PROFESSIONAL EMERGENCY CARE, P.C. (NPI# 1578568036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578568036 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL EMERGENCY CARE, P.C. |
| Practice Address |
18101 Oakwood Blvd Emergency Medicine Department Dearborn MI 48124-4089 |
| Mailing Address |
38935 Ann Arbor Rd Livonia MI 48150-3354 |
| Practice Telephone | 3135938780 |
| Practice Fax Number | 8888618740 |
| Mailing Telephone | 7346320175 |
| Mailing Fax Number | 8888618740 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | JOHN BAUER (CMO) |
| Authorized Official Telephone | 7346320175 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MI | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | MI | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207P00000X | Emergency Medicine | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 700E014610 | 01 | |
| MI | 1578568036 | 05 | |
| MI | RAILROAD MEDICARE | CC0535 | 01 |
| BCBS | 700D410740 | 01 | |
| MI | BCBSMI | 010Q262940 | 01 |
| Street Address |
18101 OAKWOOD BLVD EMERGENCY MEDICINE DEPARTMENT |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1528665577 | Nadia Farhat | General Acute Care Hospital | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1992302053 | Sara Marquardt | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1790382869 | Jennifer Anne Rotter | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1184230054 | Ashley Stoeckle | Clinical Nurse Specialist | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-09-16 |
| 1841802584 | Lamise Mohana | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-08-22 |
| 1629687058 | Samantha Ross | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-31 |
| 1114535499 | Lauren E Krall | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
| 1649888959 | Layale Makki | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
| 1376160960 | Ahmed Abdelrahim | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1164785325 | Wasfeh Musheinesh | Emergency Medicine | 13846 Wellesley St, Dearborn, MI 48126 | 2012-06-21 |
| 1639307408 | Richard Garrett Hanzel | Emergency Medicine | 1557 Venice St, Dearborn, MI 48124-4063 | 2009-06-30 |
| 1366479040 | Richard Cieslak | Emergency Medicine | 19401 Hubbard Drive, Suite 207 Henry Ford Health System, Dearborn, MI 48126 | 2006-06-27 |
| 1316906142 | Ali Hassan | Emergency Medicine | 23455 Michigan Ave, Dearborn, MI 48124-1908 | 2006-03-21 |
| 1508844200 | Joyce M Blazejewski | Emergency Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-01-04 |
| 1528417573 | Khalil Mroue | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-06-10 |
| 1528416211 | Jaber Ali Abdo | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-06-02 |
| 1669854659 | Daniel John Deweert | Emergency Medicine | 19401 Hubbard Dr, Dearborn, MI 48126 | 2015-06-25 |
| 1962884122 | Mark Shievitz | Emergency Medicine | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2015-06-24 |
| Find all providers in DEARBORN | ||||
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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.