DR. LARA AZZI (NPI# 1457354953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457354953 |
Entity Type | Individual |
Full Name | DR. LARA AZZI |
Credential | MD |
Practice Address |
26850 Providence Pkwy Suite 455 Novi MI 48374-1213 |
Mailing Address |
362 Detroit Ave Royal Oak MI 48073-3644 |
Practice Telephone | 2484654847 |
Practice Fax Number | 2484654809 |
Mailing Telephone | 5869099878 |
Enumeration Date | 2005-05-27 |
Last Update Date | 2013-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 4301077738 | MI | Allopathic & Osteopathic Physicians |
Street Address |
26850 PROVIDENCE PKWY SUITE 455 |
City | NOVI |
State | MI |
Zip Code | 48374-1213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578096483 | Jordyn Havens | Counselor | 26850 Providence Pkwy, Ste 410, Novi, MI 48374-1213 | 2017-04-07 |
1740723659 | Carmela Wilder | Social Worker | 26850 Providence Pkwy, Suite 205, Novi, MI 48374-1213 | 2016-11-24 |
1518413210 | Adam Mcclafferty | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2016-09-01 |
1336591973 | Jessica Wentworth | Nurse Practitioner | 26850 Providence Pkwy, Novi, MI 48374-1213 | 2016-07-07 |
1407233745 | Kha H. Ngo, D.o., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Ste 350, Novi, MI 48374-1213 | 2015-05-06 |
1629455423 | Serge A. Sorser, M.d., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Suite 350, Novi, MI 48374-1213 | 2015-04-30 |
1487052619 | Providence Park Internal Medicine PC | Internal Medicine | 26850 Providence Pkwy, Suite 450, Novi, MI 48374-1213 | 2014-12-22 |
1598161564 | Paul James Constantino | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2014-11-18 |
1306269436 | Northwest Eye Physicians, P.C. | Eyewear Supplier (Equipment, not the service) | 26850 Providence Pkwy, Suite 440, Novi, MI 48374-1213 | 2014-01-24 |
1306274493 | Elana Bodzin | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2013-10-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
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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 |
---|---|---|---|---|
1255750683 | Angelika Rector | Pediatrics | 44070 W 12 Mile Rd Ste 100, Novi, MI 48377-2648 | 2014-04-14 |
1215093778 | Preeti Venkataraman | Pediatrics | 50002 Streamwood Dr, Novi, MI 48374-2148 | 2006-12-29 |
1417055229 | Jeffrey Lee Dembs | Pediatrics | 41935 W Twelve Mile Road, Suite 102, Novi, MI 48377-3111 | 2006-09-20 |
1265478788 | Maruthavanan Ram | Pediatrics | 26850 Providence Pkwy Ste 455, Novi, MI 48374-1265 | 2006-06-22 |
1639132541 | Srilakshmi Pinnamaraju | Pediatrics | 26850 Providence Pkwy Ste 320, Novi, MI 48374-1259 | 2006-04-11 |
1568439669 | Seth H Forman | Pediatrics | 46325 W 12 Mile Rd Ste 240, Novi, MI 48377-2462 | 2006-03-07 |
1497735542 | Badie M Najem | Pediatrics | 26850 Providence Pkwy Ste 300, Novi, MI 48374-1259 | 2006-01-17 |
1770073819 | Najem Md Plc | Pediatrics | 26850 Providence Pkwy Ste 300, Novi, MI 48374-1259 | 2018-05-15 |
1740770015 | Najem Md Plc | Pediatrics | 26850 Providence Pkwy Ste 300, Novi, MI 48374-1259 | 2018-05-13 |
1245679919 | Caroline Reed Meldrum | Pediatrics | 26850 Providence Pkwy, Suite 455, Novi, MI 48374-1213 | 2013-06-17 |
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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.