ELISE DANIELLE FODOR (NPI# 1306394580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306394580 |
| Entity Type | Individual |
| Full Name | ELISE DANIELLE FODOR |
| Other Name | ELISE DANIELLE FRANCIS |
| Credential | RN, FNP-C |
| Practice Address |
909 W Maple Rd Suite 105 Clawson MI 48017-1000 |
| Mailing Address |
1535 Fountain View Ln Oxford MI 48371-6701 |
| Practice Telephone | 2482801867 |
| Practice Fax Number | 2482800222 |
| Mailing Telephone | 2482023599 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704268877 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
909 W MAPLE RD SUITE 105 |
| City | CLAWSON |
| State | MI |
| Zip Code | 48017-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932198512 | Pankaj Hukku | Internal Medicine | 909 W Maple Rd, Suite 105, Clawson, MI 48017-1000 | 2005-10-17 |
| 1720493364 | The Pediatric Team | Pediatrics | 909 W Maple Rd, Suite 111, Clawson, MI 48017-1000 | 2014-06-23 |
| 1245537646 | Comprehensive Pulmonary Services Center | Internal Medicine | 909 W Maple Rd, Suite 105, Clawson, MI 48017-1000 | 2011-02-21 |
| 1174798953 | Stephen Boodin Md PC | Neurological Surgery | 909 W Maple Rd, Suite 104, Clawson, MI 48017-1000 | 2008-04-23 |
| 1043394877 | Shenandoah Clinic, P.C. | Family Medicine | 909 W Maple Rd, Suite 100, Clawson, MI 48017-1000 | 2006-10-25 |
| 1083660393 | Pankaj Hukku, Md PC | Internal Medicine | 909 W Maple Rd, Suite105, Clawson, MI 48017-1000 | 2006-05-26 |
| 1649224932 | Michigan Pulmonayr & Sleep Physicians, PC | Internal Medicine | 909 W Maple Rd, Suite 109, Clawson, MI 48017-1000 | 2006-05-20 |
| 1558323923 | Signature Chiropractic PC | Chiropractor | 909 W Maple Rd, Suite 106, Clawson, MI 48017 | 2006-04-03 |
| 1306810304 | Agata M Michalczak | Family Medicine | 909 W Maple Rd, Ste 100, Clawson, MI 48017 | 2006-02-15 |
| 1942280177 | Nidhi M Shishu | Internal Medicine | 909 W Maple Rd, Ste 100, Clawson, MI 48017 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947438 | Victor Hliebay | Nurse Practitioner | 1402 W 14 Mile Road, Clawson, MI 48017 | 2020-09-22 |
| 1174982102 | Kristina Reesman | Physical Therapist | 1409 Kenilworth Pl, Clawson, MI 48017 | 2016-02-18 |
| 1992183255 | Ali Shams | Emergency Medicine | 617 S Webik Ave, Clawson, MI 48017 | 2015-05-07 |
| 1821257197 | Wessam Yassa | Pharmacist | 610 E Elmwood Ave, Apt 102, Clawson, MI 48017 | 2008-06-03 |
| 1528259165 | Davinnci Dental Pllc | Dentist | 626 North Crooks, Clawson, MI 48017 | 2007-08-08 |
| 1780897892 | Sharon Kennedy Hosea | Dentist | 635 West 14 Mile Road, Clawson, MI 48017 | 2007-05-07 |
| 1700944063 | Steven J Rabaut | Physical Therapist | 901 W Maple Road, Clawson, MI 48017 | 2006-12-05 |
| 1457313611 | Craig S Wernette Dds PC | Dentist | 17 South Main St, Clawson, MI 48017 | 2006-04-04 |
| 1912981234 | Barbara M Kuczynski | Ophthalmology | 330 E 14 Mile Rd, Ste B, Clawson, MI 48017 | 2005-11-30 |
| 1265807879 | Deanne Ginns Gruenberg | Counselor | 808 W 14 Mile Rd, Clawson, MI 48017 | 2015-12-08 |
| Find all providers in zip 48017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947438 | Victor Hliebay | Nurse Practitioner | 1402 W 14 Mile Road, Clawson, MI 48017 | 2020-09-22 |
| 1396353983 | Mary-anne Crupi | Nurse Practitioner | 447 N Rochester Rd Apt 120, Clawson, MI 48017-1757 | 2020-07-20 |
| 1124541883 | Ashley Marie Harrison | Nurse Practitioner | 555 W 14 Mile Rd Ste 100, Clawson, MI 48017-3100 | 2017-07-24 |
| 1659918258 | Deirdre Tara Tracey | Nurse Practitioner | 555 W 14 Mile Rd Ste 100, Clawson, MI 48017-3100 | 2019-12-03 |
| 1528601887 | Lauren Beth Bauer | Nurse Practitioner | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2019-10-19 |
| 1437719903 | Ebonique Latrice Woodard | Nurse Practitioner | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2019-06-17 |
| 1053775999 | Sheila Marie Clay | Nurse Practitioner | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2016-04-06 |
| 1861865446 | Meghann Donovan | Nurse Practitioner | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2015-11-04 |
| 1851768519 | Tasondra Foltz | Nurse Practitioner | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2015-08-28 |
| 1639503337 | Tameaka Roundtree | Nurse Practitioner | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2013-08-29 |
| Find all providers in CLAWSON | ||||
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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.