LUIS POMODORO M D PC (NPI# 1043327935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043327935 |
| Entity Type | Organization |
| Organization Name | LUIS POMODORO M D PC |
| Other Organization Name | LUIS POMODORO M D P C |
| Practice Address |
15645 Farmington Rd Livonia MI 48154-2851 |
| Practice Telephone | 7344255320 |
| Practice Fax Number | 7344256212 |
| Mailing Telephone | 7344255320 |
| Mailing Fax Number | 7344256212 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | DR. LUIS A. POMODORO (PRESIDENT) |
| Authorized Official Telephone | 7344255320 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301037706 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | VALUE OPTIONS | 036223 | 01 |
| MI | PREFERRED CHOICES | 118156 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 2608203502 | 01 |
| MI | CARE CHOICES | 118156 | 01 |
| MI | 1958828 | 05 |
| Other Name | Type Code |
|---|---|
| LUIS POMODORO M D P C | Doing Business As Name - Organization |
| Street Address |
15645 FARMINGTON RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548231749 | Ambujam R Krishnan | Internal Medicine | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2006-01-27 |
| 1891032009 | Eun Ju Yeon | Nurse Practitioner | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2013-01-08 |
| 1063537785 | Comprehensive Healthcare Associates and Prevention Medicine PC | Internal Medicine | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2007-03-20 |
| 1558428276 | Amy Lynn Widenbaum | Social Worker | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2007-01-02 |
| 1619084589 | K C R Nair Md PC | Psychiatry & Neurology | 15645 Farmington Rd, Livonia, MI 48154-2851 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235630492 | Alcona Citizens for Health, Inc. | Psychiatry & Neurology | 20010 Farmington Rd Rm 2, Livonia, MI 48152-1408 | 2018-02-23 |
| 1730408477 | Bominddy Inc. | Psychiatry & Neurology | 32744 Five Mile Rd, Livonia, MI 48154-3046 | 2010-05-20 |
| 1700014511 | Patrick Casey Gresham | Psychiatry & Neurology | 19986 Sunbury St, Livonia, MI 48152-2028 | 2009-06-30 |
| 1073720900 | Humera Athar | Psychiatry & Neurology | 20282 Middle Belt Rd, Livonia, MI 48152 | 2007-05-17 |
| 1346316023 | Stephen Gerald Landau | Psychiatry & Neurology | 37727 Professional Center Dr, Suite 115 D, Livonia, MI 48154-1195 | 2006-11-27 |
| 1013027309 | Anil K Jain | Psychiatry & Neurology | 14555 Levan Road Suite 313b, Suite 313b, Livonia, MI 48154-5083 | 2006-08-30 |
| 1558475517 | Surendra Kelwala | Psychiatry & Neurology | 36180 Five Mile Rd, Livonia, MI 48154-1919 | 2006-08-18 |
| 1518970268 | Fathy F Ishac | Psychiatry & Neurology | 18475 Farmington Rd, Livonia, MI 48152 | 2006-08-14 |
| 1649227802 | Elizabeth Lane Mccullough | Psychiatry & Neurology | 16836 Newburgh Rd, Upc Livonia, Livonia, MI 48154 | 2006-05-30 |
| 1205893013 | Leslee A Emerson | Psychiatry & Neurology | 38807 Ann Arbor Rd Ste 7, Livonia, MI 48150 | 2006-04-26 |
| Find all providers in LIVONIA | ||||
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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.