DR. DEVIN T MISTRY (NPI# 1508129123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508129123 |
| Entity Type | Individual |
| Full Name | DR. DEVIN T MISTRY |
| Credential | DO |
| Practice Address |
1555 44th St Sw Wyoming MI 49509 |
| Practice Telephone | 6162527200 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 5101020040 | MI | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
5101020040 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1555 44TH ST SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821901 | Thomas W Pfennig | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2006-04-19 |
| 1639783269 | Danielle Ann Northrup | Audiologist | 1555 44th St Sw, Wyoming, MI 49509-4313 | 2020-09-01 |
| 1053795252 | Karen Renee Michaud | Audiologist | 1555 44th St Sw, Wyoming, MI 49509 | 2015-07-17 |
| 1306224308 | Steven Cox | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4313 | 2015-05-11 |
| 1598195463 | Joni Voss | Audiologist | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2013-11-13 |
| 1043531585 | Susanna Love Callaway | Audiologist | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2010-06-18 |
| 1760647564 | Megan Brinkman | Audiologist | 1555 44th St Sw, Suite 200, Wyoming, MI 49509-4395 | 2008-07-22 |
| 1962626671 | Gregory James Artz | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4313 | 2007-04-12 |
| 1952427585 | Joseph Charles Taylor | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2007-03-22 |
| 1619932654 | Robert J Meleca | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2006-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620713 | Lindsay Kayann Ottowitz | Behavior Technician | 1428 44th St. Sw, Wyoming, MI 49509 | 2020-08-23 |
| 1750990016 | Lindsay Alexandra Lyszczarz | Behavior Technician | 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 | 2020-07-23 |
| 1033690409 | Courtney M Garner | Behavior Technician | 1428 44th Street, Wyoming, MI 49509 | 2018-08-23 |
| 1457857195 | Ashley Mae Autio | Case Manager/Care Coordinator | 795 36th Street, Wyoming, MI 49509 | 2018-04-02 |
| 1689124588 | Jacqeulyn Harmon | Behavioral Analyst | 2819 Peckheath Rd Sw Apt D, Wyoming, MI 49509 | 2016-10-04 |
| 1275988925 | Intsar Abdulahe | Social Worker | 1551 Charles Russell, Wyoming, MI 49509 | 2016-05-02 |
| 1992160071 | Concierge Home Care Services of West Michigan, LLC | Home Infusion | 1360 56th Street Sw, Wyoming, MI 49509 | 2015-12-16 |
| 1417349796 | Yashana Duncan | Case Manager/Care Coordinator | 225 Colrain St. Sw, Suite 2, Wyoming, MI 49509 | 2015-02-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| 1366882755 | Kevin Timothy Solt | Dentist | 1535 44th St Sw Ste 200, Wyoming, MI 49509 | 2013-06-28 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821901 | Thomas W Pfennig | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2006-04-19 |
| 1306224308 | Steven Cox | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4313 | 2015-05-11 |
| 1902245194 | Erin Marie Kevern | Otolaryngology | 5900 Byron Center Ave Sw, Metro Health Hospital, Wyoming, MI 49519 | 2013-06-20 |
| 1063639870 | Thomas W Pfennig Do | Otolaryngology | 1555 - 44th Street Sw, Wyoming, MI 49509 | 2007-04-20 |
| 1962626671 | Gregory James Artz | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4313 | 2007-04-12 |
| 1952427585 | Joseph Charles Taylor | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2007-03-22 |
| 1619932654 | Robert J Meleca | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2006-04-20 |
| 1023073053 | Claudell Cox | Otolaryngology | 1555 44th St Sw, Wyoming, MI 49509-4395 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
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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.