GREAT LAKES SLEEP MEDICINE INSTITUTE PLC


Address: 3058 Metropolitan Parkway, Suite 108, Sterling Heights, MI 48310
Phone: 5862680100

GREAT LAKES SLEEP MEDICINE INSTITUTE PLC (NPI# 1295906741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295906741
Entity Type Organization
Organization Name GREAT LAKES SLEEP MEDICINE INSTITUTE PLC
Practice Address 3058 Metropolitan Parkway
Suite 108
Sterling Heights
MI 48310
Mailing Address 5215 Crowfoot
C O Y Stefadu Md
Troy
MI 48310
Practice Telephone 5862680100
Practice Fax Number 5862685818
Mailing Telephone 5862680100
Mailing Fax Number 5862685818
Enumeration Date 2008-03-12
Last Update Date 2008-03-12
Authorized Official Name DR. YEVGENIY STEFADU (OWNER)
Authorized Official Telephone 5862680100
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE STUDY OP22380 01

Office Location

Street Address 3058 METROPOLITAN PARKWAY
SUITE 108
City STERLING HEIGHTS
State MI
Zip Code 48310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477198174 Metro Rx Pharmacy 3058 Metropolitan Parkway, Suite 107, Sterling Heights, MI 48310 2019-11-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476961 Briana Smiley Behavior Technician 34475 Mound Road, Sterling Heights, MI 48310 2020-07-31
1902442262 Evolve Physical Therapy LLC Physical Therapist 35654 Dequindre Rd, Sterling Heights, MI 48310 2019-11-21
1245715291 Brooksprings Dialysis, LLC Clinic/Center 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 2018-09-26
1942784368 Brittany Lee Anderson Chiropractor 34770 Dequindre Rd., Sterling Heights, MI 48310 2018-09-21
1386140572 Arpan Patel Nurse Practitioner 37303 Tericrest Dr, Sterling Heights, MI 48310 2018-04-05
1306340955 Prestige Specialty Pharmacy LLC Pharmacy 3739 15 Mile Rd, Sterling Heights, MI 48310 2018-03-20
1942704663 Tazul Choudhury Occupational Therapist 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 2018-03-19
1013410950 Robert Parent Physical Therapist 34643 Ketsin Drive, Sterling Heighs, MI 48310 2018-03-16
1194231563 Total Orthopedic Performance Physical Therapy, LLC Physical Therapist 3522 15 Mile Road, Sterling Heights, MI 48310 2017-12-21
1851807309 Happy Life 2 Inc Clinic/Center 3727 15 Mile Rd, Sterling Heights, MI 48310 2017-12-20
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144796913 Internal Medicine Sleep Associates Pllc Internal Medicine 7300 Deep Run, Bloomfield Hills, MI 48301-3821 2018-10-19
1457739534 Comprehensive Sleep Diagnostics Internal Medicine 3515 Coolidge Rd Ste A, East Lansing, MI 48823-8014 2015-05-11
1588078901 Aairs Diagnostics PC Internal Medicine 1500 W. Big Beaver, Ste 107, Troy, MI 48084 2014-06-13
1184042723 Harrison M Gimbel Internal Medicine 1500 E Medical Center Dr Spc 5316, Ann Arbor, MI 48109 2014-04-01
1124220140 Todd C Gould Do Oc Internal Medicine 305 Barclay Cir, Suite 1000, Rochester Hills, MI 48307-4572 2007-06-01
1306969944 Ruth Darcel Barnett Internal Medicine 15121 W Mcnichols Rd, Detroit, MI 48235-3716 2007-04-09
1255455887 Margaret Moen Md Pllc Internal Medicine 457 Munson Ave, Traverse City, MI 49686-3084 2007-03-19
1578634440 Sleep Apnea Specialty Centers Of Internal Medicine 42180 Ford Rd, Suite 201, Canton, MI 48187-3673 2006-11-13
1801966080 Sleep Apnea Specialty Center Internal Medicine 14031 Pennsylvania Rd, Suite A, Riverview, MI 48193-7508 2006-11-08
1760476048 John Harmon Morrison Jr. Internal Medicine 10641 Castlewood Dr, White Lake, MI 48386-3724 2005-09-01
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Competitor

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City STERLING HEIGHTS
Zip Code 48310

Improve Information

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Dataset Information

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.

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