MR. RANDY SCOTT TORRES JR. (NPI# 1104345370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104345370 |
Entity Type | Individual |
Full Name | MR. RANDY SCOTT TORRES JR. |
Credential | FNP-C |
Practice Address |
29877 Telegraph Rd Ste 200 Southfield MI 48034-7659 |
Mailing Address |
1212 N Selfridge Blvd Clawson MI 48017-1006 |
Practice Telephone | 2483540730 |
Mailing Telephone | 7345607720 |
Enumeration Date | 2017-09-19 |
Last Update Date | 2017-09-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704261502 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205435484 | Randy Torres | Perfusionist | 45211 Helm St, Plymouth, MI 48170-6023 | 2020-10-20 |
Street Address |
29877 TELEGRAPH RD STE 200 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48034-7659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528545720 | Milena Kljaic | Nurse Practitioner | 29877 Telegraph Rd Ste 200, Southfield, MI 48034 | 2018-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
Find all providers in zip 48034 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999793 | Sharon Boyd | Nurse Practitioner | 16213 Lamplighter Ct Apt 1114, Southfield, MI 48075-3536 | 2020-07-15 |
1609414218 | Ruby Nzoma | Nurse Practitioner | 25774 Dunbar St, Southfield, MI 48033-5859 | 2019-12-13 |
1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
1093364473 | Abra Perlman | Nurse Practitioner | 17309 Hilton St, Southfield, MI 48075-7018 | 2019-09-08 |
1154980134 | Ahmed Rezk | Nurse Practitioner | 29877 Telegraph Rd Ste 301, Southfield, MI 48034-7660 | 2019-06-12 |
1841857885 | Laronda Morenike Allen | Nurse Practitioner | 18272 New Hampshire Dr, Southfield, MI 48075-8102 | 2019-05-24 |
1902374986 | Theresa Owusu-ansah | Nurse Practitioner | 26206 W 12 Mile Rd Ste 302, Southfield, MI 48034-8501 | 2018-11-07 |
1003381500 | Theonna Monique Hindmon-harris | Nurse Practitioner | 21700 Northwestern Hwy Ste 815, Southfield, MI 48075-4922 | 2018-10-10 |
1922592872 | Melanie Jenkins | Nurse Practitioner | 23407 Park Place Dr, Southfield, MI 48033-7116 | 2018-06-14 |
1487155024 | Timothy O Gates | Nurse Practitioner | 16250 Northland Dr Ste 369, Southfield, MI 48075-1524 | 2018-02-27 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48034 |
Please comment or provide details below to improve the information on MR. RANDY SCOTT TORRES JR..
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.