DEANNA MASON (NPI# 1164818316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164818316 |
| Entity Type | Individual |
| Full Name | DEANNA MASON |
| Credential | IDC |
| Practice Address |
12075 Saint Aubin St Hamtramck MI 48212-2626 |
| Practice Telephone | 3134054204 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
12075 SAINT AUBIN ST |
| City | HAMTRAMCK |
| State | MI |
| Zip Code | 48212-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
| 1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
| 1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
| 1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
| 1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
| Find all providers in zip 48212 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356721005 | Christopher Dale Perry | Military Health Care Provider | 3332 S Kearsley Blvd, Flint, MI 48506-2045 | 2015-06-08 |
| 1760743983 | David Lenn | Military Health Care Provider | 38539 Arcola Dr, Sterling Heights, MI 48312-1213 | 2012-06-05 |
| 1386802882 | Judith Duncan | Military Health Care Provider | 340 W Grand Blvd, Detroit, MI 48216-1423 | 2008-05-30 |
| 1730371428 | Gary Wayne Hembree | Military Health Care Provider | 22618 Clairwood St, Saint Clair Shores, MI 48080-1982 | 2007-08-16 |
| 1073603817 | Robert Frank | Military Health Care Provider | 632 Coast Guard Dr, Uscgc Mackinaw Wlbb 30, Cheboygan, MI 49721 | 2006-10-13 |
| 1205026549 | John Ladd Golden | Military Health Care Provider | 3110 Davenport Ave, Saginaw, MI 48602-3647 | 2007-08-01 |
| 1265407191 | Matthew Todd Benton | Military Health Care Provider | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-02-22 |
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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.