ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN PC (NPI# 1508886375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508886375 |
| Entity Type | Organization |
| Organization Name | ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN PC |
| Practice Address |
41100 Fox Run Novi MI 48377-4804 |
| Mailing Address |
5525 Research Park Dr 4th Floor Baltimore MD 21228-4664 |
| Practice Telephone | 2486688650 |
| Practice Fax Number | 2486688651 |
| Mailing Telephone | 4104022257 |
| Mailing Fax Number | 4104022264 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-06-17 |
| Authorized Official Name | DR. MATTHEW J NARRETT (PRESIDENT) |
| Authorized Official Telephone | 4104022257 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS MI | 1158217680 | 01 | |
| MI | 1508886375 | 05 | |
| BCBS OF MI | 0806365741 | 01 | |
| BCBS MI | 110H217280 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477573244 | Erickson Health Medical Group of Michigan PC | Family Medicine | 41100 Fox Run, Novi, MI 48377-4804 | 2006-07-21 |
| Street Address |
41100 FOX RUN |
| City | NOVI |
| State | MI |
| Zip Code | 48377-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508894908 | Janice Dorothy Locke | Nurse Practitioner | 41100 Fox Run, Novi, MI 48377-4804 | 2006-06-28 |
| 1194356444 | Manal Hider-hussein | Pharmacist | 41100 Fox Run, Novi, MI 48377-4804 | 2020-01-27 |
| 1407300726 | Madeline Razal | Registered Nurse | 41100 Fox Run, Novi, MI 48377-4804 | 2016-08-04 |
| 1104288026 | Jonne L Stephens | Nurse Practitioner | 41100 Fox Run, Novi, MI 48377 | 2016-03-22 |
| 1528387032 | Shabeta Sahore | Internal Medicine | 41100 Fox Run, Novi, MI 48377-4804 | 2010-05-24 |
| 1639491574 | Arbor Lane Pharmacy At Fox Run Inc. | Pharmacy | 41100 Fox Run, Novi, MI 48377-4804 | 2010-02-19 |
| 1942497011 | Katrina Elizabeth Dimango | Social Worker | 41100 Fox Run, Novi, MI 48377-4804 | 2007-10-02 |
| 1386852952 | Saigeetha Uthamarajan | Internal Medicine | 41100 Fox Run, Novi, MI 48377-4804 | 2007-05-18 |
| 1851442487 | Erickson Health Medical Group of Mi, PC | Durable Medical Equipment & Medical Supplies | 41100 Fox Run, Novi, MI 48377-4804 | 2007-01-12 |
| 1396852265 | Darlene Ann Doute | Nurse Practitioner | 41100 Fox Run, Novi, MI 48377-4804 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336625540 | Vmd Primary Providers Eastern Michigan, PC | Internal Medicine | 27275 Haggerty Rd Ste 500, Novi, MI 48377-3635 | 2018-07-11 |
| 1528453305 | Jalal Georges Najem | Internal Medicine | 44760 Huntington Dr, Novi, MI 48375-2220 | 2015-03-30 |
| 1558775700 | Justin Di Rezze | Internal Medicine | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2014-06-16 |
| 1265850242 | Arun Kapur | Internal Medicine | 26850 Providence Pkwy Ste 505, Novi, MI 48374-1267 | 2014-04-07 |
| 1710312798 | All Patients Care Pllc | Internal Medicine | 31208 Beck Rd, Novi, MI 48377-1022 | 2013-09-09 |
| 1982970448 | Raveen Singh Rai | Internal Medicine | Po Box 247, Novi, MI 48376-0247 | 2012-03-29 |
| 1134414212 | Comprehensive Medical Practice PC | Internal Medicine | 24609 Cavendish Ave E, Novi, MI 48375-2362 | 2011-06-16 |
| 1437468063 | Progressive Primary Care PC | Internal Medicine | 24559 Perceval Ln, Novi, MI 48375-2355 | 2010-09-30 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1053627570 | Mohammad Alhaji | Internal Medicine | 39475 Lewis Dr Ste 200, Novi, MI 48377-2980 | 2010-08-21 |
| Find all providers in NOVI | ||||
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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.