MIDEAST DIAGNOSTIC LLC (NPI# 1205466505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205466505 |
| Entity Type | Organization |
| Organization Name | MIDEAST DIAGNOSTIC LLC |
| Practice Address |
130 Hampton Cir Rochester Hills MI 48307-4195 |
| Mailing Address |
Po Box 70286 Rochester Hills MI 48307-0006 |
| Practice Telephone | 2482371370 |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2020-01-25 |
| Authorized Official Name | MR. JOSEPH RUEFIEL (MANAGER) |
| Authorized Official Telephone | 2482371370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
130 HAMPTON CIR |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-4195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386712578 | Gursharanjit Singh Dhillon | Internal Medicine | 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 | 2006-12-04 |
| 1992231013 | Ashley Kotowski | Counselor | 130 Hampton Cir, Ste 100, Rochester Hills, MI 48307-4195 | 2017-05-10 |
| 1205369618 | Kellie Smith-tate | Social Worker | 130 Hampton Cir, 100, Rochester Hills, MI 48307-4195 | 2017-04-04 |
| 1346791639 | Marie Cendrowski | Massage Therapist | 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 | 2016-10-21 |
| 1942661202 | Kiera Darden | Massage Therapist | 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 | 2016-03-15 |
| 1366803637 | Anisa Kolb | Massage Therapist | 130 Hampton Cir, Suote 150, Rochester Hills, MI 48307-4195 | 2016-03-15 |
| 1518342054 | Anbuvani Mudali | Physical Therapist | 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 | 2015-07-27 |
| 1730576869 | Betsy Markel | Physical Therapy Assistant | 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 | 2015-04-15 |
| 1407249261 | Shalini Molugu | Physical Therapist | 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 | 2015-03-17 |
| 1467845941 | Ariel Shavers | Massage Therapist | 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 | 2015-03-09 |
| Find all providers in the same location | ||||
| 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 | 204R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Electrodiagnostic Medicine |
| Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics. |
| Notes: Source: American Association of Neuromuscular & Electrodiagnostic Medicine, 2011. www.aanem.org [1/1/2011: new] Additional Resources: American Board of Electrodiagnostic Medicine, 2011. www.abemexam.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740750439 | Intraoperative Monitoring of Sem Pllc | Electrodiagnostic Medicine | 710 King Cir, Lake Orion, MI 48362-2782 | 2018-11-26 |
| 1013487701 | Axon Surgical Neuromonitoring Pllc | Electrodiagnostic Medicine | 10703 Hart Ave, Huntington Woods, MI 48070-1129 | 2018-11-26 |
| 1407347743 | Neuro Edx, LLC | Electrodiagnostic Medicine | 29488 Woodward Avenue, Suite 429, Royal Oak, MI 48073 | 2018-05-22 |
| 1881110526 | P J Associates Pllc | Electrodiagnostic Medicine | 18181 Oakwood Blvd Ste 403, Dearborn, MI 48124-3960 | 2017-08-15 |
| 1457866873 | Great Lakes Neuromonitoring, Pllc | Electrodiagnostic Medicine | 5119 Highland Rd, (m-59) #389, Waterford, MI 48327-1915 | 2017-12-07 |
| 1659827095 | Neurospine Monitor, Pllc | Electrodiagnostic Medicine | 14250 Beadle Lake Rd, 160, Battle Creek, MI 49014-7200 | 2016-08-26 |
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
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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.