DR. AGATA M MICHALCZAK (NPI# 1306810304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306810304 |
| Entity Type | Individual |
| Full Name | DR. AGATA M MICHALCZAK |
| Other Name | AGATA M LODEJ |
| Credential | DO |
| Practice Address |
909 W Maple Rd Ste 100 Clawson MI 48017 |
| Practice Telephone | 2484352028 |
| Practice Fax Number | 2484352099 |
| Mailing Telephone | 2484352028 |
| Mailing Fax Number | 2484352099 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101013050 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 080F319020 | 01 | |
| MI | 4430930 | 05 |
| Street Address |
909 W MAPLE RD STE 100 |
| City | CLAWSON |
| State | MI |
| Zip Code | 48017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932198512 | Pankaj Hukku | Internal Medicine | 909 W Maple Rd, Suite 105, Clawson, MI 48017-1000 | 2005-10-17 |
| 1306394580 | Elise Danielle Fodor | Nurse Practitioner | 909 W Maple Rd, Suite 105, Clawson, MI 48017-1000 | 2016-09-15 |
| 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 |
| 1942280177 | Nidhi M Shishu | Internal Medicine | 909 W Maple Rd, Ste 100, Clawson, MI 48017 | 2006-01-23 |
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| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548557978 | Clawson Medical Center Pllc | Family Medicine | 1224 W 14 Mile Rd, Clawson, MI 48017-1494 | 2011-07-06 |
| 1871574533 | Caroline D Zohoury | Family Medicine | 115 N Rochester Rd, Clawson, MI 48017-1743 | 2005-11-09 |
| 1154943017 | Gaps Health Mi P.C. | Family Medicine | 535 N Main St, Clawson, MI 48017-1526 | 2020-05-14 |
| 1043428626 | Sase Persaud Md PC | Family Medicine | 314 N Main St, Clawson, MI 48017-1525 | 2007-05-18 |
| 1043394877 | Shenandoah Clinic, P.C. | Family Medicine | 909 W Maple Rd, Suite 100, Clawson, MI 48017-1000 | 2006-10-25 |
| 1548240237 | Joseph M Masternick | Family Medicine | 909 W Maple Rd, Ste 100, Clawson, MI 48017 | 2006-01-19 |
| 1487634986 | Ronald I Rothenberg | Family Medicine | 909 W Maple Rd, Ste 100, Clawson, MI 48017 | 2006-01-19 |
| 1013908573 | Sasenarine S Persaud | Family Medicine | 314 N Main St, Clawson, MI 48017-1525 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
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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.