MEDICAL MANAGEMENT SUPPORT SERVICES INC (NPI# 1487841367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487841367 |
| Entity Type | Organization |
| Organization Name | MEDICAL MANAGEMENT SUPPORT SERVICES INC |
| Practice Address |
29829 Telegraph Rd Suite 202 Southfield MI 48034-1330 |
| Practice Telephone | 2483570242 |
| Practice Fax Number | 2483570314 |
| Mailing Telephone | 2483570242 |
| Mailing Fax Number | 2483570314 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |
| Authorized Official Name | MR. CLARENCE O DIXON (PRACTICE MANAGER) |
| Authorized Official Telephone | 2487460882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
29829 TELEGRAPH RD SUITE 202 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192640 | Won B Chae | Radiology | 29829 Telegraph Rd, Ste L103, Southfield, MI 48034-1376 | 2005-05-24 |
| 1922361989 | Olga B Dolgikh | Physician Assistant | 29829 Telegraph Rd, Suite 107, Southfield, MI 48034-1330 | 2012-06-24 |
| 1942459805 | Kidney Specialists of Michigan | Internal Medicine | 29829 Telegraph Rd, Ste 202, Southfield, MI 48034-1330 | 2008-09-16 |
| 1427229368 | Elizabeth Mae Mikulec | Dietitian, Registered | 29829 Telegraph Rd, Suite 100, Southfield, MI 48034-1330 | 2008-03-19 |
| 1316115074 | Wilson Florendo | Technician, Other | 29829 Telegraph Rd, Suite 100, Southfield, MI 48034-1330 | 2008-02-15 |
| 1801087085 | Joseph Ray Nemeth | Dentist | 29829 Telegraph Rd, Ste 111, Southfield, MI 48034-1330 | 2007-08-05 |
| 1013126374 | Laina Feinstein Md PC | Family Medicine | 29829 Telegraph Rd, Suite 107, Southfield, MI 48034-1330 | 2007-05-22 |
| 1912114232 | Lodia A Runco | Occupational Therapist | 29829 Telegraph Rd, Suite 201, Southfield, MI 48034-1330 | 2007-05-17 |
| 1538375985 | Amar Katranji | Dentist | 29829 Telegraph Rd, Ste 111, Southfield, MI 48034-1330 | 2007-05-15 |
| 1023223955 | Herbert Weisenthal, D.o., P.l.l.c. | Radiology | 29829 Telegraph Rd, Suite L-102, Southfield, MI 48034-1330 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487832895 | Rachelle Bigras | Radiologic Technologist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-02-07 |
| 1992983951 | Rochelle Shipway | Radiologic Technologist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-02-01 |
| 1700064763 | Terresa Jeanette Pauline Hecox | Radiologic Technologist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-02-01 |
| 1730366840 | Dale Michael Miller | Radiologic Technologist | 27207 Lahser Rd, Ste 200b, Southfield, MI 48034-2168 | 2008-01-31 |
| 1376720490 | Kristin Noel Baxman | Radiologic Technologist | 27207 Lahser Rd, Ste 200b, Southfield, MI 48034-2168 | 2008-01-31 |
| 1700066990 | Centrum Diagnostics LLC | Radiologic Technologist | 24901 Northwestern Hwy, Suite 205, Southfield, MI 48075-2203 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831440593 | Donald Gene Graham | Radiologic Technologist | 2751 Woodlake Rd Sw Apt 2, Wyoming, MI 49519-4653 | 2012-09-20 |
| 1275864464 | Robin Edward Feringa | Radiologic Technologist | 76181 33rd St, Lawton, MI 49065-9343 | 2010-01-27 |
| 1659592350 | Christine Mcneil | Radiologic Technologist | 7852 Rockcress Dr, Freeland, MI 48623-8431 | 2007-05-01 |
| 1063802270 | Veliisha Brown | Radiologic Technologist | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2015-01-26 |
| 1295125409 | Brad Kalleberg | Radiologic Technologist | 38777 6 Mile Rd, Livonia, MI 48152-2694 | 2015-01-26 |
| 1457740631 | Brittney Roach | Radiologic Technologist | 38777 6 Mile Rd, #209, Livonia, MI 48152-2694 | 2015-01-12 |
| 1356741946 | Skin Cancer Treatment Center of Michigan | Radiologic Technologist | 2246 N Monroe St, Ste 3, Monroe, MI 48162-4254 | 2014-09-02 |
| 1487091997 | Jason Wayne Jones | Radiologic Technologist | 205 N East Ave, Jackson, MI 49201-1753 | 2013-05-24 |
| 1841522141 | Michigan Visiting Physicians | Radiologic Technologist | 6240 Rashelle Dr, Suite 103, Flint, MI 48507-3934 | 2010-02-11 |
| 1154506335 | William Odell Hughes Jr. | Radiologic Technologist | 504 Main St, Suite J, Belleville, MI 48111-5600 | 2008-01-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.