DEXTER PEDIATRICS LLC (NPI# 1235506908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235506908 |
Entity Type | Organization |
Organization Name | DEXTER PEDIATRICS LLC |
Practice Address |
12632 Dexter Ave Detroit MI 48238-3340 |
Practice Telephone | 5867764185 |
Mailing Telephone | 5867764185 |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-08-28 |
Authorized Official Name | DR. SATISH RAVILAL MEHTA (MEMBER) |
Authorized Official Telephone | 3133784620 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Street Address |
12632 DEXTER AVE |
City | DETROIT |
State | MI |
Zip Code | 48238-3340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477625192 | Eun Sook Choo-choi | Pediatrics | 12632 Dexter Ave, Detroit, MI 48238-3340 | 2006-11-15 |
1245660141 | Jinwoo Yoo M.d. | Pediatrics | 12632 Dexter Ave, Detroit, MI 48238-3340 | 2013-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
Find all providers in zip 48238 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
1235636408 | Healthy Kids Plc | Pediatrics | 18060 Conant St, Detroit, MI 48234-1628 | 2018-04-12 |
1841720539 | Krystal Yee-yun Chan-zlatopolsky | Pediatrics | 22201 Moross Rd Ste 80, Detroit, MI 48236-2166 | 2017-06-14 |
1508220062 | Marlisa Rose Wolf | Pediatrics | Children's Hospital of Mi - 3rd Fl, 3901 Beaubien, Detroit, MI 48201 | 2016-04-11 |
1821418419 | Christina Louise Santia | Pediatrics | Children's Hospital of Mi/ Spec Ctr, 3950 Beaubien Garden Level, Detroit, MI 48201 | 2014-04-22 |
1033537089 | Kimberly Lynn Herrmann | Pediatrics | Children's Hospital of Mi / Spec Ctr, 3950 Beaubien, Detroit, MI 48201 | 2014-04-06 |
1932540622 | Ramya Deepthi Billa | Pediatrics | 3901 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2013-07-10 |
1942646658 | Silpa Nadella | Pediatrics | 3950 Beaubien St Fl 4, Detroit, MI 48201-2166 | 2013-05-21 |
1770826984 | Lonetta L Postell | Pediatrics | 3031 W. Grand Blvd, 800, Detroit, MI 48202-2119 | 2013-04-05 |
1578806964 | Scott C Grant | Pediatrics | Chm/specialty Center, 3950 Beaubien 1st Fl, Detroit, MI 48201 | 2013-04-03 |
Find all providers in DETROIT |
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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.