CRITICAL CARE MEDICINE ASSOCIATES PC (NPI# 1235219403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235219403 |
| Entity Type | Organization |
| Organization Name | CRITICAL CARE MEDICINE ASSOCIATES PC |
| Practice Address |
18181 Oakwood Blvd Suite 208 Dearborn MI 48124-5032 |
| Mailing Address |
3200 Greenfield Rd Suite 250 Dearborn MI 48120-1802 |
| Practice Telephone | 3132715565 |
| Practice Fax Number | 3132711053 |
| Mailing Telephone | 3135633332 |
| Mailing Fax Number | 3135633342 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | TRACY A COLEMAN (CEO, PHYSICIANLINX LLC) |
| Authorized Official Telephone | 3135633332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
18181 OAKWOOD BLVD SUITE 208 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1619402203 | Ola Abol Hosn | Nurse Practitioner | 18181 Oakwood Blvd, Dearborn, MI 48124-5032 | 2017-04-20 |
| 1578014502 | Vijayalakshmi Nagappan Md PC | Internal Medicine | 18181 Oakwood Blvd, Suite 101, Dearborn, MI 48124-5032 | 2016-10-14 |
| 1386192417 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 18181 Oakwood Blvd, #104, Dearborn, MI 48124-5032 | 2016-09-19 |
| 1730530973 | Ccma Beaumont Pllc | Internal Medicine | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2016-06-29 |
| 1023465010 | Katherine Anne Repp | Nurse Practitioner | 18181 Oakwood Blvd, Suite 101, Dearborn, MI 48124-5032 | 2016-05-19 |
| 1851768717 | Miada Saad | Physician Assistant | 18181 Oakwood Blvd, Dearborn, MI 48124-5032 | 2015-08-27 |
| 1174909592 | Ian Lytle Md PC | Plastic Surgery | 18181 Oakwood Blvd, Suite 200, Dearborn, MI 48124-5032 | 2015-08-07 |
| 1134502040 | Fawn Renee Watts | Registered Nurse | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2015-07-09 |
| 1467834598 | Maryam Mohammad-pour Daryaee | Audiologist | 18181 Oakwood Blvd, Suite 402, Dearborn, MI 48124-5032 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1346553476 | Raminderjit Sekhon | Internal Medicine | 18181 Oakwood Blvd Ste 208, Dearborn, MI 48124-5031 | 2010-07-19 |
| 1669425633 | Ziad Tahawi | Internal Medicine | 23500 Park St Ste 3, Dearborn, MI 48124-2598 | 2006-05-18 |
| 1184695330 | Asif Munir | Internal Medicine | 15100 Mercantile Dr, Dearborn, MI 48120-1223 | 2006-01-27 |
| 1437129988 | James T Love | Internal Medicine | 116 S Denwood St, Dearborn, MI 48124-1310 | 2006-01-26 |
| 1578568036 | Professional Emergency Care, P.C. | Internal Medicine | 18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124-4089 | 2005-06-20 |
| 1730530973 | Ccma Beaumont Pllc | Internal Medicine | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2016-06-29 |
| 1851583876 | Kamal Nasser | Internal Medicine | 1611 Monroe St, Dearborn, MI 48124-2912 | 2007-08-14 |
| 1275695710 | Ahmed A Mahmoud | Internal Medicine | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2006-12-14 |
| 1669544037 | Roderick J Boyes | Internal Medicine | 18181 Oakwood Blvd, Ste 208, Dearborn, MI 48124-5032 | 2006-11-14 |
| 1609968577 | Paul W Haydon | Internal Medicine | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2006-09-29 |
| Find all providers in DEARBORN | ||||
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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.