INDIVIDUALLYTICS, INC. (NPI# 1164078648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164078648 |
| Entity Type | Organization |
| Organization Name | INDIVIDUALLYTICS, INC. |
| Other Organization Name | INDIVIDUALLYTICS CONNECTED CARE |
| Practice Address |
330 E Liberty St Ann Arbor MI 48104-2274 |
| Mailing Address |
3765 Sancroft Ave West Bloomfield MI 48324-2658 |
| Practice Telephone | 2485053175 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | DENNIS NASH (PRESIDENT) |
| Authorized Official Telephone | 2484320175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IndividuALLytics Connected Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 46701 Commerce Center Dr, Plymouth, MI 481702475 | 2484320175 |
| Street Address |
330 E LIBERTY ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-2274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1003268954 | Laila Alia Gharzai | Internal Medicine | 1500 E Medical Center Dr Spc 5010, Ann Arbor, MI 48109 | 2016-07-04 |
| 1376993568 | Gurkirat Kaur Gill | Internal Medicine | 500 S State St, Ann Arbor, MI 48109-1382 | 2016-06-17 |
| 1700249026 | Michael Wayne Stevens | Internal Medicine | 1500 E Medical Center Dr Spc 5243, Ann Arbor, MI 48109-5243 | 2016-04-04 |
| 1518348697 | Linda Wang | Internal Medicine | 4260 Plymouth Rd Rm B1-313, Ann Arbor, MI 48109 | 2015-06-15 |
| 1922493956 | Debbie W Chen | Internal Medicine | 24 Frank Lloyd Wright Dr Ste 1300, Ann Arbor, MI 48105-9484 | 2015-04-06 |
| 1356735765 | Salma Shaikhouni | Internal Medicine | 1500 E Medical Center Dr Spc 53643914, Ann Arbor, MI 48109-5000 | 2015-03-24 |
| 1699172676 | David Noel O'dwyer | Internal Medicine | 1500 East Medical Centre Dr, 3rd Floor Taubman Center Recp C, Ann Arbor, MI 48109-4585 | 2014-11-19 |
| 1417375791 | Rebecca Hartog | Internal Medicine | 1540 E Hospital Dr Spc 4204, Ann Arbor, MI 48109 | 2014-04-03 |
| 1982022448 | Donald Alexander Perry | Internal Medicine | 1500 E Medical Center Dr, Spc 5226, F4132 University Hospital South, Ann Arbor, MI 48109-5226 | 2014-04-02 |
| 1578988598 | Downriver Medical Center, P.l.l.c. | Internal Medicine | 245 High Orchard Dr, Ann Arbor, MI 48105 | 2014-02-27 |
| Find all providers in ANN ARBOR | ||||
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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.