MATRIX MEDICAL NETWORK OF MICHIGAN, P.C. (NPI# 1609169259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609169259 |
| Entity Type | Organization |
| Organization Name | MATRIX MEDICAL NETWORK OF MICHIGAN, P.C. |
| Practice Address |
3200 Greenfield Rd Ste 300 Dearborn MI 48120-1800 |
| Mailing Address |
9201 E Mountain View #220 Scottsdale AZ 85258-5172 |
| Practice Telephone | 4808621677 |
| Practice Fax Number | 4807187643 |
| Mailing Telephone | 4808621700 |
| Mailing Fax Number | 8775064560 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING) |
| Authorized Official Telephone | 4808621695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3200 GREENFIELD RD STE 300 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48120-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295781730 | Christina Eva Repay | Social Worker | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2006-05-26 |
| 1053919233 | Myron Hendricks | Home Health Aide | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-10-11 |
| 1083234116 | Rt Johnson Homecare Inc. | Home Health | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-04-18 |
| 1265067821 | Clay Counseling and Consulting LLC | Counselor | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-03-04 |
| 1003448663 | B & B Senior Services of Mi LLC | Chore Provider | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-02-11 |
| 1750911087 | Nicole C Clay | Counselor | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-01-26 |
| 1700427242 | Destiny Johnson | Behavior Technician | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-10-07 |
| 1386299063 | Joshua D Courter | Behavior Technician | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-08-08 |
| 1154984037 | Major Counseling and Case Management Family Services LLC | Marriage & Family Therapist | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-04-17 |
| 1326502527 | Vanida Xiong | Behavioral Analyst | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1518369412 | Raed Haddad Md, Pllc | Internal Medicine | 9720 Dix Ste B, Dearborn, MI 48120 | 2014-09-23 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1023314341 | Dearborn Internist P.C. | Internal Medicine | 10066 Dix Ave, Suite 100, Dearborn, MI 48120 | 2011-02-03 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1154415776 | Metro Home Health Care Plans, Inc. | Home Health | 15350 Commerce Dr. N, Ste. 200, Dearborn, MI 48120 | 2006-10-03 |
| 1356382303 | Nashereen Tootla | Physical Therapist | 10066 Dix Rd, Deaborn, MI 48120 | 2006-06-09 |
| 1225479421 | Tiffany Ann Murray | Social Worker | 15350 N Commerce Dr, Dearborn, MI 48120 | 2013-07-16 |
| 1114268562 | Frank Quinones | Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 | 2013-03-11 |
| 1265644009 | Raffic A Mackie | Dentist | 9925 Dix, Suite 101, Dearborn, MI 48120 | 2007-05-04 |
| Find all providers in zip 48120 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699016030 | Aminah Al-saeedi | Nurse Practitioner | 10306 Dix, Dearborn, MI 48120-1561 | 2013-03-11 |
| 1740889328 | Samantha Kathleen Estelle Will | Nurse Practitioner | 1537 Monroe St, Dearborn, MI 48124-2842 | 2020-10-23 |
| 1316562432 | Laya Nasrallah | Nurse Practitioner | 5728 Schaefer Rd Ste 103, Dearborn, MI 48126-2287 | 2020-06-15 |
| 1568946325 | Mariann A Habhab | Nurse Practitioner | 1637 Monroe St, Dearborn, MI 48124-2912 | 2018-09-18 |
| 1689051088 | Kati Jo Shearer | Nurse Practitioner | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2015-05-05 |
| 1649678285 | Joanne Abbas | Nurse Practitioner | 15400 Michigan Ave, Dearborn, MI 48126-3491 | 2014-12-14 |
| 1336570126 | Sheila Whelan | Nurse Practitioner | 1331 Monroe St, Suite 100, Dearborn, MI 48124-2888 | 2013-12-05 |
| 1396176327 | Noor S Kahook | Nurse Practitioner | 13244 W Warren Ave, Dearborn, MI 48126-1415 | 2013-12-02 |
| 1407138209 | Kimberli Monique Rhoiney | Nurse Practitioner | 6050 Greenfield Rd, Suite 101, Dearborn, MI 48126-6004 | 2011-09-16 |
| 1770880239 | Lori Riutta | Nurse Practitioner | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2011-02-18 |
| Find all providers in DEARBORN | ||||
Please comment or provide details below to improve the information on MATRIX MEDICAL NETWORK OF MICHIGAN, P.C..
| 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.