RAMY MANSOUR (NPI# 1134562549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134562549 |
| Entity Type | Individual |
| Full Name | RAMY MANSOUR |
| Credential | D.O. |
| Practice Address |
5701 Bow Pointe Dr Ste 370 Clarkston MI 48346-5403 |
| Mailing Address |
5701 Bow Pointe Dr # 370 Clarkston MI 48346-3198 |
| Practice Telephone | 2486254055 |
| Mailing Telephone | 2486254055 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5101020250 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
5101020250 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CONTROLLED SUBSTANCE LICENSE | 5315059035 | 01 |
| MI | MEDICAL LICENSE | 5101020250 | 01 |
| Street Address |
5701 BOW POINTE DR STE 370 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508423393 | Nicholas James Batchelor | Registered Nurse | 5701 Bow Pointe Dr Ste 370, Clarkston, MI 48346-5403 | 2019-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1164460085 | Endoscopic Solutions PC | Internal Medicine | 5701 Bow Pointe Dr., Suite 370, Clarkston, MI 48346 | 2006-06-03 |
| 1295900975 | Ala E. Imam, M.d., P.C. | Internal Medicine | 6770 Dixie Hwy, Suite 301, Clarkston, MI 48346-2087 | 2008-04-24 |
| 1134292154 | Naveen Gunda Reddy | Internal Medicine | 5701 Bow Pointe Dr, Suite 370, Clarkston, MI 48346-3198 | 2006-11-16 |
| 1588742878 | Ala Eddin Imam | Internal Medicine | 6770 Dixie Highway, Suite 301, Clarkston, MI 48346 | 2006-11-02 |
| 1659361806 | Veslav Stecevic | Internal Medicine | 5701 Bow Pointe Drive, Suite 370, Clarkston, MI 48346 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785561 | Digestive Health Clinic | Internal Medicine | 2486 Nerredia St Ste A, Flint, MI 48532-4807 | 2018-10-11 |
| 1053808550 | Dr. Allison Wood, Do Mph, Pllc | Internal Medicine | 4136 Legacy Pkwy Ste 100, Lansing, MI 48911-4293 | 2018-04-19 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1043698988 | Krishna Chaitanya Meka | Internal Medicine | 27301 Dequindre Rd Ste 314, Madison Heights, MI 48071 | 2015-05-12 |
| 1609260892 | Chia-yang Hsu | Internal Medicine | A. Alfred Taubman Health Care Center, 1500 East Medical Center Drive Room 3912, Ann Arbor, MI 48109 | 2015-03-25 |
| 1982015228 | Access Family Gastroenterology Pllc | Internal Medicine | G-1125 Linden Rd, Suite 500, Flint, MI 48532 | 2014-05-08 |
| 1740610401 | Gastrofit Pllc | Internal Medicine | 23500 Park St Ste 2b, Dearborn, MI 48124-2598 | 2013-11-17 |
| 1578908000 | Emily E Tommolino | Internal Medicine | 26850 Providence Pkwy Ste 510, Novi, MI 48374-1267 | 2013-05-10 |
| 1679917074 | Harold Joseph Tobes | Internal Medicine | 1205 Nakomis Trl, Lake Orion, MI 48362-1340 | 2013-04-29 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
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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.