WELLNESS MEDICAL P.C. D/B/A SOMERSET REGENERATIVE MEDICINE (NPI# 1396288031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396288031 |
Entity Type | Organization |
Organization Name | WELLNESS MEDICAL P.C. D/B/A SOMERSET REGENERATIVE MEDICINE |
Practice Address |
1080 Kirts Blvd Suite 700 Troy MI 48084-4881 |
Practice Telephone | 2483622300 |
Practice Fax Number | 2483625272 |
Mailing Telephone | 2483622300 |
Mailing Fax Number | 2483625272 |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-29 |
Authorized Official Name | DR. GIUSEPPE G PAESE (OWNER) |
Authorized Official Telephone | 2483622300 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
5101014513 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1080 KIRTS BLVD SUITE 700 |
City | TROY |
State | MI |
Zip Code | 48084-4881 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164414074 | Michael S Meininger Md PC | Surgery | 1080 Kirts Blvd, Suite 700, Troy, MI 48084-4881 | 2005-08-17 |
1750720801 | Andrew Todd Jones | Counselor | 1080 Kirts Blvd, Troy, MI 48084-4881 | 2013-06-21 |
1063769206 | Michelle Maree Murtagh-alexander | Counselor | 1080 Kirts Blvd, Suite 100, Troy, MI 48084-4881 | 2012-08-07 |
1760678635 | Pravin P Puri Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-24 |
1619163748 | Andrew K Gavagan Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-21 |
1548456668 | Michael J Busuito Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-21 |
1396868063 | Sharon Nell Rudy | Counselor | 1080 Kirts Blvd, Suite 100, Troy, MI 48084-4881 | 2007-04-09 |
1689711178 | Sharon Lee Scott | Counselor | 1080 Kirts Blvd, Troy, MI 48084-4881 | 2007-01-31 |
1619034865 | Zakaria & Zakaria PC | Pediatrics | 1080 Kirts Blvd, Suite #400, Troy, MI 48084-4881 | 2007-01-03 |
1205903325 | Anne M Joannidescarbajo | Pediatrics | 1080 Kirts Blvd, Suite# 400, Troy, MI 48084-4881 | 2006-11-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
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Taxonomy Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700419355 | Maranda Gabrielle Brown | Physical Medicine & Rehabilitation | 3230 Stadium Tower, Troy, AL 36081 | 2020-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326583170 | John Penley | Physical Medicine & Rehabilitation | 1630 Bogie Lake Rd, White Lake, MI 48383 | 2017-01-04 |
1043360720 | Matthew S Woodruff | Physical Medicine & Rehabilitation | 2364 Redbud Dr, Howell, MI 48855-6410 | 2007-01-12 |
1417004938 | Margaret K Frens | Physical Medicine & Rehabilitation | 494 W 17th St Unit 2, Holland, MI 49423-3437 | 2007-01-05 |
1760455513 | Sarah Bethany Mcdade | Physical Medicine & Rehabilitation | 27209 Lahser Rd, Suite 221, Southfield, MI 48034-8401 | 2006-02-10 |
1164072732 | Travis Kiser | Physical Medicine & Rehabilitation | 1720 Abbey Rd Ste A, East Lansing, MI 48823-6363 | 2019-09-16 |
1912409897 | Gary Kufel | Physical Medicine & Rehabilitation | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
1225539364 | Christopher James Hendrickson | Physical Medicine & Rehabilitation | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2018-02-23 |
1104337120 | Ivyrehab Michigan, LLC | Physical Medicine & Rehabilitation | 400 Rounds Dr, Fenton, MI 48430-1724 | 2017-10-17 |
1679092696 | Kraig Carpenter | Physical Medicine & Rehabilitation | 10809 S Saginaw St, Grand Blanc, MI 48439-7033 | 2017-09-11 |
1891166690 | Jenna Maki | Physical Medicine & Rehabilitation | 602 Michigan Ave, Holland, MI 49423-4918 | 2015-10-19 |
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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.