ROY J PULLUKAT (NPI# 1346537289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346537289 |
| Entity Type | Individual |
| Full Name | ROY J PULLUKAT |
| Credential | M.D. |
| Practice Address |
44200 Woodward Ave Suite 103 Pontiac MI 48341-5045 |
| Practice Telephone | 2482539600 |
| Practice Fax Number | 2482530980 |
| Mailing Telephone | 2482539600 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301099218 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
44200 WOODWARD AVE SUITE 103 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262080 | Kay Alexa Robertson | Internal Medicine | 44200 Woodward Ave, Suite 205, Pontiac, MI 48341-5045 | 2005-08-22 |
| 1487195566 | Verna Renee Dubord | Registered Nurse | 44200 Woodward Ave, Suite 209, Pontiac, MI 48341-5045 | 2017-03-09 |
| 1366809519 | Pampered Child | In Home Supportive Care | 44200 Woodward Ave, Ste 205, Pontiac, MI 48341-5045 | 2016-01-19 |
| 1093184111 | Ashley Maxwell | Physical Therapist | 44200 Woodward Ave, Suite 11, Pontiac, MI 48341-5045 | 2015-09-18 |
| 1841566866 | Erin Mcevilly Grindling | Audiologist | 44200 Woodward Ave, Pontiac, MI 48341-5045 | 2012-03-23 |
| 1528294824 | Obstetrics and Gynecology Center of Michigan, Pllc | Obstetrics & Gynecology | 44200 Woodward Ave, Suite 101, Pontiac, MI 48341-5045 | 2009-06-02 |
| 1043460512 | Michael Scott Hayes | Audiologist | 44200 Woodward Ave, Suite 200, Pontiac, MI 48341-5045 | 2008-09-22 |
| 1699934554 | Michigan Infectious Disease Consultants PC | Internal Medicine | 44200 Woodward Ave, Suite 101, Pontiac, MI 48341-5046 | 2008-06-05 |
| 1427234863 | Bloomfield Pharmacy North PC | Pharmacy | 44200 Woodward Ave, Ste 107, Pontiac, MI 48341-5045 | 2008-01-16 |
| 1154460830 | Kay Robertson Md PC | Pediatrics | 44200 Woodward Ave, Suite 205, Pontiac, MI 48341-5045 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407931181 | Rajendra B. Desai | Pediatrics | Dr. Rajendra B. Desai, 44405 Woodward H-24, Pontiac, MI 48341-2985 | 2006-10-25 |
| 1932291580 | Jeanette M. Campbell | Pediatrics | 44656 Woodward Ave, Suite 201, Pontiac, MI 48341-5027 | 2006-09-29 |
| 1033131859 | Peter Alnajjar | Pediatrics | 673 Martin Luther King Blvd., Pontiac, MI 48342 | 2006-07-24 |
| 1699201251 | Emily Nowicki | Pediatrics | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-05-02 |
| 1922278795 | Robert M. Phillips Jr M.d. P.C. | Pediatrics | 35 S Johnson St, Suite 1b, Pontiac, MI 48341-1658 | 2008-03-07 |
| 1689897811 | Gayatri Garg | Pediatrics | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2007-04-10 |
| 1154460830 | Kay Robertson Md PC | Pediatrics | 44200 Woodward Ave, Suite 205, Pontiac, MI 48341-5045 | 2007-02-06 |
| 1639222938 | Pontiac General Hospital and Medical Centers | Pediatrics | 461 W Huron St, Pontiac, MI 48341-1601 | 2007-01-19 |
| 1700987088 | Kingsley Archer Thomas | Pediatrics | 989 University Dr, Suite 105, Pontiac, MI 48342-1885 | 2006-09-26 |
| 1689775991 | Kingsley Thomas, M.d., P.C. | Pediatrics | 989 University Dr, Suite105, Pontiac, MI 48342-1885 | 2006-09-26 |
| Find all providers in PONTIAC | ||||
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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.