INDEPENDENCE MEDICAL PLLC (NPI# 1124667316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124667316 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE MEDICAL PLLC |
| Practice Address |
6255 Inkster Rd Ste 101 Garden City MI 48135-2538 |
| Mailing Address |
4016 Parkwood Ct Bloomfield Hills MI 48301-3967 |
| Practice Telephone | 2489628471 |
| Practice Fax Number | 2486588777 |
| Mailing Telephone | 2489628471 |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |
| Authorized Official Name | RON KATTOO (SOLE OWNER) |
| Authorized Official Telephone | 2489628471 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Independence Medical PLLC | Doing Business As Name - Organization |
| Street Address |
6255 INKSTER RD STE 101 |
| City | GARDEN CITY |
| State | MI |
| Zip Code | 48135-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440439 | Nephrocare Dialysis, LLC | Internal Medicine | Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 | 2020-02-25 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1285125021 | Guardian Pharmacy LLC | Pharmacy | 29866 Ford Rd., Garden City, MI 48135 | 2018-05-29 |
| 1023538337 | Nishedh Nayan Dave | Internal Medicine | 6245 Inkster Rd., Garden City, MI 48135 | 2017-06-27 |
| 1033655196 | Smile Dental Pllc | Dentist | 28050 Ford Rd Suite D, Garden City, MI 48135 | 2017-01-13 |
| 1043667876 | Danielle M Spellman | Technician, Other | 832 Henry Ruff, Garden City, MI 48135 | 2016-05-23 |
| 1306202999 | Melissa Voydanoff | Technician, Other | 33412 Florence St., Garden City, MI 48135 | 2016-01-12 |
| 1679975098 | Kellee Renee Rutkowski | Technician, Other | 348 Radcliff, Novi, MI 48135 | 2014-09-17 |
| 1013357102 | Tim Kuo | Emergency Medicine | 6545 Inkster Road, Garden City, MI 48135 | 2013-07-03 |
| 1073837894 | Elite Transport, Inc | Non-emergency Medical Transport (VAN) | 27614 Ford Rd., Garden City, MI 48135 | 2010-03-23 |
| Find all providers in zip 48135 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474562 | Pravalika Rudraraju | Internal Medicine | 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 | 2020-07-06 |
| 1780200469 | Abed L Dabaja | Internal Medicine | 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 | 2020-06-18 |
| 1548802218 | Prime Garden City Medical Group | Internal Medicine | 6255 Inkster Rd Ste 302, Garden City, MI 48135-2538 | 2019-10-14 |
| 1033699830 | New York University | Internal Medicine | 601 Franklin Ave Ste 215, Garden City, NY 11530-5760 | 2018-08-21 |
| 1023538337 | Nishedh Nayan Dave | Internal Medicine | 6245 Inkster Rd., Garden City, MI 48135 | 2017-06-27 |
| 1073851226 | Vincent Prestyly | Internal Medicine | 75 Russell Rd, Garden City, NY 11530-1933 | 2013-01-23 |
| 1831461417 | Manuel Licitra Fajardo | Internal Medicine | 100 Somerset Ave, Garden City, Garden City, NY 11530-1231 | 2012-01-30 |
| 1831338417 | Ferrara and Mirro, Md's | Internal Medicine | 1103 Stewart Ave Ste 210, Garden City, NY 11530-4886 | 2009-02-05 |
| 1124237318 | Mark B Wishnuff | Internal Medicine | 700 Commercial Ave, Garden City, NY 11530-6410 | 2007-05-22 |
| 1356404842 | Michael J Mcguire | Internal Medicine | 86 Kilburn Rd, Garden City, NY 11530-2613 | 2006-12-18 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 48135 |
Please comment or provide details below to improve the information on INDEPENDENCE MEDICAL PLLC.
| 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.