DR. CARLOS J LEDEZMA (NPI# 1255598579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255598579 |
| Entity Type | Individual |
| Full Name | DR. CARLOS J LEDEZMA |
| Credential | MD |
| Practice Address |
4700 Schaefer Rd. Dearborn MI 48126-3698 |
| Mailing Address |
200 Oceangate Suite 100 Long Beach CA 90802-4317 |
| Practice Telephone | 3135812600 |
| Practice Fax Number | 3135810228 |
| Mailing Telephone | 5624996191 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301100043 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4700 SCHAEFER RD. |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508844200 | Joyce M Blazejewski | Emergency Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-01-04 |
| 1730561564 | Carla Miller | Nurse Practitioner | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2015-06-29 |
| 1598174005 | Pamela M Drury | Nurse Practitioner | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2014-08-08 |
| 1699066241 | Robert T Bowen | Family Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2011-04-29 |
| 1568618098 | Lindsey J Kirk | Radiology | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2008-08-15 |
| 1578686929 | Adam R Schwaderer | Pharmacist | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2007-04-09 |
| 1902834070 | Kenneth P Tarr | Radiology | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-06-29 |
| 1194787085 | Eric S Stover | Preventive Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780630541 | Michael E Lulenski | Radiology | 22731 Newman St Ste 250, Dearborn, MI 48124-1930 | 2006-05-25 |
| 1598037061 | Global Versa Radiology, Inc. | Radiology | 5500 Auto Club Dr, Dearborn, MI 48126-2683 | 2012-01-31 |
| 1265631733 | Charles T. Cash IIi | Radiology | 840 Oakwood Blvd, Dearborn, MI 48124-2319 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170221 | Mvc Clinical Practice - Mi PC | Radiology | 7125 Orchard Lake Rd Ste 120, West Bloomfield, MI 48322-3627 | 2019-05-23 |
| 1861905739 | Jacastillano Pllc | Radiology | 5310 Breeze Hill Pl, Troy, MI 48098-2725 | 2017-11-14 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1245664119 | Michigan Institute for Minimally Invasive & Vascular Therapies PC | Radiology | 2370 S Linden Rd Ste 300b, Flint, MI 48532-5429 | 2013-08-28 |
| 1396188595 | Haiying Yu | Radiology | 1215 E Michigan Ave Fl 4, Lansing, MI 48912-1811 | 2013-04-08 |
| 1144549692 | Tatulya Tiwari | Radiology | 1500 E. Medical Center Dr #b1f510k, Rad: Diagnostic Radiology, Ann Arbor, MI 48109-5030 | 2010-05-24 |
| 1811164437 | Faiz D Francis | Radiology | 903 Wesley Dr, Troy, MI 48098-5622 | 2008-05-13 |
| 1851411227 | Chutcharn Kongphanich | Radiology | 1044 Island Drive Ct Apt 104, Ann Arbor, MI 48105-2075 | 2007-03-30 |
| 1629146527 | Advanced Diagnostic Imaging Interventional & Vascular Center | Radiology | 5462 State St, Saginaw, MI 48603-3678 | 2006-12-01 |
| 1922069400 | Progressive Medical Imaging & Minimally Invasive Therapeutics Plc | Radiology | 4200 Fashion Square Blvd, Saginaw, MI 48603-1291 | 2006-04-01 |
| 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.