DR. RONALD BENJAMIN DALTON (NPI# 1366527673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366527673 |
| Entity Type | Individual |
| Full Name | DR. RONALD BENJAMIN DALTON |
| Credential | M.D. |
| Practice Address |
4909 E Outer Dr Detroit MI 48234-3446 |
| Mailing Address |
7700 2nd Ave Detroit MI 48202-2411 |
| Practice Telephone | 3133693955 |
| Practice Fax Number | 3133693933 |
| Mailing Telephone | 3132028660 |
| Mailing Fax Number | 3132028653 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301044503 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1888044 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851413 | Ronald Philip Dalton | Internal Medicine | 1300 W Ice Lake Rd, Iron River, MI 49935-8507 | 2005-06-16 |
| 1245350073 | Ronald Dalton | Physician Assistant | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2007-03-29 |
| Street Address |
4909 E OUTER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386684033 | The Wellness Plan Medical Centers | Pharmacy | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-06-08 |
| 1952832172 | Alexis Narlene Marquez | Pharmacist | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2017-03-21 |
| 1770933574 | Aurielle Marie Fanning | Family Medicine | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-06-13 |
| 1427416783 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-02-02 |
| 1093180044 | The Wellness Plan | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2015-12-02 |
| 1336526292 | Inga Monae Leverett | Nurse Practitioner | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2015-04-29 |
| 1669632816 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2008-06-11 |
| 1851478614 | Rhona A Fingal | Internal Medicine | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-11-01 |
| 1447337886 | Arathi Raman | Family Medicine | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| 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 |
|---|---|---|---|---|
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1235636408 | Healthy Kids Plc | Pediatrics | 18060 Conant St, Detroit, MI 48234-1628 | 2018-04-12 |
| 1841720539 | Krystal Yee-yun Chan-zlatopolsky | Pediatrics | 22201 Moross Rd Ste 80, Detroit, MI 48236-2166 | 2017-06-14 |
| 1508220062 | Marlisa Rose Wolf | Pediatrics | Children's Hospital of Mi - 3rd Fl, 3901 Beaubien, Detroit, MI 48201 | 2016-04-11 |
| 1821418419 | Christina Louise Santia | Pediatrics | Children's Hospital of Mi/ Spec Ctr, 3950 Beaubien Garden Level, Detroit, MI 48201 | 2014-04-22 |
| 1033537089 | Kimberly Lynn Herrmann | Pediatrics | Children's Hospital of Mi / Spec Ctr, 3950 Beaubien, Detroit, MI 48201 | 2014-04-06 |
| 1932540622 | Ramya Deepthi Billa | Pediatrics | 3901 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2013-07-10 |
| 1942646658 | Silpa Nadella | Pediatrics | 3950 Beaubien St Fl 4, Detroit, MI 48201-2166 | 2013-05-21 |
| 1770826984 | Lonetta L Postell | Pediatrics | 3031 W. Grand Blvd, 800, Detroit, MI 48202-2119 | 2013-04-05 |
| 1578806964 | Scott C Grant | Pediatrics | Chm/specialty Center, 3950 Beaubien 1st Fl, Detroit, MI 48201 | 2013-04-03 |
| Find all providers in DETROIT | ||||
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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.