MR. JUSTIN NIPPERT (NPI# 1396106183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396106183 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN NIPPERT |
| Practice Address |
2333 Biddle Avenue Wyandotte MI 48192 |
| Practice Telephone | 7342879029 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5315075227 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2333 BIDDLE AVENUE |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386609444 | Nanjappa C Sadasivan | Radiology | 2333 Biddle Avenue, Wyandotte, MI 48192 | 2006-04-19 |
| 1619408051 | Danielle Hunt Ortega | Family Medicine | 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-27 |
| 1093182883 | Henry Ford Wyandotte Hospital | Pharmacy | 2333 Biddle Avenue, Wyandotte, MI 48192-0000 | 2015-08-27 |
| 1366832511 | Henry Ford Health System | Clinic/Center | 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2015-01-27 |
| 1831501808 | Shontaya Carrico | Clinical Nurse Specialist | 2333 Biddle Avenue, Wyandotte, MI 48192 | 2014-05-27 |
| 1750729281 | Michelle M. Fundaro | Social Worker | 2333 Biddle Avenue, Behavioral Services, Wyandotte, MI 48192 | 2013-06-06 |
| 1659441590 | Lori Jean Stoddart | Occupational Therapist | 2333 Biddle Avenue, Wyandotte, MI 48192-4693 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1679964464 | Laura Garcia | Emergency Medicine | 233 Biddle Ave, Wyandotte, MI 48192-2514 | 2015-02-15 |
| 1720281280 | Benjamin David Gold | Emergency Medicine | Henry Ford Wyandotte Hospital 2333 Biddle Ave, Wyandotte, MI 48192 | 2007-06-11 |
| 1114547429 | Elizabeth Ann Miller | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-17 |
| 1548889108 | Harini Vijay | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-14 |
| 1346879244 | Zachary Ryan Mauro | Emergency Medicine | 2333 Biddle Ave, Medical Education Department, Wyandotte, MI 48192 | 2020-04-03 |
| 1730717307 | Zoe M Kaps | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-03-30 |
| 1366070864 | Han Yu | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-03-30 |
| Find all providers in WYANDOTTE | ||||
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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.