ENVISION MEDICAL GROUP PLLC (NPI# 1235456609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235456609 |
| Entity Type | Organization |
| Organization Name | ENVISION MEDICAL GROUP PLLC |
| Practice Address |
422 N Center St Suite B Northville MI 48167-1224 |
| Mailing Address |
15100 Mercantile Dr Dearborn MI 48120-1223 |
| Practice Telephone | 2484497156 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | MICHAEL WAYNE (MANAGING PARTNER) |
| Authorized Official Telephone | 2483488700 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003125774 | Envision Medical Group Pllc | Internal Medicine | 12660 Ten Mile Rd, South Lyon, MI 48178-9141 | 2010-09-29 |
| 1821391848 | Envision Medical Group Pllc | Family Medicine | 422 N Center St, Northville, MI 48167-1224 | 2010-12-14 |
| 1528382991 | Envision Medical Group Pllc | Clinical Medical Laboratory | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2010-03-15 |
| 1578891750 | Envision Medical Group Pllc | Internal Medicine | 42931 7 Mile Rd, Northville, MI 48167-2277 | 2009-11-25 |
| Street Address |
422 N CENTER ST SUITE B |
| City | NORTHVILLE |
| State | MI |
| Zip Code | 48167-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551893 | Alan J. Bloch | Podiatrist | 422 N Center St, Suite B, Northville, MI 48167-1224 | 2005-07-09 |
| 1669974556 | Jennifer Marie Gardner | Social Worker | 422 N Center St, Northville, MI 48167-1224 | 2018-03-06 |
| 1124430806 | Angela Renee Jacob | Podiatrist | 422 N Center St, Suite B, Northville, MI 48167 | 2014-05-29 |
| 1871877688 | Pamela A Gumkowski | Dietitian, Registered | 422 N Center St, Northville, MI 48167-1224 | 2011-09-29 |
| 1275812844 | Family Medicine Obstetrics of Northville | Obstetrics & Gynecology | 422 N Center St, Northville, MI 48167-1224 | 2011-08-12 |
| 1821391848 | Envision Medical Group Pllc | Family Medicine | 422 N Center St, Northville, MI 48167-1224 | 2010-12-14 |
| 1821309097 | Christopher L Mcgrew | Physician Assistant | 422 N Center St, Northville, MI 48167-1224 | 2010-06-23 |
| 1639392780 | Alan J. Bloch Dpm, Pllc | Podiatrist | 422 N Center St, Suite B, Northville, MI 48167-1224 | 2007-04-10 |
| 1376679399 | Marsha Billes | Family Medicine | 422 N Center St, Northville, MI 48167-1224 | 2007-02-26 |
| 1427194927 | Main Street Family Medicine P C | Family Medicine | 422 N Center St, Northville, MI 48167-1224 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093277873 | Kathleen Mary Vollman | Nursing Care | 21091 Boulder Cir, Northville, MI 48167 | 2019-04-02 |
| 1851877211 | Saleh Medical Innovations Consulting Plc | Clinic/Center | 9308 Hickory Ridge Road, Northville, MI 48167 | 2018-07-18 |
| 1811488877 | Carrie Millis Babe | Marriage & Family Therapist | 23095 Kirkland Ct, Northville, MI 48167 | 2018-05-25 |
| 1134671761 | Richard Roff | Technician, Other | 3253 Lancaster Ln, Northville, MI 48167 | 2016-10-31 |
| 1508241613 | Naastar Enterprises, LLC | Non-emergency Medical Transport (VAN) | 20871 W. Glen Haven Circle, Novi, MI 48167 | 2015-07-30 |
| 1396159083 | Traci L Rasor | Registered Nurse | 143 Cadycentre Unit 250, Northville, MI 48167 | 2014-06-20 |
| 1932459930 | Amanda Lea Williams | Nurse Practitioner | 44300 Five Mile Rd, Northville Twp, MI 48167 | 2012-09-17 |
| 1346505914 | Richard Thomas Mac Laren | Emergency Medicine | 51920 8 Mile Road, Northville, MI 48167 | 2012-07-10 |
| 1053647818 | Mark S. Hunter, D.m.d. P.l.c. | Dentist | 149 N. Center, Suite 101, Northville, MI 48167 | 2009-10-28 |
| 1437384088 | Maria Conley | Dietitian, Registered | 40000 West 8 Mile Rd, Northville, MI 48167 | 2009-05-27 |
| Find all providers in zip 48167 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639392780 | Alan J. Bloch Dpm, Pllc | Podiatrist | 422 N Center St, Suite B, Northville, MI 48167-1224 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666880 | Tracey A Arbour | Podiatrist | 47205 Scarlet Dr S, Novi, MI 48374-3448 | 2019-02-27 |
| 1487107249 | Muhammad Kang | Podiatrist | 2075 E West Maple Rd Ste B207, Commerce Township, MI 48390-3816 | 2016-07-28 |
| 1508229188 | Katherine Morrison | Podiatrist | 14555 Levan Rd Ste E302, Livonia, MI 48154-5042 | 2016-04-01 |
| 1215293550 | Kevin J. Piebenga D.p.m. P.C. | Podiatrist | 3330 Central Boulevard, Hudsonville, MI 49426-4114 | 2012-04-11 |
| 1356570436 | Sarah Pope | Podiatrist | 2763 New England Dr, Rochester Hills, MI 48309-2819 | 2009-07-09 |
| 1831348416 | Allan Kalmus Dpm PC | Podiatrist | 5250 Auto Club Dr Ste 220, Dearborn, MI 48126-2619 | 2008-09-18 |
| 1659559870 | Craig R. Shelton, Dpm | Podiatrist | 103 Ferris St, Ypsilanti, MI 48197-5412 | 2008-02-11 |
| 1881802288 | Ronald Eugene Wilson | Podiatrist | 18460 Revere St, Detroit, MI 48234-1726 | 2007-05-18 |
| 1427185545 | James Peter Pitlosh | Podiatrist | 803 10th Ave, Suite A, Port Huron, MI 48060-3676 | 2007-02-27 |
| 1629137807 | Clifford Arthur Trethewey | Podiatrist | 216 W Exchange St, Owosso, MI 48867-2818 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTHVILLE |
| Zip Code | 48167 |
Please comment or provide details below to improve the information on ENVISION MEDICAL GROUP PLLC.
| 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.