ELIZABETH SOUTHER (NPI# 1114475019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114475019 |
Entity Type | Individual |
Full Name | ELIZABETH SOUTHER |
Practice Address |
36475 5 Mile Rd Livonia MI 48154-1971 |
Mailing Address |
19442 Mayfield Ave Apt. 103 Livonia MI 48152-4256 |
Practice Telephone | 7346554800 |
Mailing Telephone | 2487677305 |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704289705 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
36475 5 MILE RD |
City | LIVONIA |
State | MI |
Zip Code | 48154-1971 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083698799 | Thomas Daniel Oweis | Surgery | 36475 5 Mile Rd, Attn: Trauma Services, Livonia, MI 48154-1971 | 2005-12-06 |
1508472028 | Livonia Emergency Physicians Pllc | Physician Assistant | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2020-09-21 |
1245866821 | Christy Lynn Goward | Clinical Nurse Specialist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2020-03-16 |
1215424874 | Arceli Valenzuela Ramos | Physical Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-04-19 |
1033616834 | Lisa Marie Barton | Occupational Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-04-09 |
1851898654 | Reena George Philip | Occupational Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-04-09 |
1467957571 | Hannah Cavicchio | Physical Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-03-29 |
1083119861 | Lindsey Boutell | Physical Therapist | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2018-03-26 |
1851807879 | Janice Lynn Ruggles | Nurse Practitioner | 36475 5 Mile Rd, Livonia, MI 48154 | 2017-12-28 |
1407205990 | Teresa Guastella | Physician Assistant | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2016-06-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
Find all providers in zip 48154 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
1790337210 | Dorothy Denise Bell-ruth | Nurse Practitioner | 18856 Southampton St, Livonia, MI 48152-3050 | 2019-07-15 |
1861891301 | Amy D Andrews | Nurse Practitioner | 35943 Northgate Dr, Livonia, MI 48152-2958 | 2014-08-21 |
1063033868 | Amy Helen Marie Ramsden | Nurse Practitioner | 36600 Schoolcraft Rd, Livonia, MI 48150-1176 | 2020-05-03 |
1124531264 | Jeffrey Blaise Naeger | Nurse Practitioner | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2017-11-12 |
1720482839 | Sheeba Shajan John | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2014-10-17 |
1083037493 | Lisa Marie-mccleary Upshur | Nurse Practitioner | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2014-01-22 |
1568710689 | Amy Margaret Otten | Nurse Practitioner | 20317 Farmington Rd, Livonia, MI 48152-1411 | 2012-08-21 |
1841516150 | Holly Jean Favero | Nurse Practitioner | 14555 Levan Rd, Suite E-412, Livonia, MI 48154-5083 | 2010-04-12 |
1912170127 | Celena Cowen | Nurse Practitioner | 36475 Five Mile Rd, Pre-anesthesia Testing, Livonia, MI 48154-1971 | 2008-04-09 |
Find all providers in LIVONIA |
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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.