DAVID LUSTIG (NPI# 1316971252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316971252 |
| Entity Type | Individual |
| Full Name | DAVID LUSTIG |
| Credential | DO |
| Practice Address |
43475 Dalcoma Drive Ste. 100 Clinton Township MI 48038 |
| Mailing Address |
46325 W. Twelve Mile Rd. Ste. 100 Novi MI 48377 |
| Practice Telephone | 8777843667 |
| Practice Fax Number | 5864086071 |
| Mailing Telephone | 8777843667 |
| Mailing Fax Number | 2488693982 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DL005558 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1022998 | 05 | |
| MI | BLUE CARE NETWORK | 1355024214 | 01 |
| MI | MEDICARE | 9500003 | 01 |
| MI | MEDICARE | 8502421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932286424 | David Alan Lustig | Psychologist | 17741 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2006-11-01 |
| 1821198532 | David P Lustig | Dentist | 30567 Linden Ave, Princess Anne, MD 21853-1129 | 2006-09-23 |
| 1093896367 | David Michael Lustig | Urology | 13933 17th St, Suite 201, Dade City, FL 33525-4604 | 2006-10-17 |
| 1215046800 | David W. Lustig | Physician Assistant | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2006-08-29 |
| 1295776557 | David Lustig | Internal Medicine | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2006-06-09 |
| Street Address |
43475 DALCOMA DRIVE STE. 100 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
| 1508949140 | Michigan Neuro Diagnostics PC | Psychiatry & Neurology | 42621 Garfield, Ste 110, Clinton Township, MI 48038 | 2006-10-24 |
| 1780627018 | Thomas Giancarlo | Psychiatry & Neurology | 34025 Harper, Clinton Township, MI 48043 | 2006-06-14 |
| 1861448334 | Tg Do PC | Psychiatry & Neurology | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2006-05-26 |
| 1316995384 | Jay Joseph Kaner | Psychiatry & Neurology | 39581 Garfield Rd, Clinton Township, MI 48038-4300 | 2006-05-04 |
| 1548672397 | Joseph Kassa | Psychiatry & Neurology | 39581 Garfield Rd, Clinton Township, MI 48038 | 2014-05-28 |
| 1114186145 | Neurological Institute of Michigan PC | Psychiatry & Neurology | 15945 19 Mile Rd, Suite 106, Clinton Township, MI 48038-1147 | 2008-06-05 |
| 1003950015 | Henry Ford Macomb Hospital Corporation | Psychiatry & Neurology | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-16 |
| 1588753958 | Tricounty Neurological Associates, P.C. | Psychiatry & Neurology | 39581 Garfield Rd, Clinton Township, MI 48038-4300 | 2006-10-12 |
| 1700981040 | Barbara G Nelson | Psychiatry & Neurology | 42621 Garfield Rd, Suite 110, Clinton Township, MI 48038-5031 | 2006-09-13 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on DAVID LUSTIG.
| 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.