BARAK TANZMAN (NPI# 1457539116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457539116 |
Entity Type | Individual |
Full Name | BARAK TANZMAN |
Credential | D.O. |
Practice Address |
27901 Woodward Ave Suite 100 Berkley MI 48072-0919 |
Practice Telephone | 2487992880 |
Practice Fax Number | 2484143959 |
Mailing Telephone | 2487992880 |
Mailing Fax Number | 2484143959 |
Enumeration Date | 2008-02-05 |
Last Update Date | 2010-12-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
5011017709 | MI | Allopathic & Osteopathic Physicians |
Street Address |
27901 WOODWARD AVE SUITE 100 |
City | BERKLEY |
State | MI |
Zip Code | 48072-0919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225015191 | Jeffrey C Kalt | Ophthalmology | 27901 Woodward Ave, Ste 200, Berkley, MI 48072 | 2005-12-30 |
1508239104 | Abdulgadir Adam Md Pllc | Internal Medicine | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2015-11-04 |
1316319262 | Sanjay Dogra Md Pllc | Internal Medicine | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2015-10-30 |
1689075020 | Chanta L. Stanley | Registered Nurse | 27901 Woodward Ave, 300, Berkley, MI 48072-0919 | 2014-09-04 |
1093083743 | Lauren Elissa Taboh | Registered Nurse | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2011-12-08 |
1487936456 | Tanya S Postwaite | Physician Assistant | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0919 | 2011-09-15 |
1790981413 | Chau Plastic Surgery PC | Plastic Surgery | 27901 Woodward Ave, Suite 100, Berkley, MI 48072-0919 | 2007-06-21 |
1982818738 | David M Nori | Internal Medicine | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0919 | 2007-05-10 |
1184837890 | Dr Richard L Grant P L C | Podiatrist | 27901 Woodward Ave, Suite 110, Berkley, MI 48072-0919 | 2007-05-08 |
1033238936 | Kenneth Jackson | Physician Assistant | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0919 | 2007-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
Find all providers in zip 48072 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
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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.