (CFO) |
| Authorized Official Telephone | 3132211461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
Nursing Service Providers | ||
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 213119549 | 05 | |
| MI | CONSUMERLINK | 653610 | 01 |
| MI | VALUE OPTIONS | 118605 | 01 |
| MI | BCN | 1528145844 | 01 |
| MI | BCBS | 750910564 | 01 |
| MI | CARELINK | 000100 | 01 |
| Street Address |
79 W ALEXANDRINE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801846985 | James Patrick Stenger | Dentist | 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 | 2006-05-11 |
| 1518572809 | Holly Paige Lawson | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-09-13 |
| 1013522416 | Sadie Berthiaume | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-09-11 |
| 1720604028 | Tasneem Mahmoud Abdelhamid | Community Health Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-06-23 |
| 1295358943 | Jordan Michelle Nosis | Student in an Organized Health Care Education/Training Program | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-05-28 |
| 1861032070 | Joyce Witherspoon | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-15 |
| 1770123176 | Tyanna Elizabeth Jamison | Peer Specialist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-14 |
| 1518507565 | Tia Mitchell | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-07 |
| 1154960342 | Kristin Marie Kunes | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2020-01-05 |
| 1629615836 | Stephanie Warren | Dental Hygienist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2019-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081277 | Institute for Population Health Inc. | Preventive Medicine | 15491 Maddelein St, Detroit, MI 48205-2596 | 2019-03-07 |
| 1033429394 | City of Detroit | Preventive Medicine | 3245 E. Jefferson, Suite # 100, Detroit, MI 48207-4222 | 2010-10-20 |
| 1619964269 | Elie Ramzi Khoury | Preventive Medicine | 15831 Mack Ave, Detroit, MI 48224-3523 | 2005-09-29 |
| 1649819574 | Olive Seed LLC | Preventive Medicine | 3179 Franklin St, Detroit, MI 48207-4201 | 2019-12-23 |
| 1366921025 | Institute for Population Health | Preventive Medicine | 19830 James Couzens Fwy, Detroit, MI 48235-1910 | 2018-08-13 |
| 1376862359 | David Caleb Ham | Preventive Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2010-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903116 | Vrc Rehabilitation, LLC | Preventive Medicine | 23525 M 32 W, Hillman, MI 49746-9713 | 2020-08-18 |
| 1730697756 | Amy Schultz | Preventive Medicine | 1715 Lansing Ave Ste 221, Jackson, MI 49202-2193 | 2018-01-11 |
| 1295140507 | Metro Family Clinics | Preventive Medicine | 2075 Fort St Ste 101, Lincoln Park, MI 48146-2191 | 2014-06-25 |
| 1659786275 | Eni Smith | Preventive Medicine | 25235 Orchard Lake Rd, Farmington Hills, MI 48336-1233 | 2014-06-23 |
| 1598005159 | Edwin Roland Larkin | Preventive Medicine | 2203 Rockdale Ave, Lansing, MI 48917-1376 | 2013-02-19 |
| 1982969168 | Joseph A. Arends M.d. P.C. | Preventive Medicine | 6448 Parkview Dr, Troy, MI 48098-2244 | 2012-07-12 |
| 1124394663 | Eden Victoria Wells | Preventive Medicine | 333 S Grand Ave, 4th Floor Mdhhs, Lansing, MI 48933-2108 | 2012-03-29 |
| 1992072748 | William J Mayer | Preventive Medicine | 301 John St, Kalamazoo, MI 49007-5295 | 2011-11-22 |
| 1235445776 | Jeffrey Pollet | Preventive Medicine | 931 Woodfield Dr, Adrian, MI 49221-1450 | 2010-08-22 |
| 1184809550 | Don R. Judd | Preventive Medicine | 4688 Sailview Dr, Holland, MI 49423-8956 | 2008-01-04 |
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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.