DR. BREANNA CONNETT (NPI# 1154785426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154785426 |
| Entity Type | Individual |
| Full Name | DR. BREANNA CONNETT |
| Credential | DO |
| Practice Address |
5450 Fort St Trenton MI 48183 |
| Mailing Address |
5450 Fort St Trenton MI 48183-4601 |
| Practice Telephone | 7346713297 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 5151011248 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 5101024197 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Mullins Dr, Lebanon, OR 973553983 | 7149442361 |
| Street Address |
5450 FORT ST |
| City | TRENTON |
| State | MI |
| Zip Code | 48183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354524 | Craig Eugene Dunn | Nurse Anesthetist, Certified Registered | 5450 Fort St, Trenton, MI 48183-4601 | 2005-05-23 |
| 1053937995 | Ian Zachary Lewis | Internal Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-06-16 |
| 1467077644 | Ramsha Samra | Podiatrist | 5450 Fort St, Trenton, MI 48183-4601 | 2020-06-12 |
| 1154946549 | Stefan Nicholas Papandreou | Internal Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-06-11 |
| 1720602378 | Cathryn Ann Rudawsky | Surgery | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-29 |
| 1790308559 | Saad Habib | Internal Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-27 |
| 1740803154 | Hasan Aoun | Student in an Organized Health Care Education/Training Program | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-20 |
| 1770105066 | Hunter L Hays | Student in an Organized Health Care Education/Training Program | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-11 |
| 1841812203 | Manjot Sodhi | Student in an Organized Health Care Education/Training Program | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-08 |
| 1104447671 | Paige E Spagna | Student in an Organized Health Care Education/Training Program | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-06 |
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| 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 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831420306 | Raymond Laird Jr. | Surgery | 5400 Fort St Ste 150, Trenton, MI 48183-4627 | 2010-01-23 |
| 1366471872 | Mohammed Saleem | Surgery | 1520 Pennington Rd, Trenton, NJ 08618-1307 | 2006-06-30 |
| 1629024757 | Fares Surgical Associates, Pa | Surgery | 1345 Kuser Rd, Suite 1, Trenton, NJ 08619-3823 | 2006-05-26 |
| 1316923642 | John C Baumann | Surgery | 3231 West Rd, Trenton, MI 48183-2399 | 2005-12-19 |
| 1316939382 | John Edward Bodell | Surgery | 2871 West Rd, Trenton, MI 48183-2476 | 2005-08-16 |
| 1710979869 | Robert H Dickason | Surgery | 5400 Fort St, Suite 210, Trenton, MI 48183-4632 | 2005-08-16 |
| 1720602378 | Cathryn Ann Rudawsky | Surgery | 5450 Fort St, Trenton, MI 48183-4601 | 2020-05-29 |
| 1376103606 | Tanner James Allen | Surgery | 5450 Fort St, Trenton, MI 48183-4601 | 2019-06-18 |
| 1104485721 | Eve Gibson Paxton | Surgery | 5450 Fort St, Trenton, MI 48183-4601 | 2019-06-07 |
| 1538728225 | Jessica Lynn Broderick | Surgery | 5450 Fort St, Trenton, MI 48183-4601 | 2019-06-06 |
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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.