JUSTIN L CHAMBERLAIN (NPI# 1073872743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073872743 |
| Entity Type | Individual |
| Full Name | JUSTIN L CHAMBERLAIN |
| Credential | MD |
| Practice Address |
730 N Macomb St Ste 329 Monroe MI 48162 |
| Mailing Address |
2799 West Grand Blvd. Henry Ford Health System Detroit MI 48202 |
| Practice Telephone | 7342405860 |
| Practice Fax Number | 7342405899 |
| Mailing Telephone | 3139162600 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301100248 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2799 West Grand Blvd., Henry Ford Health System, Detroit, MI 48202 | 3139162600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961615 | Justin Chamberlain | Homemaker | 19 Main St, Elkins, WV 26241-3125 | 2020-10-28 |
| Street Address |
730 N MACOMB ST STE 329 |
| City | MONROE |
| State | MI |
| Zip Code | 48162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| 1285933523 | Harold Douglas Gaston Sr. | Counselor | 14930 Laplaisance, Suite 106 (harwood Plaza), Monroe, MI 48162 | 2011-03-25 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336622158 | The Surgery Clinic of Northeast Louisiana LLC | Surgery | 1503 N 19th St, Monroe, LA 71201-4941 | 2018-09-07 |
| 1811210917 | Union Physicians Network Inc | Surgery | 1423-b E Franklin Street, Monroe, NC 28112-5087 | 2010-03-04 |
| 1720259468 | William H. Bell IIi, D.o.,p.c. | Surgery | 905 N Macomb St Ste 4, Monroe, MI 48162-3076 | 2008-03-21 |
| 1699964858 | Georgia Laparospic Surgical Specialists PC | Surgery | 704 Breedlove Dr Ste B, Monroe, GA 30655-2054 | 2007-10-23 |
| 1487840013 | Edward B. Bower, Md, Pa | Surgery | 900 E Sunset Dr, A, Monroe, NC 28112-5893 | 2007-09-18 |
| 1871707661 | Cesar Medalla Delima | Surgery | 333 Alcovy Street, Suite 10, Monroe, GA 30655 | 2007-05-10 |
| 1316061179 | Richard Keith Jacob Jr. | Surgery | 2151 W Spring St Ste B210, Monroe, GA 30655 | 2007-03-19 |
| 1891880613 | William Henry Bell IIi | Surgery | 905 North Macomb Street Suite 4, Monroe, MI 48162 | 2006-10-04 |
| 1437161171 | Frank B Sartor | Surgery | 500 Hart St, Monroe, LA 71201-7504 | 2006-08-12 |
| 1841200755 | Michael Scott Eickerman | Surgery | 14841 179th Ave Se Ste 140, Monroe, WA 98272-1127 | 2006-08-09 |
| Find all providers in MONROE | ||||
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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.