EVETTE N ELSENETY (NPI# 1164468500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164468500 |
| Entity Type | Individual |
| Full Name | EVETTE N ELSENETY |
| Credential | MD |
| Practice Address |
27351 Dequindre Rd Madison Heights MI 48071-3487 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 2489677750 |
| Practice Fax Number | 2489677297 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
035480 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5214565 | 05 | |
| RR MC | 220021537 | 01 | |
| BS | 2206325081 | 01 | |
| MI | 3207140 | 05 | |
| TAX ID# | 382032989 | 01 | |
| RRMC | P00422257 | 01 |
| Street Address |
27351 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126996 | J Barry Rubin | Psychiatry & Neurology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2005-09-28 |
| 1134743206 | Ani Mnatsakanian | Otolaryngology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-06-03 |
| 1669096111 | Jacob Alexander Martin Novack | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-06-01 |
| 1205459971 | Brentwood Oftedal | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-28 |
| 1700409703 | Noorel Zia | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-26 |
| 1790308047 | Nora Rader | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-21 |
| 1861014680 | Kevin Conor Kenney | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-14 |
| 1750902409 | Dean Balabanov | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-05 |
| 1437770161 | Charles Rodarmor | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-05 |
| 1194346106 | Elvin Chiang | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366470908 | St John Health System Oakland | Pathology | 27351 Dequindre, Madison Heights, MI 48071-3487 | 2006-06-30 |
| 1376527846 | Langston Walker & Associates, P.C. | Pathology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1942756234 | Ahmed Alrajjal | Pathology | 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 | 2016-08-28 |
| 1649630435 | Barry Dewitt | Pathology | 11345 Greenview Dr, Fenton, MI 48430-2591 | 2016-03-07 |
| 1922467919 | Wilford E. Maldonado | Pathology | 4722 Huron Hill Dr, Okemos, MI 48864-2052 | 2016-02-18 |
| 1144636895 | Ramya Gadde | Pathology | 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 | 2014-07-02 |
| 1710329206 | Yulei Shen | Pathology | 1546 Brentwood Dr, Troy, MI 48098-2713 | 2013-07-24 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1942552336 | Kusum Kumar | Pathology | 3885 Highwood Pl, Okemos, MI 48864-3790 | 2012-10-09 |
| 1073864898 | Karel Kithier | Pathology | 5022 Temple Drive, Sterling Heights, MI 48310-4067 | 2012-09-20 |
| 1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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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.