BETH H. REVARD (NPI# 1396025821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396025821 |
| Entity Type | Individual |
| Full Name | BETH H. REVARD |
| Credential | RT |
| Practice Address |
38878 Polo Club Dr Apt #102 Farmington Hills MI 48335-5612 |
| Practice Telephone | 2487903920 |
| Mailing Telephone | 2487903920 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
186511 | MI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
38878 POLO CLUB DR APT #102 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48335-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374928 | Truth Home Healthcare | Home Health | 39248 Polo Club Dr. Apt 104, Farmington Hills, MI 48335 | 2019-06-13 |
| 1023677424 | Ashly Cyriac | Optometrist | 21625 Green Hill Rd, Farmington Hills, MI 48335 | 2019-06-10 |
| 1326531419 | Roslee Urey Sole Mbr | Home Infusion | 22934 Buckingham Dr., Farmington Hills, MI 48335 | 2018-06-13 |
| 1063920981 | Pioneer Pharmacy Services LLC | Pharmacy | 24615-24617 Halsted Rd, Farmington Hills, MI 48335 | 2018-01-12 |
| 1548702764 | Nimerdeep K Brar | Dentist | 35745 N Grandview Ct, #30101, Farmington Hills, MI 48335 | 2016-11-07 |
| 1225489784 | Marc Peter Goulet | Emergency Medicine | 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335 | 2016-06-27 |
| 1649693284 | Farmington Family Dental Pllc | Dentist | 34405 Grand River, Farmington, MI 48335 | 2014-02-03 |
| 1912283565 | Silva Dilliwal | Physical Therapist | 24100 Drake Rd Suite B, Therapy Unlimited, Farmington, MI 48335 | 2011-10-27 |
| 1952554040 | Aaron Michael Shepherd | Psychologist | 38345 West 10 Mile Road Suite 150, Farmington, MI 48335 | 2008-11-03 |
| 1619155298 | Ksa Consulting LLC | Home Health | 37000 Grand River Ave, Suite 370, Farmington Hills, MI 48335 | 2008-02-05 |
| Find all providers in zip 48335 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003196254 | Keith Alan Crittenden Sr. | Radiologic Technologist | 2404 Husak Rd, Standish, MI 48658-9123 | 2011-08-19 |
| 1992850226 | Chad Jason Eschliman | Radiologic Technologist | 33285 Spoonbill Ave, Brownstown, MI 48173 | 2007-01-25 |
| City | FARMINGTON HILLS |
| Zip Code | 48335 |
Please comment or provide details below to improve the information on BETH H. REVARD.
| 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.