DR. JOANNE LEVITAN (NPI# 1144261272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144261272 |
| Entity Type | Individual |
| Full Name | DR. JOANNE LEVITAN |
| Credential | M.D. |
| Practice Address |
22631 Greater Mack Ave Suite 300 Saint Clair Shores MI 48080-2014 |
| Practice Telephone | 5867731122 |
| Practice Fax Number | 5867732127 |
| Mailing Telephone | 5867731122 |
| Mailing Fax Number | 5867732127 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
4301041779 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA | 4613021 | 01 |
| MI | LICENSE | 4301041779 | 01 |
| MI | MEDICARE PTAN | MI2255001 | 01 |
| MI | 2882368 | 05 | |
| MI | MCARE | C4333 | 01 |
| MI | DEA | AL8944337 | 01 |
| MI | BLUE CROSS BLUE SHIELD MI | 2405010711 | 01 |
| Street Address |
22631 GREATER MACK AVE SUITE 300 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285654152 | Michael Allen Macdonald | Audiologist | 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 | 2006-07-20 |
| 1255886305 | Patricia Roach | Hearing Instrument Specialist | 22631 Greater Mack Ave, Ste 100, Saint Clair Shores, MI 48080-2055 | 2016-08-18 |
| 1538515721 | Audionet America - St Clair Shores LLC | Audiologist | 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 | 2016-05-06 |
| 1548597149 | Jo Anne Levitan Md PC | Surgery | 22631 Greater Mack Ave, Suite 300, Saint Clair Shores, MI 48080-2014 | 2009-11-03 |
| 1225217128 | Pointes Plastic Surgery Associates P C | Plastic Surgery | 22631 Greater Mack Ave, Suite 200, Saint Clair Shores, MI 48080-2055 | 2007-10-26 |
| 1255407631 | Joram O Mogaka | Internal Medicine | 22631 Greater Mack Ave, Saint Clair Shores, MI 48080-2055 | 2006-11-28 |
| 1023116068 | Stephenie M Lucas | General Practice | 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 | 2006-09-21 |
| 1982627196 | George Thomas Goffas | Oral & Maxillofacial Surgery | 22631 Greater Mack Ave, Ste 200, Saint Clair Shores, MI 48080-2055 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657712 | Melek Ronald Kayser | Surgery | 29167 Jefferson Ave, Saint Clair Shores, MI 48081-1331 | 2005-08-23 |
| 1548597149 | Jo Anne Levitan Md PC | Surgery | 22631 Greater Mack Ave, Suite 300, Saint Clair Shores, MI 48080-2014 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
| 1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
| 1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
| 1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
| 1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
| 1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
| 1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
| 1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
| 1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
| 1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on DR. JOANNE LEVITAN.
| 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.