DR. JOHN R PRADKO (NPI# 1619956497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619956497 |
| Entity Type | Individual |
| Full Name | DR. JOHN R PRADKO |
| Credential | D.O. |
| Practice Address |
33720 Harper Ave Suite A Clinton Twp MI 48035 |
| Practice Telephone | 5862945210 |
| Practice Fax Number | 5862940215 |
| Mailing Telephone | 5862945210 |
| Mailing Fax Number | 5862940215 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | JP010124 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3223681 | 05 |
| Street Address |
33720 HARPER AVE SUITE A |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215107 | Alexandra Bloom | Nurse Practitioner | 33720 Harper Ave, Clinton Twp, MI 48035 | 2019-03-20 |
| 1588855951 | Mary Suzanne Niemeyer | Physician Assistant | 33720 Harper Ave, Clinton Twp, MI 48035 | 2007-08-09 |
| 1437239043 | Lakeshore Medical Center, P.C. | Family Medicine | 33720 Harper Ave, Suite A, Clinton Twp, MI 48035 | 2006-10-17 |
| 1730168980 | Paige Elizabeth Pradko | Counselor | 33720 Harper Ave, Suite B, Clinton Twp, MI 48035-4255 | 2006-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155950 | Convenient Ct PC | Dentist | 35992 S. Gratiot Ave, Clinton Twp, MI 48035 | 2019-07-10 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1093233884 | Justin Scott Lemanski | Student in an Organized Health Care Education/Training Program | 23162 Talbot, Cinton Twp., MI 48035 | 2017-08-31 |
| 1689035842 | Audionet America Inc | Audiologist | 33830 Harper Ave, Clinton Twp, MI 48035 | 2016-03-16 |
| 1194149054 | Cherian Kochuparampil | Behavioral Analyst | 23195 Elmira, Clinton Township, MI 48035 | 2014-02-13 |
| 1417255688 | Laura Christine Miller | Speech-Language Pathologist | 21173 Suffolk St, Clinton Township, MI 48035 | 2011-03-11 |
| 1780987404 | Cindy Sue Rodammer | Physical Therapy Assistant | 35746 Harper, Clinton Twp, MI 48035 | 2010-12-20 |
| 1427376953 | Heather Kuczynski | Physical Therapy Assistant | 35746 Harper St, Clinton Twp., MI 48035 | 2010-05-07 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| Find all providers in zip 48035 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073776456 | Reynold M John, Md, PC | Family Medicine | 43171 Dalcoma Dr Ste 6, Clinton Twp, MI 48038-6307 | 2008-07-07 |
| 1205840691 | Iris Bourbon Daniel | Family Medicine | 42490 Garfield, Suite 207, Clinton Twp, MI 48038 | 2006-07-28 |
| 1093767683 | Thao Phuong Pham | Family Medicine | 15717 15 Mile Rd, Clinton Twp, MI 48035-2101 | 2006-05-16 |
| 1265482095 | Mark Robert Kurzawa | Family Medicine | 36367 Harper Ave, Clinton Twp, MI 48035-2958 | 2006-05-11 |
| 1013988773 | Albert Anthony Przybylski | Family Medicine | 36549 Harper Ave, Suite B, Clinton Twp, MI 48035-2012 | 2006-01-31 |
| 1336130632 | Charles E Heth | Family Medicine | 42855 Garfield Rd, Ste 105, Clinton Twp, MI 48038-5027 | 2005-11-04 |
| 1417946815 | Paul Richard Gradolph | Family Medicine | 43421 Garfield Rd, Ste 1, Clinton Twp, MI 48038-1133 | 2005-10-18 |
| 1346240124 | Cynthia Marie Trosin | Family Medicine | 35103 Silvano St, Clinton Twp, MI 48035-2685 | 2005-07-22 |
| 1174521207 | Pamela Rae Valka | Family Medicine | 37399 Garfield, Suite 203, Clinton Twp, MI 48036-3659 | 2005-07-12 |
| 1760480883 | Indira Reddy | Family Medicine | 37399 Garfield Rd, Suite 203, Clinton Twp, MI 48036-3659 | 2005-07-12 |
| Find all providers in CLINTON TWP | ||||
| City | CLINTON TWP |
| Zip Code | 48035 |
Please comment or provide details below to improve the information on DR. JOHN R PRADKO.
| 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.