ABELARDO V BUSTILLO (NPI# 1083898738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083898738 |
Entity Type | Individual |
Full Name | ABELARDO V BUSTILLO |
Credential | MD |
Practice Address |
1335 Byron Rd Suite 2 Howell MI 48855 |
Mailing Address |
2039 Byron Rd Howell MI 48855 |
Practice Telephone | 5175465786 |
Mailing Telephone | 5175468595 |
Enumeration Date | 2007-12-18 |
Last Update Date | 2007-12-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 4301033812 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1335 BYRON RD SUITE 2 |
City | HOWELL |
State | MI |
Zip Code | 48855 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326432105 | Kelsey Lavalley | Specialist/Technologist | 2345 Hacker Road, Howell, MI 48855 | 2015-03-19 |
1316183643 | Nichole Lynn Brady-kourt | Counselor | 3744 Amber Oaks Dr, Howell, MI 48855 | 2008-12-16 |
1760615975 | Livingston County Community Mental Health Authority | Social Worker | 3800 W Grand River Ave, Suite 109, Howell, MI 48855-5513 | 2009-09-03 |
1043360720 | Matthew S Woodruff | Physical Medicine & Rehabilitation | 2364 Redbud Dr, Howell, MI 48855-6410 | 2007-01-12 |
1508317348 | Stacey Sheridan | Speech-Language Pathologist | 2265 Hickory Circle Dr, Howell, MI 48855-6411 | 2016-10-17 |
1790180867 | Emily Marian Henderson | Physician Assistant | 1579 Duck Dr, Howell, MI 48855-6429 | 2014-10-30 |
1427281930 | Donna Lee Pease | Licensed Practical Nurse | 3250 Listerman Rd, Howell, MI 48855-6716 | 2009-08-31 |
1578911582 | Madyson Wetzel | Technician, Other | 5335 Reds Way, Howell, MI 48855-6758 | 2016-05-31 |
1891183372 | Trilogy Healthcare of Livingston, LLC | Skilled Nursing Facility | 1500 Byron Rd, Howell, MI 48855-6772 | 2015-01-06 |
1841812161 | Melissa Mae Obrien | Physical Therapy Assistant | 1500 Byron Rd, Howell, MI 48855-6772 | 2020-05-08 |
Find all providers in zip 48855 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1851668008 | Integrated Medical, PC | General Practice | 415 W Grand River Ave, Howell, MI 48843-2147 | 2011-11-16 |
1881800282 | Paul Axelrad and Jacqueline Zuckerbrod | General Practice | 4774 Us Highway 9, Howell, NJ 07731-3354 | 2007-05-15 |
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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.