DR. NICHOLAS TYLER BARJAKTAROVICH (NPI# 1265826804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265826804 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS TYLER BARJAKTAROVICH |
| Credential | D.O. |
| Practice Address |
3003 S Baldwin Rd Lake Orion MI 48359 |
| Mailing Address |
30550 Utica Rd Roseville MI 48066-1528 |
| Practice Telephone | 2483919090 |
| Practice Fax Number | 2483919210 |
| Mailing Telephone | 5867710290 |
| Mailing Fax Number | 5867715450 |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101021847 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 N Perry St, Pontiac, MI 483422217 | 2483385392 | 2483385567 |
| Street Address |
3003 S BALDWIN RD |
| City | LAKE ORION |
| State | MI |
| Zip Code | 48359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588063689 | Tara Raymond | Nurse Practitioner | 3003 S Baldwin Rd, Lake Orion, MI 48359-2358 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952755498 | Vmlp Ah Plc | Dentist | 4929 South Baldwin Rd, Ste 104, Lake Orion, MI 48359 | 2016-04-21 |
| 1427307511 | David Andrew Dehaan | Dentist | 3027 S. Baldwin Rd, Lake Orion, MI 48359 | 2012-09-05 |
| 1497838445 | Philip C Krause | Physical Therapist | 3009 South Baldwin Road, Orion, MI 48359 | 2006-10-23 |
| 1528001922 | Steven Paul Cogswell | Family Medicine | 4405 S Baldwin Rd Ste D, Lake Orion, MI 48359 | 2006-06-14 |
| 1912998394 | Mary Jo K Voelpel | Internal Medicine | 3003 S. Baldwin Rd., Suite A, Lake Orion, MI 48359 | 2005-11-03 |
| 1841751062 | Carletta Eedsel Horne | Nurse's Aide | 3079 S Baldwin Rd Ste 1050, Lake Orion, MI 48359-1028 | 2019-03-29 |
| 1821453218 | Amanda Lynn Allen | Nurse Practitioner | 3079 S Baldwin Rd Ste 1076, Lake Orion, MI 48359-1028 | 2015-12-29 |
| 1801006333 | Deborah Dehaan, D.d.s., M.s., P.C. | Dentist | 3027 S Baldwin Rd, Lake Orion, MI 48359-1028 | 2007-05-23 |
| 1689786527 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3475 S Baldwin Rd, Orion, MI 48359-1028 | 2006-08-31 |
| 1689608457 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 3097 S Baldwin Rd, Orion, MI 48359-1028 | 2006-07-10 |
| Find all providers in zip 48359 | ||||
| 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 |
|---|---|---|---|---|
| 1306286893 | Joseph Gorz | Family Medicine | 1261 S Lapeer Rd Ste 202, Lake Orion, MI 48360-1419 | 2013-06-27 |
| 1013270362 | Norman Salem | Family Medicine | 1375 S Lapeer Rd Ste 106, Lake Orion, MI 48360-1421 | 2012-06-21 |
| 1619093283 | Country Doctor Family Practice PC | Family Medicine | 720 N Lapeer Rd, Ste 101, Lake Orion, MI 48362-4011 | 2007-03-22 |
| 1508958737 | Vincenzo Guglielmetti | Family Medicine | 1375 S. Lapeer Rd., Ste. 106, Lake Orion, MI 48360 | 2006-09-28 |
| 1831290253 | Shree Devi Kilaru | Family Medicine | 1455 S Lapeer Rd Ste 100, Lake Orion, MI 48360-1468 | 2006-09-26 |
| 1982625976 | Gary P Holloway | Family Medicine | 46 W Shadbolt St, Lake Orion, MI 48362-3170 | 2006-07-22 |
| 1528001922 | Steven Paul Cogswell | Family Medicine | 4405 S Baldwin Rd Ste D, Lake Orion, MI 48359 | 2006-06-14 |
| 1972578854 | Pramote Tanswai | Family Medicine | 785 N Lapeer Rd, Lake Orion, MI 48362-4012 | 2006-02-22 |
| 1528033594 | Sandra A Golden | Family Medicine | 1455 S. Lapeer Rd, Ste D, Lake Orion, MI 48360 | 2006-02-22 |
| 1386635241 | Gita K Vora | Family Medicine | 1455 S Lapeer Rd, Suite 122, Lake Orion, MI 48360-1467 | 2005-10-31 |
| Find all providers in LAKE ORION | ||||
| City | LAKE ORION |
| Zip Code | 48359 |
Please comment or provide details below to improve the information on DR. NICHOLAS TYLER BARJAKTAROVICH.
| 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.