DR. CHRISTINE ANN CRADER (NPI# 1366440463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366440463 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE ANN CRADER |
| Credential | MD |
| Practice Address |
22151 Moross Rd Detroit MI 48236-2167 |
| Practice Telephone | 3133433072 |
| Practice Fax Number | 3134173616 |
| Mailing Telephone | 3133433072 |
| Mailing Fax Number | 3134173616 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301075471 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
4301075471 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 480801949 | 5867784080 | 5867786055 |
| Street Address |
22151 MOROSS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078857 | Anirudh Kotha | Student in an Organized Health Care Education/Training Program | 22151 Moross Rd, Ste 214, Detroit, MI 48236 | 2020-06-22 |
| 1386147981 | Carla Freigeh | Physician Assistant | 22151 Moross Rd, Detroit, MI 48236-2167 | 2018-03-10 |
| 1245738822 | Stacey Alise Joiner | Counselor | 22151 Moross Rd, Detroit, MI 48236-2167 | 2018-01-29 |
| 1730618158 | Victoria Elizabeth Simmons | Surgery | 22151 Moross Rd, Suite 214, Detroit, MI 48236 | 2017-06-08 |
| 1902356272 | Jisha Dudeesh | Nurse Practitioner | 22151 Moross Rd, Professional Building One, Detroit, MI 48236-2167 | 2016-10-10 |
| 1841740792 | Celia Shallal | Social Worker | 22151 Moross Rd, Pb1, Detroit, MI 48236-2167 | 2016-10-04 |
| 1841668308 | Moayad Tarboush | Student in an Organized Health Care Education/Training Program | 22151 Moross Rd, Detroit, MI 48236-2167 | 2015-09-14 |
| 1285023226 | Lauren Krist | Nurse Practitioner | 22151 Moross Rd, Detroit, MI 48236-2167 | 2015-01-14 |
| 1194122937 | Patricia Vassallo | Nurse Practitioner | 22151 Moross Rd, Pb 2 Suite 209, Detroit, MI 48236-2167 | 2014-11-21 |
| 1861736431 | Amer Abdul-hafiz Afaneh | Surgery | 22151 Moross Rd, Suite 212, Detroit, MI 48236-2167 | 2012-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
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| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790171304 | Marc Vander Vliet | Internal Medicine | 2799 W. Grand Blvd, Clara Ford Pavilion--4th Floor, Detroit, MI 48202 | 2015-04-09 |
| 1386060226 | Barbara Ann Karmanos Cancer Institute | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2014-03-17 |
| 1841533031 | Elisheva Newman | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2013-04-05 |
| 1275743700 | Gilbert Dagher Abou Dagher | Internal Medicine | 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 | 2007-05-23 |
| 1821212606 | Ltach Specialist PC | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2007-04-12 |
| 1538228879 | Leslie J. Bricker | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912592 | Hospice Advantage, LLC | Internal Medicine | 801 S Waverly Rd Ste 200, Lansing, MI 48917-4200 | 2020-11-02 |
| 1518573054 | Thi of Michigan At Detroit, LLC | Internal Medicine | 30665 Northwestern Hwy Ste 150, Farmington Hills, MI 48334-3146 | 2020-09-21 |
| 1639496466 | Palliative Care Medical Associates | Internal Medicine | 430 Union Ave Ne Apt 209, Grand Rapids, MI 49503-5747 | 2010-05-04 |
| 1578771770 | Helen Scoblic | Internal Medicine | 1426 Straits Dr, Bay City, MI 48706-8705 | 2007-05-19 |
| 1255439915 | Saeed I Bajwa | Internal Medicine | 5301 Mcauley Dr Ste 2119, Ypsilanti, MI 48197-1051 | 2006-09-20 |
| 1831186311 | Hospice At Home, Inc. | Internal Medicine | 4025 Health Park Lane, Saint Joseph, MI 49085 | 2005-09-30 |
| 1144878745 | Ascension St. Mary's Hospital | Internal Medicine | 4599 Towne Centre Rd, Saginaw, MI 48604-2804 | 2019-08-28 |
| 1033638077 | Northstar Palliative Care Inc | Internal Medicine | 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 | 2017-09-11 |
| 1457890618 | Tamber Townsend | Internal Medicine | 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 | 2017-02-20 |
| 1568900512 | Iha Health Services Corporation | Internal Medicine | 5301 Mcauley Dr, Suite 2199, Ypsilanti, MI 48197-1051 | 2017-02-09 |
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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.