ENVISION DIAGNOSTIC CENTER PLLC (NPI# 1144543562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144543562 |
| Entity Type | Organization |
| Organization Name | ENVISION DIAGNOSTIC CENTER PLLC |
| Practice Address |
39475 Lewis Dr Ste. 130 Novi MI 48377-2981 |
| Mailing Address |
39475 Lewis Dr Ste 200 Novi MI 48377-2980 |
| Practice Telephone | 2483740502 |
| Practice Fax Number | 2483742083 |
| Mailing Telephone | 2484710675 |
| Mailing Fax Number | 2482543874 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | ANTHONY MUNACO (MANAGING MEMBER) |
| Authorized Official Telephone | 2484762420 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
39475 LEWIS DR STE. 130 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624595 | Jeffrey Joshowitz | Family Medicine | 39475 Lewis Dr, Suite 140, Novi, MI 48377-2952 | 2005-07-28 |
| 1306297817 | Pain Specialist of Michigan, Pllc | Physical Medicine & Rehabilitation | 39475 Lewis Dr, Suite 200, Novi, MI 48377 | 2016-06-27 |
| 1649630625 | Kaitlin Mary Henkel | Physician Assistant | 39475 Lewis Dr, Suite 130, Novi, MI 48377-2981 | 2016-03-03 |
| 1366812547 | Katharine L Barr | Counselor | 39475 Lewis Dr, Novi, MI 48377-2981 | 2015-10-01 |
| 1275931560 | Katherine Elizabeth Fata | Dietitian, Registered | 39475 Lewis Dr, Suite 110, Novi, MI 48377-2981 | 2014-12-18 |
| 1376941047 | Julie Marie Collins-marquez | Nurse Practitioner | 39475 Lewis Dr, Suite 110, Novi, MI 48377-2981 | 2014-12-12 |
| 1487963591 | Ami Mac | Physical Medicine & Rehabilitation | 39475 Lewis Dr, Suite 200, Novi, MI 48377-2981 | 2010-10-07 |
| 1770753691 | Jeffrey D Joshowitz Do PC | Family Medicine | 39475 Lewis Dr, Suite 140, Novi, MI 48377-2981 | 2008-03-06 |
| 1225218076 | Michael R Cohen, Do, Pllc | Dermatology | 39475 Lewis Dr, Suite 150, Novi, MI 48377-2981 | 2007-11-09 |
| 1376606558 | Karla Ann Dosch | Dentist | 39475 Lewis Dr, Suite 100, Novi, MI 48377 | 2006-12-18 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396087797 | Eric Kurt Rinker | Radiology | 26850 Providence Pkwy Ste 140, Novi, MI 48374-1253 | 2013-03-23 |
| 1376808493 | Dana Lowenthal | Radiology | 22249 Solomon Blvd, #124, Novi, MI 48375-5076 | 2012-07-05 |
| 1427291186 | Jeremy Feldman | Radiology | 40736 Kingsley Ln, Novi, MI 48377-1633 | 2009-04-10 |
| 1619911575 | Jeffrey H Miller | Radiology | 25500 Meadowbrook Rd Ste 215, Novi, MI 48375 | 2006-06-15 |
| 1285692749 | Richard J Taras | Radiology | 24285 Karim Blvd, Novi, MI 48375-2952 | 2006-05-03 |
| 1184627945 | Allen J Russell | Radiology | 36923 Schoolcraft Rd, Novi, MI 48375-2416 | 2005-05-24 |
| 1851459572 | Triad Diagnostic Technologies, L.L.C. | Radiology | 39625 Lewis Dr, Suite 200, Novi, MI 48377-2972 | 2006-12-05 |
| 1205841640 | Advanced Vein Therapies Pllc | Radiology | 25500 Meadowbrook Rd Ste 215, Novi, MI 48375-1882 | 2006-07-31 |
| 1962452631 | Richard J. Taras Do PC | Radiology | 24285 Karim Blvd, Novi, MI 48375 | 2006-05-11 |
| 1619935152 | Josephine Joann Finazzo | Radiology | 24285 Karim Blvd, Novi, MI 48375-2952 | 2006-05-03 |
| Find all providers in NOVI | ||||
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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.