JACQUELINE MOHS (NPI# 1295707891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295707891 |
| Entity Type | Individual |
| Full Name | JACQUELINE MOHS |
| Credential | MD |
| Practice Address |
4900 Mercury Dr Dearborn MI 48126-2947 |
| Mailing Address |
29344 Jacquelyn Dr Livonia MI 48154-4557 |
| Practice Telephone | 3139824351 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301072305 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4900 MERCURY DR |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146828 | Irene Signori | Internal Medicine | 4900 Mercury Dr, 203, Dearborn, MI 48126-2947 | 2005-06-30 |
| 1518335306 | Katalee Staley | Dietitian, Registered | 4900 Mercury Dr, Ste. 201, Dearborn, MI 48126-2947 | 2015-09-10 |
| 1023313905 | Mayssoun Hamade | Dietitian, Registered | 4900 Mercury Dr, Dearborn, MI 48126-2947 | 2011-01-24 |
| 1811138787 | Faisal Musa | Internal Medicine | 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 | 2009-03-23 |
| 1184862138 | Sharlene R Bidini | Dietitian, Registered | 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 | 2009-01-29 |
| 1235288663 | Oakwood Ambulatory, LLC | Dietitian, Registered | 4900 Mercury Dr, Dearborn, MI 48126-2947 | 2007-01-08 |
| 1609938836 | Oakwood Ambulatory, LLC | Internal Medicine | 4900 Mercury Dr, Dearborn, MI 48126-2947 | 2006-12-14 |
| 1457466724 | Gino Gullermo Tapia-zegarra | Internal Medicine | 4900 Mercury Dr, Ste 201, Dearborn, MI 48126-2947 | 2006-08-20 |
| 1558324129 | Renu Manthan Pandit | Internal Medicine | 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 | 2006-04-06 |
| 1285601435 | Oscar Signori | Internal Medicine | 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 | 2006-03-07 |
| Find all providers in the same location | ||||
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987348 | David Sengstock | Internal Medicine | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2006-01-20 |
| 1093712804 | Satish N. Kamath | Internal Medicine | 24100 Oxford St, Dearborn, MI 48124-2481 | 2005-07-07 |
| 1518451236 | Sarah H Abdelsamad | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2018-06-16 |
| 1477935849 | Aljaaly Omer Ahmed | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2015-06-22 |
| 1962766253 | Jailan Alaaeldin Elayoubi | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2012-07-01 |
| 1841432002 | Hyder Syed Raza | Internal Medicine | 22819 Michigan Ave, Dearborn, MI 48124-2007 | 2009-04-01 |
| 1316182777 | Dearborn Medical Associates, P.C. | Internal Medicine | 19855 West Outer Dr., Suite L7, Dearborn, MI 48124-2022 | 2008-12-12 |
| 1841400330 | Alaaeldin Ahmed Mira | Internal Medicine | Oakwood Healthcare Center Mercury Drive, 4900 Mercury Drive, Suite 201, Dearborn, MI 48126 | 2007-05-23 |
| 1336119106 | Mark Hannis | Internal Medicine | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371315 | Matrix Medical Pllc | Internal Medicine | 52611 Blueridge Dr, Shelby Twp, MI 48316-2977 | 2018-10-01 |
| 1407364821 | Chesaning Comfort Care | Internal Medicine | 1800 W Brady Rd, Chesaning, MI 48616 | 2018-01-19 |
| 1992252191 | Vitality Home Health Services,inc. | Internal Medicine | 917 W Milham Ave, Portage, MI 49024-1248 | 2016-09-06 |
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1710226477 | Nancy Couch | Internal Medicine | 791 Bradburn Ct, Northville, MI 48167-1027 | 2013-01-31 |
| 1639425879 | Anhkiet L Tran | Internal Medicine | 29736 Orion Ct, Farmington Hills, MI 48334-4114 | 2012-07-25 |
| 1700152014 | Nicholas Joseph | Internal Medicine | 24463 W 10 Mile Rd, Pace Southeast Michigan, Southfield, MI 48033-2931 | 2012-03-30 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1699055269 | Mobilized Docs of Michigan LLC | Internal Medicine | 23943 Industrial Park Dr, Farmington Hills, MI 48335-2862 | 2011-08-26 |
| 1780986018 | Spectrum Health Primary Care Partners | Internal Medicine | 727 Apple Ave, Holland, MI 49423-5405 | 2010-11-18 |
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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.