DR. LINVAL KEITH FLEETWOOD (NPI# 1235122185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235122185 |
| Entity Type | Individual |
| Full Name | DR. LINVAL KEITH FLEETWOOD |
| Credential | M.D. |
| Practice Address |
1415 Broadway Blvd Flint MI 48506-3530 |
| Practice Telephone | 8102397684 |
| Practice Fax Number | 8102394921 |
| Mailing Telephone | 8102397684 |
| Mailing Fax Number | 8102394921 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2013-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | LF034519 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 433953810 | 05 |
| Street Address |
1415 BROADWAY BLVD |
| City | FLINT |
| State | MI |
| Zip Code | 48506-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013939073 | Physician In-home Services, PC | Family Medicine | 1415 Broadway Blvd, Flint, MI 48506-3530 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
| 1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
| 1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
| 1134433329 | Shelia Evette Tucker | Social Worker | 3807 North Center Rd, Flint, MI 48506 | 2010-07-30 |
| 1851629125 | Amber Mayhew Homecare | Occupational Therapist | 5503 Mcnamara Lane, Flint, MI 48506 | 2009-11-25 |
| 1285872093 | Sherrie A Medling | Registered Nurse | 2811 E Court, Flint, MI 48506 | 2009-02-02 |
| 1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
| 1396803508 | Kalman J Knizner | Dentist | 5529 Richfield Rd, Flint, MI 48506 | 2006-12-04 |
| 1427151679 | Gertrude Burton Rutherford | Social Worker | 4302 Underhill Dr, Flint, MI 48506 | 2006-09-06 |
| 1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
| Find all providers in zip 48506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528580834 | Anas Siddiqui | Family Medicine | G1080 N Ballenger Hwy Ste 1, Flint, MI 48504-4427 | 2017-07-10 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1609138486 | Timothy L Holcomb | Family Medicine | 20208 St Hwy 155 S, Flint, TX 75762-5600 | 2012-06-08 |
| 1821366808 | John Joseph Doyle IIi | Family Medicine | 1001 Woodlawn Park Dr, Flint, MI 48503-2762 | 2011-12-06 |
| 1275858862 | Michigan Healthcare Center | Family Medicine | G-3267 Beecher Road, Flint, MI 48532-3615 | 2010-04-07 |
| 1730412677 | Marcy A Klein | Family Medicine | 1314 S. Linden Rd., Flint, MI 48532-3456 | 2009-09-10 |
| 1144484221 | Edward Gomez-seoane Md & Silvia Gomez-seoane Md PC | Family Medicine | 5060 Villa Linde Pkwy, Flint, MI 48532-3411 | 2008-07-17 |
| 1154512630 | John L Stoker D.o. P.C. | Family Medicine | G 5142 Mill Er Rd, Flint, MI 48507 | 2007-08-08 |
| 1619181716 | James Brown Md Plc | Family Medicine | 1104 S Linden Rd, Ste 2, Flint, MI 48532-3452 | 2007-05-09 |
| 1811073489 | Edward J Conley Do PC | Family Medicine | G3494 Beecher Rd, Flint, MI 48532 | 2006-10-27 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on DR. LINVAL KEITH FLEETWOOD.
| 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.