MANAF MADOUN (NPI# 1205834470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205834470 |
| Entity Type | Individual |
| Full Name | MANAF MADOUN |
| Credential | M.D. |
| Practice Address |
468 Cadieux Rd Grosse Pointe MI 48230-1507 |
| Mailing Address |
28925 Harper Ave Saint Clair Shores MI 48081-1272 |
| Practice Telephone | 5865520269 |
| Practice Fax Number | 5862790833 |
| Mailing Telephone | 5865520269 |
| Mailing Fax Number | 5862790833 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 4301073570 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | MM073570 | 01 |
| MI | 48429566 | 05 |
| Street Address |
468 CADIEUX RD |
| City | GROSSE POINTE |
| State | MI |
| Zip Code | 48230-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291270 | Martin Daniel Theriault | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2020-06-29 |
| 1598388167 | Michael Lin | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2020-05-18 |
| 1548882327 | Lawrence Pan | Family Medicine | 468 Cadieux Rd, Gme Office, Grosse Pointe, MI 48230-1507 | 2020-05-14 |
| 1750920716 | Gina Lopiccolo | Nurse Practitioner | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-12-22 |
| 1609412634 | Rachel Pierce | Physician Assistant | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-11-25 |
| 1275194524 | Christopher Lee Keller | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-06-27 |
| 1922666379 | Raymond Robert Ackerman | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-05-31 |
| 1255994778 | William Beaumont Hospital | Pharmacy | 468 Cadieux Rd, Room 00734, Grosse Pointe, MI 48230-1507 | 2019-04-19 |
| 1083171441 | Adrienne Marie Dusky | Physical Therapist | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-02-21 |
| 1306317706 | Rebecca Marie Campbell | Speech-Language Pathologist | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2018-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1962924886 | Michelle Kathleen Harr | Speech-Language Pathologist | 1356 Bishop Rd, Grosse Pointe Park, MI 48230 | 2017-07-12 |
| 1356711766 | Jerry George Idicula | Behavioral Analyst | 1332 Maryland St, Grosse Pointe Park, MI 48230 | 2015-09-28 |
| 1578939930 | Sierra Gray | Contractor | 890 Cadieux, Grosse Pointe, MI 48230 | 2015-08-19 |
| 1023413853 | Cristovao Bartolo Carreira | Psychologist | 15450 E. Jefferson, Suite 200, Grosse Pointe, MI 48230 | 2014-10-22 |
| 1215217005 | Nui Loa PC | Community/Behavioral Health | 502 Pemberton, Grosse Pointe Park, MI 48230 | 2011-08-24 |
| 1295041846 | Greg Washington LLC | Psychiatry & Neurology | 793 Harcourt, Grosse Pointe Park, MI 48230 | 2010-08-20 |
| 1649445867 | Philip Charles Hessburg | Ophthalmology | 15415 E Jefferson Street, Grosse Pointe Park, MI 48230 | 2008-04-29 |
| 1437289071 | John Boyd Krisel Jr. | Social Worker | 15200 E Jefferson, Suite 105, Grosse Pointe Park, MI 48230 | 2007-03-06 |
| 1346382819 | Robert James Sisler | Social Worker | 15200 East Jefferson, Suite 105, Grosse Pointe Park, MI 48230 | 2007-02-13 |
| Find all providers in zip 48230 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205301678 | Esther Selik | Hospitalist | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2018-10-11 |
| 1912416819 | Acute Care of Grosse Pointe PC | Hospitalist | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343788 | Adult Patient Care Pllc | Hospitalist | 5496 Saint Andrew Dr, Clarkston, MI 48348-4836 | 2020-07-21 |
| 1790218360 | Eileen Chang | Hospitalist | 12745 S Saginaw St # 806-196, Grand Blanc, MI 48439-2437 | 2017-04-10 |
| 1588921357 | Erik Hemingway | Hospitalist | 1215 E. Michigan Ave., 7th Fl Tower, Lansing, MI 48912-1811 | 2012-04-18 |
| 1245533967 | Hussein Ajrouche, M.d., P.C. | Hospitalist | 12740 W Warren Ave Ste 200, Dearborn, MI 48126-4530 | 2010-12-20 |
| 1316178718 | Veni Jhansi Peram | Hospitalist | 20015 Boardwalk Blvd, Southfield, MI 48075-1158 | 2009-08-03 |
| 1932330511 | Aisha Zakia Rush | Hospitalist | 2 Hurley Plz Ste 212, Flint, MI 48503-5905 | 2009-07-31 |
| 1972773695 | Edward Peszko | Hospitalist | 307 East Houghton Ave, West Branch, MI 48661-1127 | 2008-03-10 |
| 1700069481 | Emmd Health Pllc | Hospitalist | 22319 Crestwood, Woodhaven, MI 48183 | 2007-12-17 |
| 1598874612 | Sripriya Ganesan | Hospitalist | 1675 Leahy St Ste 304b, Muskegon, MI 49442-5543 | 2006-08-30 |
| 1508971581 | Inpatient Medical Specialists, Plc | Hospitalist | 1675 Leahy St Ste 404b, Muskegon, MI 49442-5544 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE |
| Zip Code | 48230 |
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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.