PACCSA, L.L.C. (NPI# 1306161781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306161781 |
| Entity Type | Organization |
| Organization Name | PACCSA, L.L.C. |
| Practice Address |
57850 Van Dyke Rd Suite 500 Washington MI 48094-3826 |
| Mailing Address |
950 W Avon Rd Suite A2 Rochester Hills MI 48307-2761 |
| Practice Telephone | 5862071247 |
| Practice Fax Number | 5862071264 |
| Mailing Telephone | 2486516430 |
| Mailing Fax Number | 2486501382 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-04-01 |
| Authorized Official Name | MAZEN SABBAQ (M.D.) |
| Authorized Official Telephone | 5862071247 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
57850 VAN DYKE RD SUITE 500 |
| City | WASHINGTON |
| State | MI |
| Zip Code | 48094-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245384122 | Lana Tello-abed | Dentist | 57850 Van Dyke Rd, Washington, MI 48094-3826 | 2007-01-22 |
| 1952821035 | Vanessa Tran Phan-dang | Nurse Practitioner | 57850 Van Dyke Rd, Washington, MI 48094-3826 | 2017-06-21 |
| 1992063804 | Washington Sleep Center, Plc | Internal Medicine | 57850 Van Dyke Rd, Suite 500, Washington, MI 48094-3826 | 2012-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437605367 | Kimberly Wisniewski | Technician, Other | 5253 Suncreek Court, Washington Twp, MI 48094 | 2016-08-31 |
| 1548670318 | Darren Bodeep | Pharmacist | 8401 26 Mile Rd., Washington Twp, MI 48094 | 2014-05-02 |
| 1669626289 | Lifespan Therapy & Wellness, LLC | Physical Therapist | 7457 Sawgress Dr, Washington Township, MI 48094 | 2008-11-10 |
| 1821248931 | Alan Henry Weitenberner | General Practice | 6948 Rickett, Washington, MI 48094 | 2008-09-25 |
| 1245458280 | Barbara Fisher | Clinical Neuropsychologist | 59100 Mound Rd, Washington Twp, MI 48094 | 2007-04-23 |
| 1265581730 | Cynthia Anne Housel | Internal Medicine | Washington Primary Care, 57850 Van Dyke Ste 600, Washington, MI 48094 | 2007-01-10 |
| 1053475392 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 8401 26 Mile Rd, Washington Twp, MI 48094 | 2006-12-21 |
| 1972997443 | Christopher Czapp | Family Medicine | 58024 Van Dyke Rd, Washington Township, MI 48094 | 2015-03-23 |
| 1881818912 | Washington Township | Ambulance | 8100 Wicker St, Washington, MI 48094-0186 | 2007-04-12 |
| 1922348762 | Danielle Marie Cook | Recreation Therapist | 62960 Mount Vernon Rd, Washington, MI 48094-1048 | 2013-02-14 |
| Find all providers in zip 48094 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1780056168 | M Medical Group, Inc. | Internal Medicine | 4806 U St Nw, Washington, DC 20007-1546 | 2015-10-26 |
| 1376772996 | Gavin Williams Ford | Internal Medicine | 3423 Oakwood Ter Nw Apt 3a, Washington, DC 20010 | 2009-07-02 |
| 1700011632 | Rebecca Krochmal | Internal Medicine | 3800 Reservoir Rd Nw Ste M4200, Washington, DC 20007-2113 | 2009-05-21 |
| 1962636514 | Andrew Daniel Lerner | Internal Medicine | 5215 Loughboro Rd Nw Ste 420, Washington, DC 20016-2627 | 2009-05-12 |
| 1477613958 | Lawrence S. Lepler | Internal Medicine | 2 Wramc Rm 2j38, 6900 Georgia Ave, Washington, DC 20307-0001 | 2006-12-12 |
| 1689022824 | Mariam Ali Abdelkader | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2016-05-27 |
| 1518351444 | Daniel Robert King | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037 | 2015-03-28 |
| 1063828531 | Mohammed Nabeel | Internal Medicine | 110 Irving St Nw Ste 2a38m, Washington, DC 20010-3017 | 2014-07-06 |
| 1376973362 | Anacostia Medical Associates | Internal Medicine | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2013-11-12 |
| 1154753564 | Adad Complex Medical | Internal Medicine | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2013-08-07 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 48094 |
Please comment or provide details below to improve the information on PACCSA, L.L.C..
| 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.