CONCERTO MEDICAL GROUP OF MICHIGAN, P.C. (NPI# 1033575030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033575030 |
Entity Type | Organization |
Organization Name | CONCERTO MEDICAL GROUP OF MICHIGAN, P.C. |
Practice Address |
7430 2nd Ave Suite 210 Detroit MI 48202-2739 |
Mailing Address |
Po Box 809393 Chicago IL 60680-9393 |
Practice Telephone | 3137484200 |
Mailing Telephone | 3137484200 |
Enumeration Date | 2016-01-06 |
Last Update Date | 2016-02-18 |
Authorized Official Name | DR. ROBERT LEVINE (PRESIDENT) |
Authorized Official Telephone | 3137484200 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831433218 | Concerto Medical Group of Michigan, P.C. | Clinic/Center | 7430 2nd Ave, Ste 210, Detroit, MI 48202-2739 | 2012-11-25 |
Street Address |
7430 2ND AVE SUITE 210 |
City | DETROIT |
State | MI |
Zip Code | 48202-2739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891767489 | Bobby G Lee | Internal Medicine | 7430 2nd Ave, Suite 210, Detroit, MI 48202-2739 | 2006-02-07 |
1750761888 | Concerto Healthcare of Michigan, Inc. | Clinic/Center | 7430 2nd Ave, Ste 210, Detroit, MI 48202-2705 | 2015-06-03 |
1417336066 | Stacy Smith | Pharmacist | 7430 2nd Ave, Detroit, MI 48202-2739 | 2015-05-28 |
1932505567 | Alexandra Lindsey | Registered Nurse | 7430 2nd Ave, Detroit, MI 48202-2739 | 2014-11-10 |
1932508330 | Lauren Ross | Nurse Practitioner | 7430 2nd Ave, Detroit, MI 48202-2739 | 2014-08-21 |
1831433218 | Concerto Medical Group of Michigan, P.C. | Clinic/Center | 7430 2nd Ave, Ste 210, Detroit, MI 48202-2739 | 2012-11-25 |
1639453228 | Anthony Dequann Spearman | Internal Medicine | 7430 2nd Ave, Suite 210, Detroit, MI 48202-2739 | 2011-09-30 |
1659683753 | Tiffany Sanford | Internal Medicine | 7430 2nd Ave, Suite 210, Detroit, MI 48202-2739 | 2010-07-06 |
1609107341 | Annetra Jones | Counselor | 7430 2nd Ave, Detroit, MI 48202-2739 | 2010-01-20 |
1386809994 | Mohammed Elbashir | Internal Medicine | 7430 2nd Ave, Suite 210, Detroit, MI 48202-2739 | 2008-07-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
Find all providers in zip 48202 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1871720342 | Vernor Mc Inc | General Practice | 7649 W Vernor Hwy, Detroit, MI 48209-1513 | 2009-06-11 |
1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
1184892754 | David Jonnalagadda Md PC | General Practice | 6001 W Outer Dr Ste 320, Detroit, MI 48235-2626 | 2008-02-15 |
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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.