WAYNE KIDNEY SPECIALIST PLC (NPI# 1447664289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447664289 |
| Entity Type | Organization |
| Organization Name | WAYNE KIDNEY SPECIALIST PLC |
| Practice Address |
20280 Middlebelt Rd Livonia MI 48152-2002 |
| Practice Telephone | 2489871270 |
| Mailing Telephone | 2489871270 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | DR. NEETU SHARMA (OWNER) |
| Authorized Official Telephone | 2489871270 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
20280 MIDDLEBELT RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377160 | Nabil Suliman | Internal Medicine | 20280 Middlebelt Rd, Ste 500, Livonia, MI 48152-2002 | 2006-02-27 |
| 1629541131 | Iman Fayak Ismail | Physician Assistant | 20280 Middlebelt Rd, Livonia, MI 48152-2002 | 2019-01-08 |
| 1376623736 | Premier Medicine PC | Family Medicine | 20280 Middlebelt Rd, Livonia, MI 48152-2002 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417068693 | Hypertension Nephrology Associates PC | Internal Medicine | 18302 Middlebelt Road, Livonia, MI 48152-5007 | 2006-08-31 |
| 1952393985 | Michael Thomas Keefe | Internal Medicine | 18302 Middlebelt Rd, Livonia, MI 48152-5007 | 2005-08-16 |
| 1417482993 | Mili Shah Md PC | Internal Medicine | 9216 Middlebelt Rd, Livonia, MI 48150-4036 | 2017-04-21 |
| 1154554749 | Kelly M Mercier | Internal Medicine | 18302 Middlebelt Rd, Livonia, MI 48152-5007 | 2009-08-28 |
| 1982826699 | Michael Salvatore Misuraca | Internal Medicine | 18302 Middlebelt Rd, Livonia, MI 48152-5007 | 2007-05-03 |
| 1467674895 | Khaled Mostafa Ismail | Internal Medicine | 18302 Middlebelt Rd, Livonia, MI 48152-5007 | 2007-05-03 |
| 1427105220 | Bassam N. Bashour | Internal Medicine | Henry Ford Health System, 29200 Schoolcraft, Livonia, MI 48150 | 2007-01-04 |
| 1083639942 | Talanki Viswanath | Internal Medicine | 15130 Levan Rd Ste 30, Livonia, MI 48154-5027 | 2006-07-13 |
| 1457345282 | Anthony Joseph Malcoun | Internal Medicine | 18302 Middlebelt Rd, Livonia, MI 48152-5007 | 2005-09-08 |
| 1447244280 | Crystal Renee Gardner-martin | Internal Medicine | 18302 Middlebelt Rd, Livonia, MI 48152-5007 | 2005-09-08 |
| Find all providers in LIVONIA | ||||
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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.