DR. MARSHALL KEVIN MEDLEY (NPI# 1225138340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225138340 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL KEVIN MEDLEY |
| Credential | D.O. |
| Practice Address |
35600 Central City Pkwy Suite 101 Westland MI 48185-2046 |
| Mailing Address |
35600 Central City Pkwy Ste 101 Westland MI 48185-2046 |
| Practice Telephone | 7344211000 |
| Practice Fax Number | 7344211001 |
| Mailing Telephone | 7344211000 |
| Mailing Fax Number | 7344211001 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
5101013769 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4774341 | 05 | |
| MI | CARE CHOICES | 141412 | 01 |
| MI | BLUE CARE NETWORK | P36227-F | 01 |
| MI | CAPE HEALTH PLAN | 000000012192 | 01 |
| MI | AETNA | 0007367710 | 01 |
| MI | MCARE | 17178 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 5821256 | 01 |
| MI | PRIVATE HEALTH CARE SYSTE | U92085 | 01 |
| Street Address |
35600 CENTRAL CITY PKWY SUITE 101 |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226273 | Donald R Cox | Internal Medicine | 35600 Central City Pkwy, Suite 101, Westland, MI 48185-2046 | 2005-09-26 |
| 1578905956 | Donald Smith, Pllc | Emergency Medicine | 35600 Central City Pkwy, Westland, MI 48185-2046 | 2013-07-25 |
| 1427208537 | Prime Garden City Medical Group | Family Medicine | 35600 Central City Pkwy, Suite 104, Westland, MI 48185-2046 | 2008-09-25 |
| 1538358742 | Marshall Medley, D.o., P.C. | Surgery | 35600 Central City Pkwy, Suite 101, Westland, MI 48185-2046 | 2007-10-24 |
| 1144427907 | Louis C. Tegtmeyer, D.o. P.C. | Surgery | 35600 Central City Pkwy, Suite 101, Westland, MI 48185 | 2007-06-27 |
| 1730113622 | Cathryn Christine Mcglynn | Physician Assistant | 35600 Central City Pkwy, Suite 100, Westland, MI 48185-2046 | 2006-07-10 |
| 1154301570 | Milton Arnold Raskin | Family Medicine | 35600 Central City Pkwy, Suite #102, Westland, MI 48185-2046 | 2006-01-20 |
| 1780660480 | Stanley J Sczecienski | Family Medicine | 35600 Central City Pkwy, Suite 104, Westland, MI 48185-2046 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| Find all providers in zip 48185 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538358742 | Marshall Medley, D.o., P.C. | Surgery | 35600 Central City Pkwy, Suite 101, Westland, MI 48185-2046 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
| 1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
| 1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
| 1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
| 1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
| 1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
| 1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
| 1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
| Find all providers with the same taxonomy | ||||
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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.