SOUTH ALLEN MEDICAL GROUP PLLC (NPI# 1134357171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134357171 |
| Entity Type | Organization |
| Organization Name | SOUTH ALLEN MEDICAL GROUP PLLC |
| Practice Address |
21090 Allen Rd Woodhaven MI 48183-1602 |
| Mailing Address |
22673 Allen Rd Suite 300 Woodhaven MI 48183-2272 |
| Practice Telephone | 7346769800 |
| Mailing Telephone | 7346769800 |
| Mailing Fax Number | 7346769801 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | NADER DEMERI (PHYSICIAN) |
| Authorized Official Telephone | 7346769800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301082223 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
21090 ALLEN RD |
| City | WOODHAVEN |
| State | MI |
| Zip Code | 48183-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710191143 | Ninos Yacoub | Family Medicine | 21090 Allen Rd, Woodhaven, MI 48183-1602 | 2007-05-08 |
| 1730608209 | Zsuzsanna Nagy | Nurse Practitioner | 21090 Allen Rd, Woodhaven, MI 48183-1602 | 2017-09-15 |
| 1194251314 | My Urgent Medical Management Services | Clinic/Center | 21090 Allen Rd, Woodhaven, MI 48183-1602 | 2017-05-08 |
| 1730620626 | My Urgent Medical Management Services | Clinic/Center | 21090 Allen Rd, Woodhaven, MI 48183-1602 | 2017-03-13 |
| 1649484411 | Lisa Kay Astalos Chism | Nurse Practitioner | 21090 Allen Rd, Woodhaven, MI 48183-1602 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| 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 |
|---|---|---|---|---|
| 1003093345 | Parkway Medical Services, P.C. | Internal Medicine | 8615 Forest Pkwy, Woodhaven, NY 11421-1121 | 2008-01-29 |
| 1689722878 | Thomas M Reilly | Internal Medicine | 8627 Forest Pkwy, Woodhaven, NY 11421-1143 | 2007-01-06 |
| 1194811521 | Mohammed M Rahman | Internal Medicine | 83 87 Woodhaven Blvd, Woodhaven, NY 11421 | 2006-10-05 |
| 1518985845 | Badri P. Gupta | Internal Medicine | 22505 Allen Road, Woodhaven, MI 48183 | 2006-07-17 |
| 1023063484 | Total Health Medical Services, P.C. | Internal Medicine | 9511 Jamaica Ave, Woodhaven, NY 11421-2224 | 2006-05-24 |
| 1093777013 | Francis V Mitek | Internal Medicine | 22673 Allen Rd # 400, Woodhaven, MI 48183-2272 | 2006-04-05 |
| 1558904045 | Upword Medical P.C. | Internal Medicine | 9525 Jamaica Ave, Woodhaven, NY 11421-2282 | 2019-10-28 |
| 1952866808 | Main Street Physicians P.C. | Internal Medicine | 25000 Hall Rd Ste 1, Woodhaven, MI 48183-5112 | 2019-02-05 |
| 1760781009 | Downriver Family Care LLC | Internal Medicine | 26375 Allen Rd, Woodhaven, MI 48183-4352 | 2011-03-25 |
| 1992018360 | Flavio Crisari Physician PC | Internal Medicine | 8533 Forest Pkwy, Woodhaven, NY 11421-1130 | 2010-07-14 |
| Find all providers in WOODHAVEN | ||||
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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.