RICHARD WATNICK MD PC (NPI# 1073540324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073540324 |
| Entity Type | Organization |
| Organization Name | RICHARD WATNICK MD PC |
| Other Organization Name | MICHIGAN GLAUCOMA SPECIALISTS PC |
| Practice Address |
25350 Kelly Rd Roseville MI 48066-5824 |
| Practice Telephone | 5867721990 |
| Practice Fax Number | 5867721137 |
| Mailing Telephone | 5867721990 |
| Mailing Fax Number | 5867721137 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | KATHY HUBCHIK (ACCOUNT REPRESENTATIVE) |
| Authorized Official Telephone | 7342071690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301405297 | MI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Michigan Glaucoma Specialists PC | Doing Business As Name - Organization |
| Street Address |
25350 KELLY RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-5824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144211699 | Richard L Watnick | Ophthalmology | 25350 Kelly Rd, Roseville, MI 48066-5824 | 2005-11-03 |
| 1275762098 | David M Zalenski Md Pllc | Obstetrics & Gynecology | 25350 Kelly Rd, Roseville, MI 48066-4961 | 2009-07-14 |
| 1710109939 | Tom Obertynski | Ophthalmology | 25350 Kelly Rd, Roseville, MI 48066 | 2007-05-03 |
| 1306959374 | Family Practice Care Pllc | General Practice | 25350 Kelly Rd, Roseville, MI 48066-4961 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245715192 | Shannon Thornton | Specialist | 564 N Sunrise Ave, Roseville, CA 95661-3035 | 2018-09-26 |
| 1437688991 | Maria Cloris Kian | Specialist | 106n Sunrise Ave, B-8, Rooms #1-2, Roseville, CA 95661 | 2017-06-08 |
| 1760923874 | Richard Wurster | Specialist | 1640 Ainsdale Dr, Roseville, CA 95747-5838 | 2017-03-09 |
| 1871908277 | Scott B Hearth, Md | Specialist | 8735 Sierra College Blvd Ste 200, Roseville, CA 95661-5992 | 2014-06-24 |
| 1386957892 | Nancy E Neibarger | Specialist | 6073 Big Bend Dr, Roseville, CA 95678-1978 | 2010-07-26 |
| 1972749737 | Victor M Nava M D Inc | Specialist | 100 S. Harding Blvd. #2, Roseville, CA 95678-3360 | 2008-12-29 |
| 1780841015 | Melvin Stahl | Specialist | 640 Pear Blossom Ct, Roseville, CA 95747-8606 | 2008-05-22 |
| 1700097409 | Lynn Marie Bjornnes | Specialist | 2960 Snelling Ave N, Roseville, MN 55113-2458 | 2007-05-24 |
| 1871637488 | Parker Hughes Clinics | Specialist | 2665 Long Lake Rd, Roseville, MN 55113-2538 | 2007-02-16 |
| 1649322033 | Richard N Sauer | Specialist | 729 Sunrise Ave Ste 616, Roseville, CA 95661-4548 | 2007-01-17 |
| Find all providers in ROSEVILLE | ||||
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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.