LIMB PRESERVATION GROUP, PLLC (NPI# 1295223998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295223998 |
| Entity Type | Organization |
| Organization Name | LIMB PRESERVATION GROUP, PLLC |
| Practice Address |
25990 Kelly Rd Roseville MI 48066-4483 |
| Mailing Address |
869 Lake Shore Rd Grosse Pointe Shores MI 48236-1274 |
| Practice Telephone | 2484215420 |
| Mailing Telephone | 2484215420 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | KEVIN J. MAYRAND (MANAGING DIRECTOR) |
| Authorized Official Telephone | 2484215420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
25990 KELLY RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127077 | John Theodore Golden | General Practice | 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483 | 2005-10-06 |
| 1093991150 | Luis G Barbe Md PC | Surgery | 25990 Kelly Rd, Suite 1, Roseville, MI 48066-4483 | 2008-01-18 |
| 1942404348 | John T. Golden, M.d. | General Practice | 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483 | 2007-06-12 |
| 1528077526 | John Montoni | Podiatrist | 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483 | 2006-08-07 |
| 1245295161 | Luis Barbe | Surgery | 25990 Kelly Rd, Suite 1, Roseville, MI 48066-4483 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457785065 | Samantha N Stradleigh | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2013-08-30 |
| 1457513442 | Radiological Associates of Sacramento Medical Group | Surgery | 5 Medical Plaza Dr, 180, Roseville, CA 95661-2865 | 2008-06-30 |
| 1205093176 | Dmitri V Gelfand | Surgery | 3 Medical Plaza Dr, #130, Roseville, CA 95661-3087 | 2008-05-19 |
| 1497805204 | Reid A. Towery | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-12 |
| 1861570590 | Lee O. Halvorsen | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1578641247 | Richard M. Florio | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1669550398 | Addison Lee Mcmurtry | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1982788980 | Francisco J. Rodriguez Md PC | Surgery | 25710 Kelly Rd, Suite 2, Roseville, MI 48066-4959 | 2006-10-25 |
| 1689757049 | Jung J Lim | Surgery | 5 Medical Plaza Drive, Suite 200, Roseville, CA 95661-2867 | 2006-10-21 |
| 1851474217 | Total Vascular Surgery Inc | Surgery | 5 Medical Plaza Drive, Suite 200, Roseville, CA 95661-2867 | 2006-10-21 |
| Find all providers in ROSEVILLE | ||||
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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.