ALLERGY CLINIC OF LIVINGSTON COUNTY PC (NPI# 1154538619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154538619 |
| Entity Type | Organization |
| Organization Name | ALLERGY CLINIC OF LIVINGSTON COUNTY PC |
| Practice Address |
8619 W Grand River Ave Ste. J Brighton MI 48116-2334 |
| Practice Telephone | 8102276793 |
| Practice Fax Number | 8102275397 |
| Mailing Telephone | 8102276793 |
| Mailing Fax Number | 8102275397 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-03-25 |
| Authorized Official Name | DR. MARK N ZACKS (OWNER) |
| Authorized Official Telephone | 8102276793 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MZ035093 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GREAT LAKES | 2924 | 01 |
| MI | BLUE CARE NETWORK | 700D711040 | 01 |
| MI | HAP | 93648A | 01 |
| MI | CHAMPUS | M011067 | 01 |
| MI | AETNA | 11217890 | 01 |
| MI | 4840320 | 05 | |
| MI | BCBS | 700D711040 | 01 |
| Street Address |
8619 W GRAND RIVER AVE STE. J |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576425 | John M Wetherbee | Chiropractor | 8619 W Grand River Ave, Ste B, Brighton, MI 48116-2334 | 2005-05-24 |
| 1093813487 | Mark Charles Francuck | Dentist | 8619 W Grand River Ave, Suite E, Brighton, MI 48116-2384 | 2006-09-20 |
| 1881658953 | Mark N Zacks | Allergy & Immunology | 8619 W Grand River Ave, Ste. J, Brighton, MI 48116-2334 | 2006-04-14 |
| 1104886738 | Wetherbee Chiropractic, P.C. | Chiropractor | 8619 W Grand River Ave, Suite B, Brighton, MI 48116-2384 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790734564 | Rajan Ravikumar | Allergy & Immunology | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116-9416 | 2006-05-09 |
| 1477895373 | Mariel Rosati Benjamin | Allergy & Immunology | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116-9416 | 2013-03-19 |
| 1033203674 | Livingston Center of Allergy, Sinus & Asthma, PC | Allergy & Immunology | 8546 W Grand River Ave, Brighton, MI 48116-2326 | 2006-10-03 |
| 1881658953 | Mark N Zacks | Allergy & Immunology | 8619 W Grand River Ave, Ste. J, Brighton, MI 48116-2334 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1417360660 | Allergy & Asthma Physicians of Troy, P.C. | Allergy & Immunology | 4600 Investment Drive, Suite # 110, Suite # 110, Troy, MI 48098-6366 | 2014-06-05 |
| 1861834095 | Herald Allen Habenicht | Allergy & Immunology | 10516 Range Line Rd, Berrien Springs, MI 49103-9203 | 2013-07-30 |
| 1386991461 | Lee D. Baylis, M.d. Pllc | Allergy & Immunology | 5825 S Main St Ste 203, Clarkston, MI 48346-2983 | 2012-08-08 |
| 1134485139 | James Austin Womack | Allergy & Immunology | 2310 W Mcnichols Rd, Detroit, MI 48221 | 2012-04-04 |
| 1023380797 | Leonard Samuel Gell | Allergy & Immunology | 7650 Conservation St Ne, Ada, MI 49301-9522 | 2012-01-27 |
| 1295065126 | Richard Kurt Vonmaur | Allergy & Immunology | 10653 Sudan St, Portage, MI 49002-7373 | 2009-12-24 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1245493527 | Rachel Karman Kado | Allergy & Immunology | 20228 Farmington Rd, Livonia, MI 48152-1412 | 2008-07-07 |
| 1992979223 | Rasem David Ghannam | Allergy & Immunology | 15386 Mcleans, Spring Lake, MI 49456-2129 | 2008-04-17 |
| 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.