MICHELLE M. MAUREAU (NPI# 1609821073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609821073 |
| Entity Type | Individual |
| Full Name | MICHELLE M. MAUREAU |
| Credential | DO |
| Practice Address |
17717 Masonic Fraser MI 48026-3158 |
| Practice Telephone | 5862940600 |
| Mailing Telephone | 5862940600 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101012819 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 5101012819 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
17717 MASONIC |
| City | FRASER |
| State | MI |
| Zip Code | 48026-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614333 | Ross Heller | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2005-07-28 |
| 1952792376 | Chelsea House | Nurse Practitioner | 17717 Masonic, Fraser, MI 48026-3158 | 2015-02-06 |
| 1548695398 | Kendall Hassig | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2013-09-12 |
| 1346674355 | Lauren Asmer | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2013-08-27 |
| 1497099667 | Kathleen Phillips | Nurse Practitioner | 17717 Masonic, Fraser, MI 48026-3158 | 2012-11-12 |
| 1902157472 | Alyssa Caramagno | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-09-25 |
| 1295082097 | Brittnay L Thurston | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-08-10 |
| 1760746978 | Lindsay Goodell | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2012-07-02 |
| 1811254634 | Nikole L. Maddes | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-04-18 |
| 1073896346 | Simon Katrib | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2011-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1215406624 | Fraser Rx Pharmacy LLC | Pharmacy | 16861 E 14 Mile Rd., Fraser, MI 48026 | 2018-11-14 |
| 1457507519 | Michael Richard Abood | Dentist | 16128 15 Mile, Suite 4, Fraser, MI 48026 | 2008-08-08 |
| 1316095342 | Martha Sue Vaneenenaam-iwanicki | Specialist/Technologist | Fraser High School, 34270 Garfield, Fraser, MI 48026 | 2007-01-08 |
| 1962578674 | David Henry Luehmann | Dentist | 32245 Utica Rd, Fraser, MI 48026 | 2006-11-27 |
| 1447326244 | Fraser Optical Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 32925 Groesbeck Highway, Fraser, MI 48026 | 2006-11-27 |
| 1699849885 | Luis Collazo | Family Medicine | 31022 Utica Rd., Fraser, MI 48026 | 2006-11-20 |
| 1780753467 | Leigh Ellen Snyder | Dentist | 16869 Fourteen Mile Rd, Fraser, MI 48026 | 2006-11-07 |
| 1942379631 | Bernadette Olameitan Osowa | Dentist | 16869 Fourteen Mile Road, Fraser, MI 48026 | 2006-11-07 |
| 1104920446 | Select Dental PC | Dentist | 16128 15 Mile Road, Suite 4, Fraser, MI 48026 | 2006-09-08 |
| Find all providers in zip 48026 | ||||
| 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 |
|---|---|---|---|---|
| 1083614333 | Ross Heller | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2005-07-28 |
| 1760746978 | Lindsay Goodell | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2012-07-02 |
| 1073896346 | Simon Katrib | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2011-09-23 |
| 1578845459 | Rhett Brandenburg | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2011-09-15 |
| 1114160249 | Chad Michael Kovala | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2009-04-20 |
| 1831308915 | Pamela Anne Jostock | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2007-05-22 |
| 1982730990 | Deniese L Worthy | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2007-02-26 |
| 1790700292 | Hafez Bazzi | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2006-07-13 |
| 1215977343 | Elizabeth Bascom | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2006-06-07 |
| 1043259682 | Daniel Wilkerson | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2006-06-06 |
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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.