OKTAI MAMEDOV (NPI# 1518152347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518152347 |
| Entity Type | Individual |
| Full Name | OKTAI MAMEDOV |
| Credential | M.D. |
| Practice Address |
3515 Coolidge Rd Unit A East Lansing MI 48823-8014 |
| Mailing Address |
Po Box 107 Haslett MI 48840-0107 |
| Practice Telephone | 5177556888 |
| Practice Fax Number | 8885013585 |
| Mailing Telephone | 4432481877 |
| Mailing Fax Number | 8885013585 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2016-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
4301096000 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1518152347 | 05 | |
| MI | BC OF MICHIGAN, ALL PRODUCTS | 1518152347 | 01 |
| Street Address |
3515 COOLIDGE RD UNIT A |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011301 | Gary R. Hubbard | Dentist | 3515 Coolidge Rd, Suite C, East Lansing, MI 48823-8014 | 2005-05-31 |
| 1720336696 | Gary R Hubbard Dds PC | Durable Medical Equipment & Medical Supplies | 3515 Coolidge Rd, Suite C, East Lansing, MI 48823-8014 | 2012-08-26 |
| 1518011360 | Total Vein Care Clinic, P.C. | Surgery | 3515 Coolidge Rd, Ste B, East Lansing, MI 48823 | 2007-01-22 |
| 1699714766 | Gregory Hall Landis | Surgery | 3515 Coolidge Rd, Ste B, East Lansing, MI 48823-8014 | 2006-06-05 |
| 1194770347 | Janine Kohler | Family Medicine | 3515 Coolidge Rd, Suite 4, East Lansing, MI 48823-8014 | 2006-05-24 |
| 1073577490 | Julie G Thomas-beckett | Nurse Practitioner | 3515 Coolidge Rd, Suite 4, East Lansing, MI 48823-8014 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457739534 | Comprehensive Sleep Diagnostics | Internal Medicine | 3515 Coolidge Rd Ste A, East Lansing, MI 48823-8014 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796913 | Internal Medicine Sleep Associates Pllc | Internal Medicine | 7300 Deep Run, Bloomfield Hills, MI 48301-3821 | 2018-10-19 |
| 1588078901 | Aairs Diagnostics PC | Internal Medicine | 1500 W. Big Beaver, Ste 107, Troy, MI 48084 | 2014-06-13 |
| 1184042723 | Harrison M Gimbel | Internal Medicine | 1500 E Medical Center Dr Spc 5316, Ann Arbor, MI 48109 | 2014-04-01 |
| 1295906741 | Great Lakes Sleep Medicine Institute Plc | Internal Medicine | 3058 Metropolitan Parkway, Suite 108, Sterling Heights, MI 48310 | 2008-03-12 |
| 1124220140 | Todd C Gould Do Oc | Internal Medicine | 305 Barclay Cir, Suite 1000, Rochester Hills, MI 48307-4572 | 2007-06-01 |
| 1306969944 | Ruth Darcel Barnett | Internal Medicine | 15121 W Mcnichols Rd, Detroit, MI 48235-3716 | 2007-04-09 |
| 1255455887 | Margaret Moen Md Pllc | Internal Medicine | 457 Munson Ave, Traverse City, MI 49686-3084 | 2007-03-19 |
| 1578634440 | Sleep Apnea Specialty Centers Of | Internal Medicine | 42180 Ford Rd, Suite 201, Canton, MI 48187-3673 | 2006-11-13 |
| 1801966080 | Sleep Apnea Specialty Center | Internal Medicine | 14031 Pennsylvania Rd, Suite A, Riverview, MI 48193-7508 | 2006-11-08 |
| 1760476048 | John Harmon Morrison Jr. | Internal Medicine | 10641 Castlewood Dr, White Lake, MI 48386-3724 | 2005-09-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.