DR. SILAS JOB DEBACKER (NPI# 1609223841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609223841 |
| Entity Type | Individual |
| Full Name | DR. SILAS JOB DEBACKER |
| Credential | DO |
| Practice Address |
12000 E 12 Mile Rd Department of Medical Education Warren MI 48093-3570 |
| Mailing Address |
2400 S Avenue A Yuma AZ 85364-7170 |
| Practice Telephone | 5865764140 |
| Practice Fax Number | 5865764146 |
| Mailing Telephone | 9283442000 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2019-12-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101022419 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
12000 E 12 MILE RD DEPARTMENT OF MEDICAL EDUCATION |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912017336 | Michael B. Krzemien | Dentist | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2006-08-30 |
| 1083221725 | Rachel Banados | Occupational Therapist | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2020-09-27 |
| 1609404466 | Erika Kristine Roust White | Student in an Organized Health Care Education/Training Program | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2020-03-28 |
| 1083241764 | Yikun Wang | Student in an Organized Health Care Education/Training Program | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2020-03-24 |
| 1003443938 | James Quinten Tuckfield | Student in an Organized Health Care Education/Training Program | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2020-03-23 |
| 1184250128 | Kevin Roumayah | Student in an Organized Health Care Education/Training Program | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2020-03-22 |
| 1467019356 | Benjamin Hans Goldman | Student in an Organized Health Care Education/Training Program | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2019-05-25 |
| 1821655838 | Laura Scott | Student in an Organized Health Care Education/Training Program | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2019-05-24 |
| 1700443967 | Rachel Faye Cohen | Surgery | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2019-05-23 |
| 1558928788 | Benjamin Martin | Student in an Organized Health Care Education/Training Program | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623222 | American Home Doctors PC | General Practice | 8200 Old 13 Mile Rd Ste 101, Warren, MI 48093-2171 | 2013-04-15 |
| 1013238120 | Joseph A Carano D O Inc | General Practice | 192 Washington St Nw, Warren, OH 44483-4733 | 2010-06-14 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1366638249 | Doreen Michel | General Practice | 27170 Dequindre Rd Ste B, Warren, MI 48092 | 2007-09-24 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1497810568 | Joseph Nicholas Cavalier | General Practice | 180 Country Club Dr Ne, Warren, OH 44484 | 2006-12-27 |
| 1477592905 | Moniruzzaman Khan | General Practice | 4402 E 9 Mile Rd, Warren, MI 48091-2590 | 2006-06-06 |
| 1871548453 | Sanganur V. Mahadevan | General Practice | 11477 E 12 Mile Rd, Warren, MI 48093-2678 | 2006-05-23 |
| 1659980159 | Healing Hands Addiction Centers | General Practice | 614 N Martin St, Warren, AR 71671-1904 | 2020-07-30 |
| 1063862415 | Fritz Daniel Brink | General Practice | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2016-06-16 |
| Find all providers in WARREN | ||||
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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.