DR. CHONA BACAY LASTIMOSA (NPI# 1124298047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124298047 |
| Entity Type | Individual |
| Full Name | DR. CHONA BACAY LASTIMOSA |
| Credential | M.D. |
| Practice Address |
39450 W 12 Mile Rd Henry Ford Medical Center--columbus Novi MI 48377-3600 |
| Practice Telephone | 2486617393 |
| Mailing Telephone | 2486617393 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2011-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
4301093407 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
39450 W 12 MILE RD HENRY FORD MEDICAL CENTER--COLUMBUS |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801994512 | Heather Heilman | Social Worker | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2006-09-20 |
| 1750926846 | Bryce Alexander Groshek | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2019-11-12 |
| 1962975268 | Kelly Nohl | Dietitian, Registered | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2019-01-09 |
| 1285121376 | Michele A Zubalik | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-04-16 |
| 1295230944 | Rebecca Lynn Knodel | Occupational Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-26 |
| 1275036709 | David Tomsich | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-12 |
| 1760985170 | Ashley Nebel | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-12 |
| 1750883104 | Melissa Joy Simon | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-01 |
| 1891297404 | Michelle Louise Thibodeau | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-02-28 |
| 1609384569 | Alexandrina Berghian | Nurse Practitioner | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717632 | Visiting Caring Doctors Plc | Family Medicine | 18000 W 9 Mile Rd Ste 700l, Southfield, MI 48075-4009 | 2020-10-15 |
| 1265045389 | Synchronymd Limited Liability Company | Family Medicine | 1578 Scenic Hollow Dr, Rochester Hills, MI 48306-3246 | 2020-08-28 |
| 1063045839 | Rtsmedicalgroupllc | Family Medicine | 5210 Yorkshire Rd, Detroit, MI 48224-2139 | 2020-02-19 |
| 1194234120 | Prime Mobile Care Incorporated | Family Medicine | 17515 W 9 Mile Rd Ste 375, Southfield, MI 48075-4404 | 2017-09-21 |
| 1093233132 | Right At Home Physicians Pllc | Family Medicine | 22001 Kelly Rd Ste 2, Eastpointe, MI 48021-2726 | 2017-09-08 |
| 1821531831 | Ant Hill, Inc. | Family Medicine | 21 Midland St, Highland Park, MI 48203-3727 | 2016-11-22 |
| 1518419043 | Alma Care Visiting Services | Family Medicine | 11352 Gabriel St, Romulus, MI 48174-1431 | 2016-11-01 |
| 1801341821 | Bridgette Defrance | Family Medicine | 42074 Greenwood Dr, Canton, MI 48187-3615 | 2016-08-19 |
| 1417311762 | Adam Wolfe | Family Medicine | 1101 W University Dr # 2-south, Rochester, MI 48307-1863 | 2016-04-12 |
| 1801255906 | Westland Primary Care Pllc | Family Medicine | 8311 N Wayne Rd, Westland, MI 48185-1351 | 2016-02-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHONA BACAY LASTIMOSA.
| 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.