DR. JUSTIN DI REZZE (NPI# 1558775700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558775700 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN DI REZZE |
| Practice Address |
41850 W 11 Mile Rd Ste 207 Novi MI 48375-1820 |
| Practice Telephone | 2488604634 |
| Practice Fax Number | 2482825044 |
| Mailing Telephone | 2488604634 |
| Mailing Fax Number | 2482825044 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301105658 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
41850 W 11 MILE RD STE 207 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710598461 | Ann Marie Quinlan | Nurse Practitioner | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2020-08-14 |
| 1811529621 | Taylor Wood | Physician Assistant | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2020-02-10 |
| 1427688746 | Kristina Renee Jennings | Physician Assistant | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2020-01-26 |
| 1811545874 | Emilyjo Rena Courterier | Nurse Practitioner | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2019-09-03 |
| 1609362375 | Theoria Medical | Internal Medicine | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2018-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| 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 |
| 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 |
| 1710298609 | Ekundayo Emmanuel Bolaji | Internal Medicine | 22867 Picnic Ct, Novi, MI 48375-4580 | 2010-06-25 |
| 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.