LIFETIME MEDICAL ASSOCIATES, P.C. (NPI# 1174544050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174544050 |
| Entity Type | Organization |
| Organization Name | LIFETIME MEDICAL ASSOCIATES, P.C. |
| Practice Address |
1701 South Blvd E Ste 250 Rochester Hills MI 48307-6123 |
| Practice Telephone | 2482931002 |
| Practice Fax Number | 2482931272 |
| Mailing Telephone | 2482931002 |
| Mailing Fax Number | 2482931272 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | MRS. MELISSA MEAD (BILLING) |
| Authorized Official Telephone | 2482931002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3522770 | 05 |
| Street Address |
1701 SOUTH BLVD E STE 250 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-6123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1760505432 | John B Calado, P.C. | Internal Medicine | 1701 South Blvd E Ste 160, Rochester Hills, MI 48307-6115 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629505821 | Ultimate Service Care LLC | Internal Medicine | G3500 Flushing Rd Ste 200, Flint, MI 48504-4247 | 2017-05-18 |
| 1841312659 | Shahina Arif Motorwala | Internal Medicine | 2116 S Wayne Rd, Westland, MI 48186 | 2007-04-04 |
| 1609919323 | Mohammad Khalaf Batayneh | Internal Medicine | 32472 Schoolcraft Rd, Livonia, MI 48150-4309 | 2007-02-14 |
| 1255499257 | Zafer Obeid | Internal Medicine | 16921 W Warren Ave, Detroit, MI 48228-3505 | 2006-12-04 |
| 1306858980 | Thomas J W Bering, Md, PC | Internal Medicine | 2311 15 Mile Rd, Suite A, Sterling Heights, MI 48310-4812 | 2006-08-12 |
| 1871554485 | Abraham Oommen | Internal Medicine | 200 W Center St, Alma, MI 48801-2207 | 2006-03-31 |
| 1225006745 | Jawahar L Tummala | Internal Medicine | 5084 W Pierson Rd, Flint, MI 48504-1390 | 2006-03-10 |
| 1538167572 | Jonathon K Nicholson | Internal Medicine | 393 Long Rapids Rd, Alpena, MI 49707-1317 | 2005-07-13 |
| 1316379936 | Iha Health Services Corporation | Internal Medicine | 111 N Huron St, Suite 200, Ypsilanti, MI 48197-2676 | 2013-08-06 |
| 1851682504 | Regents of The University of Michigan | Internal Medicine | 8001 Challis Rd, Brighton, MI 48116-7446 | 2011-04-29 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on LIFETIME MEDICAL ASSOCIATES, P.C..
| 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.