JOHN PISPIDIKIS (NPI# 1497708200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497708200 |
| Entity Type | Individual |
| Full Name | JOHN PISPIDIKIS |
| Credential | NP-C, DC, DACNB |
| Practice Address |
2243 E 12 Mile Rd Warren MI 48092-5644 |
| Practice Telephone | 2147171859 |
| Practice Fax Number | 5865738100 |
| Mailing Telephone | 2147171859 |
| Mailing Fax Number | 5865738100 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC8263 | TX | Chiropractic Providers |
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
2301009328 | MI | Chiropractic Providers |
| Y | 363L00000X | Nurse Practitioner | 4704287416 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8M8882 | 01 |
| TX | BCBS | 8R1720 | 01 |
| TX | 002102403 | 05 | |
| TX | BCBS | 8P2242 | 01 |
| TX | BCBS | 8P5600 | 01 |
| Street Address |
2243 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160622 | Jacob L'hote | Massage Therapist | 2243 E 12 Mile Rd, Warren, MI 48092-5644 | 2018-07-13 |
| 1609237114 | Hina Arunkumar Shah | Physical Therapist | 2243 E 12 Mile Rd, Warren, MI 48092-5644 | 2016-03-10 |
| 1679986814 | Medcare, Inc | Nurse Practitioner | 2243 E 12 Mile Rd, Warren, MI 48092-5644 | 2014-06-05 |
| 1255604344 | Thirupathi Reddy Allala | Physical Therapist | 2243 E 12 Mile Rd, Warren, MI 48092-5644 | 2012-02-20 |
| 1265713242 | Medcare Inc | Anesthesiology | 2243 E 12 Mile Rd, Warren, MI 48092-5644 | 2011-09-02 |
| 1306130760 | Laura Ann Montalto | Massage Therapist | 2243 E 12 Mile Rd, Warren, MI 48092-5644 | 2011-06-02 |
| 1841446978 | Tobi Ann Greenspan | Clinic/Center | 2243 E 12 Mile Rd, Warren, MI 48092-5644 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514926 | Brittany Mazejko | Nurse Practitioner | 1745 Niles Cortland Rd Ne, Warren, OH 44484-6046 | 2019-08-20 |
| 1699276295 | Sabrina Vitale | Nurse Practitioner | 32318 Dover Ave, Warren, MI 48088-6903 | 2018-02-28 |
| 1417313727 | Mai Shoua Xiong | Nurse Practitioner | 11800 East 12 Mile Road, Warren, MI 48093 | 2016-01-04 |
| 1023485638 | Rowena Callo Teodoro | Nurse Practitioner | 27560 Hoover Rd., Warren, MI 48093 | 2015-08-31 |
| 1598173056 | Whitney J. Shafer | Nurse Practitioner | 470 Bennett Dr, Warren, IN 46792 | 2014-07-29 |
| 1508130097 | Psych Solutions Inc. | Nurse Practitioner | 2189 Stillwagon Rd Se, Warren, OH 44484-3169 | 2012-02-29 |
| 1255531489 | Jill M Gorton | Nurse Practitioner | 2817 Market St, Warren, PA 16365-5205 | 2007-07-25 |
| 1902953763 | Julie M Towery | Nurse Practitioner | 824 Huntington Ave # In, Warren, IN 46792-9402 | 2007-01-04 |
| 1831290295 | Melissa D Shene | Nurse Practitioner | 418 Pennsylvania Ave E, Warren, PA 16365-2775 | 2006-09-26 |
| 1699771139 | Kamie Dee Repine | Nurse Practitioner | 2 Crescent Park West, Warren Faculty Specialists, Warren, PA 16365-2111 | 2005-06-21 |
| Find all providers in WARREN | ||||
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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.