ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC (NPI# 1568533768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568533768 |
| Entity Type | Organization |
| Organization Name | ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC |
| Practice Address |
37650 Professional Center Dr Suite 100a Livonia MI 48154-1197 |
| Practice Telephone | 7344621940 |
| Practice Fax Number | 7344621960 |
| Mailing Telephone | 7344621940 |
| Mailing Fax Number | 7344621960 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JACQUELINE FABELLO-GAMIAO (OWNER) |
| Authorized Official Telephone | 7344621940 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301060039 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
37650 PROFESSIONAL CENTER DR SUITE 100A |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514873 | Subburaman Sivakumar | Internal Medicine | 37650 Professional Center Dr, Ste 1010a, Livonia, MI 48154-1197 | 2005-08-03 |
| 1174916225 | Sivakumar Medical Group | Skilled Nursing Facility | 37650 Professional Center Dr, Livonia, MI 48154-1197 | 2015-03-13 |
| 1194024364 | Salim A Hamadeh | Internal Medicine | 37650 Professional Center Dr, Suite 1010a, Livonia, MI 48154-1197 | 2011-03-27 |
| 1750699716 | Meghan Kathleen Malley | Physical Therapist | 37650 Professional Center Dr, Suite 105a, Livonia, MI 48154-1197 | 2010-09-23 |
| 1750608345 | Jacqueline Fabello-gamiao Md PC | Internal Medicine | 37650 Professional Center Dr, Stuite 100a, Livonia, MI 48154-1197 | 2010-04-23 |
| 1124258330 | Timothy Victor Moxie | Physical Therapist | 37650 Professional Center Dr, Suite 105a, Livonia, MI 48154-1197 | 2009-07-22 |
| 1902036114 | Matthew C. Drake | Specialist/Technologist | 37650 Professional Center Dr, Suite 105a, Livonia, MI 48154-1197 | 2009-07-22 |
| 1891904405 | Avanti Home Health Care Pllc | Home Health | 37650 Professional Center Dr, Ste 145-a, Livonia, MI 48154-1197 | 2007-05-21 |
| 1659498756 | Gwen M Dani | Physical Therapist | 37650 Professional Center Dr, Suite 105a, Livonia, MI 48152 | 2007-03-23 |
| 1508955709 | Attractive Eyewear Inc | Technician/Technologist | 37650 Professional Center Dr, 125 A, Livonia, MI 48154-1139 | 2006-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1871687061 | George J Leach | Internal Medicine | 20270 Middlebelt Rd, Suite 10, Livonia, MI 48152-2000 | 2006-10-03 |
| 1073565214 | Bassem Jamil Basha | Internal Medicine | 15144 Levan Rd, Suite 44, Livonia, MI 48154-5027 | 2006-05-16 |
| 1598028334 | George J Leach D O P C | Internal Medicine | 20270 Middlebelt Rd, Suite 10, Livonia, MI 48152-2000 | 2012-06-18 |
| 1750608345 | Jacqueline Fabello-gamiao Md PC | Internal Medicine | 37650 Professional Center Dr, Stuite 100a, Livonia, MI 48154-1197 | 2010-04-23 |
| 1174792600 | Mohammad Batayneh M.d. P.C. | Internal Medicine | 32472 Schoolcraft Rd, Livonia, MI 48150-4309 | 2008-02-28 |
| 1144208232 | Jacqueline F Fabello-gamiao | Internal Medicine | 37650 Professional Center Dr, Suite 100a, Livonia, MI 48154-1197 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866172 | Grace Endocrine Services Pllc | Internal Medicine | 38864 Hilldale St, Clinton Township, MI 48036-2561 | 2018-10-13 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1003184748 | Khachorndej Vibhasiri | Internal Medicine | 732 Brookwood Walke, Bloomfield Hills, MI 48304-1900 | 2011-12-08 |
| 1427345065 | Ali Alexandru Achira | Internal Medicine | 4700 Greenfield Rd Ste 2c, Dearborn, MI 48126-4124 | 2011-07-04 |
| 1689979569 | Alzohaili Medical Consultants Md PC | Internal Medicine | 5250 Auto Club Dr Ste 200, Dearborn, MI 48126-2619 | 2011-01-24 |
| 1528377082 | Randall Whitcomb | Internal Medicine | 1527 High Hollow Dr, Ann Arbor, MI 48103-9621 | 2010-10-01 |
| 1639400799 | Kp Anandakrishnan Md PC | Internal Medicine | 5189 Venoy Rd, Wayne, MI 48184-2545 | 2010-01-28 |
| 1194962530 | Richard Michael Mortensen | Internal Medicine | 1301 Catherine St, 7641 Medical Sciences II, Ann Arbor, MI 48109-2026 | 2009-01-07 |
| 1235319872 | Endocrine Hospital Consultants, P.C. | Internal Medicine | 4782 Trailview, West Bloomfield, MI 48322-4572 | 2007-11-12 |
| 1174719025 | Center for Preventive Medicine PC | Internal Medicine | 20870 Mack Ave, Grosse Pointe Woods, MI 48236-1388 | 2007-09-24 |
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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.