S.P.O.R.T. PHYSICIANS, P.C. (NPI# 1588722649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588722649 |
| Entity Type | Organization |
| Organization Name | S.P.O.R.T. PHYSICIANS, P.C. |
| Practice Address |
1950 E Wattles Rd Suite 110 Troy MI 48085-5099 |
| Practice Telephone | 2485280050 |
| Practice Fax Number | 2485280909 |
| Mailing Telephone | 2485280050 |
| Mailing Fax Number | 2485280909 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | MS. JOYCE HOEY (OFFICE MANAGER) |
| Authorized Official Telephone | 2485280050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 4301406072 | MI | Other Service Providers |
| Y | 174400000X | Specialist | 4301046108 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MICHIGAN | 250F312460 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SPORTS & ENTERTAINMENT PHYSICIANS, P.C. | 188 Northrop Street, Bridgewater, Ct 06752 |
| Connecticut Business Registrations | SPORTS & ENTERTAINMENT PHYSICIANS, P.C. | 188 Northrop Street, Bridgewater, CT 06752 |
| Street Address |
1950 E WATTLES RD SUITE 110 |
| City | TROY |
| State | MI |
| Zip Code | 48085-5099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982804 | Matthew Lavigne Mcgee | Physical Medicine & Rehabilitation | 1950 E Wattles Rd, Suite 110, Troy, MI 48085-5099 | 2005-09-15 |
| 1225566250 | Tracy Picmann | Nurse Practitioner | 1950 E Wattles Rd, Troy, MI 48085-5099 | 2017-06-04 |
| 1427425420 | Shirlene Morgan | Nurse Practitioner | 1950 E Wattles Rd, Troy, MI 48085-5099 | 2015-08-25 |
| 1639422462 | Mark Zohoury | Internal Medicine | 1950 E Wattles Rd, Ste 101, Troy, MI 48085-5099 | 2012-10-17 |
| 1780987156 | Lourin Chahin Md Pllc | Internal Medicine | 1950 E Wattles Rd, Suite 101, Troy, MI 48085-5099 | 2010-12-07 |
| 1124265707 | Premier Care Physical Therapy, P.C. | Physical Therapist | 1950 E Wattles Rd, Suite 108, Troy, MI 48085-5099 | 2009-01-19 |
| 1841370947 | Ophthalmic Consultants of Michigan P.C. | Ophthalmology | 1950 E Wattles Rd, Suite 102, Troy, MI 48085-5099 | 2006-10-16 |
| 1053401281 | Anil U Swami | Ophthalmology | 1950 E Wattles Rd, Suite 102, Troy, MI 48085-5099 | 2006-10-16 |
| 1174530232 | Mark R Zohoury | Internal Medicine | 1950 E Wattles Rd, Ste 101, Troy, MI 48085-5099 | 2006-08-02 |
| 1750376745 | Dennis Steven Giannini | Physical Medicine & Rehabilitation | 1950 E Wattles Rd, Suite 110, Troy, MI 48085-5099 | 2005-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669957510 | Deandra Perez | Specialist | 16 Blakley Ct Fl 1, Troy, NY 12180-5820 | 2018-09-26 |
| 1538677588 | Peak Neurophysiology Group, LLC | Specialist | 13 Stoneledge Dr Apt 11, Troy, NY 12182-3519 | 2018-01-11 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1891230454 | Pure Healthy Back | Specialist | 1500 W Big Beaver Rd Ste 150, Troy, MI 48084-3552 | 2017-01-05 |
| 1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
| 1992100358 | Catherine Rinella | Specialist | 1098 Spring Avenue Ext, Troy, NY 12180-7313 | 2014-10-28 |
| 1518383256 | Jennifer Bobersky | Specialist | 3 Patricia Dr, Troy, NY 12180-6132 | 2014-03-05 |
| 1699103796 | Helen Rezey | Specialist | 6 Greene St, Troy, NY 12180-6720 | 2013-10-29 |
| 1346591641 | Robin Jean Kennedy | Specialist | 597 Third Ave., Troy, NY 12182 | 2012-09-26 |
| 1770834210 | Andrew Mcnally | Specialist | 3226 Veterans Stadium Dr, Troy, AL 36082-0001 | 2012-09-24 |
| Find all providers in TROY | ||||
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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.