FASTER CARE CONNOR CREEK, PLLC


Address: 4777 E Outer Dr, Detroit, MI 48234-3241
Phone: 2487024961

FASTER CARE CONNOR CREEK, PLLC (NPI# 1063069359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063069359
Entity Type Organization
Organization Name FASTER CARE CONNOR CREEK, PLLC
Practice Address 4777 E Outer Dr
Detroit
MI 48234-3241
Practice Telephone 2487024961
Mailing Telephone 2487024961
Enumeration Date 2019-08-21
Last Update Date 2019-08-21
Authorized Official Name ERIC GREENBERG (OWNER)
Authorized Official Telephone 2487024961
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name FASTER CARE CONNOR CREEK, PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 4777 E OUTER DR
City DETROIT
State MI
Zip Code 48234-3241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841230745 Carla M Smith Social Worker 4777 E Outer Dr, Ste 183, Detroit, MI 48234-3241 2006-06-08
1962018457 A Baby's Life, LLC Case Management 4777 E Outer Dr, Detroit, MI 48234-3241 2020-09-20
1154933265 Healing House, LLC Community/Behavioral Health 4777 E Outer Dr, Detroit, MI 48234-3241 2020-08-19
1063063295 Allison Jay Dietitian, Registered 4777 E Outer Dr, Detroit, MI 48234-3241 2019-09-29
1699335562 Sidney Sharee-celestine Sparks Social Worker 4777 E Outer Dr, Detroit, MI 48234-3241 2019-06-13
1417420514 Alyssia Chantel Hence Social Worker 4777 E Outer Dr, Detroit, MI 48234-3241 2019-01-10
1164917639 Conner Creek Life Solutions LLC Substance Abuse Rehabilitation Facility 4777 E Outer Dr, Detroit, MI 48234-3241 2018-06-27
1790292928 Golden Point Community LLC Assisted Living Facility 4777 E Outer Dr, Detroit, MI 48234-3241 2018-01-09
1154850543 Stephanie Graves Social Worker 4777 E Outer Dr, Detroit, MI 48234-3241 2017-06-08
1285189977 Brian Kendall Social Worker 4777 E Outer Dr, Detroit, MI 48234-3241 2016-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205332483 Bryce Xavier Bredell Student in an Organized Health Care Education/Training Program 6071 E Outer Dr, Detroit, MI 48234 2018-04-05
1538668595 Constance Durden Social Worker 19940 Conant Suite B, Detroit, MI 48234 2018-02-06
1891217717 Donald Williams Case Manager/Care Coordinator 19133 Hasse, Detroit, MI 48234 2017-07-12
1063865830 Gloria A. Love Psychologist 19677 Revere, Detroit, MI 48234 2016-07-18
1972977429 Conant Garden Dental Center Dds PC Dentist 2430 E Seven Mile, Suite 6, Detroit, MI 48234 2015-11-20
1861878787 Kenyatta Philips Chore Provider 20119 Helen St, Detroit, MI - MICHIGAN 48234 2015-08-03
1083977144 Edward Powell Counselor 19436 Packard Street, Detroit, MI 48234 2012-06-22
1487931325 Sonia Renee George Case Manager/Care Coordinator 8331 Yolanda St., Detroit, MI 48234 2011-11-07
1851682215 Detroit Rescue Mission Ministries Substance Abuse Rehabilitation Facility 19211 Anglin, Detroit, MI 48234 2011-04-20
1558662742 Tenille Daniel Home Health 17210 Runyon, Detroit, MI 48234 2010-11-04
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942618228 Changes Internal Medicine 19940 Conant St, Detroit, MI 48234-1494 2014-07-30
1841391323 Prince Jerome Eubanks Internal Medicine 20526 Plymouth Rd, Detroit, MI 48228-1201 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013367473 East & West Physicians PC Internal Medicine 20905 Greenfield Rd Ste 608, Southfield, MI 48075-5355 2016-06-16
1033445861 Ayad M George, Pllc Internal Medicine 2132 Cedar St, Holt, MI 48842-1458 2009-10-29
1588821433 West Michigan Addiction Consultants, PC Internal Medicine 3001 Fuller Ave Ne, Suite 1, Grand Rapids, MI 49505-3247 2008-05-19
1922108927 Rudy Jerome Vervaeke Internal Medicine 21420 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-3607 2006-09-22
1730727850 Dearborn Pain Center Pllc Internal Medicine 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 2019-12-19
1356869572 America Recovery Center, Pllc Internal Medicine 20217 Ann Arbor Trl, Dearborn Heights, MI 48127-2692 2017-09-07
1356793954 Iha Health Services Corporation Internal Medicine 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 2016-07-07
1770967226 Newhorizon Center LLC Internal Medicine 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1999 2015-07-15
1033434253 Elizabeth Bulat Internal Medicine 37595 7 Mile Rd, # 240, Livonia, MI 48152-1003 2010-03-30
1154508455 Charles Frederick Gehrke Internal Medicine 12851 Grand River Rd, Brighton, MI 48116 2008-01-29
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Competitor

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City DETROIT
Zip Code 48234

Improve Information

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Dataset Information

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.

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