MICHIGAN RADIATION NETWORK (NPI# 1326392663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326392663 |
| Entity Type | Organization |
| Organization Name | MICHIGAN RADIATION NETWORK |
| Practice Address |
1901 Star Batt Dr Suite 200 Rochester Hills MI 48309-3712 |
| Practice Telephone | 2488445690 |
| Mailing Telephone | 2488445690 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | DR. FARID FATA (OWNER) |
| Authorized Official Telephone | 2488445690 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4301072629 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1901 STAR BATT DR SUITE 200 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376517987 | Mark Jay Fireman | Radiology | 1901 Star Batt Dr, Rochester Hills, MI 48309-3712 | 2006-02-13 |
| 1871913228 | Ascension Medical Group Michigan | Clinical Medical Laboratory | 1901 Star Batt Dr, Rochester Hills, MI 48309-3712 | 2014-04-24 |
| 1902144462 | Vital Pharmacare LLC | Pharmacy | 1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309-3712 | 2013-01-17 |
| 1003160755 | United Diagnostics Pllc | Radiology | 1901 Star Batt Dr, Rochester Hills, MI 48309-3712 | 2012-11-02 |
| 1356646038 | Gwen Marie Colorito | Social Worker | 1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309-3712 | 2011-01-11 |
| 1215269154 | Leah S Mclean | Social Worker | 1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309-3712 | 2010-02-03 |
| 1467786855 | Sharon Meyer | Dietitian, Registered | 1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309-3712 | 2009-10-01 |
| 1801942453 | Michigan Hematology Oncology PC | Internal Medicine | 1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309-3712 | 2007-01-26 |
| 1417065186 | Farid T Fata | Internal Medicine | 1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309-3712 | 2006-08-25 |
| 1588688840 | David J Debono | Internal Medicine | 1901 Star Batt Dr, Suite 200, Rochester Hills, MI 48309-3712 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376517987 | Mark Jay Fireman | Radiology | 1901 Star Batt Dr, Rochester Hills, MI 48309-3712 | 2006-02-13 |
| 1609081355 | Donald G Bronn | Radiology | 1202 Walton Blvd, Suite #211, Rochester Hills, MI 48307-6917 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1811444235 | Gwendolyn Henderson Parker | Radiology | 48165 Liberty Dr, Shelby Twp, MI 48315-4061 | 2016-09-01 |
| 1376097733 | Munson Medical Center | Radiology | 217 S Madison Avenue, Traverse City, MI 49684-2320 | 2016-08-15 |
| 1972985737 | Andrew Thompson | Radiology | 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 | 2015-06-29 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1932533692 | Compass Healthcare, Plc | Radiology | 2175 Coolidge Rd, East Lansing, MI 48823-1379 | 2013-08-29 |
| 1083903256 | Omar Hesham Gayar | Radiology | 4100 Beecher Rd Ste A, Flint, MI 48532-3661 | 2011-03-28 |
| 1881906519 | Sanath Kumar | Radiology | 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 | 2010-07-10 |
| 1376772574 | Matthew W Packard | Radiology | 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 | 2009-07-08 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
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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.