SUPERIOR INFECTIOUS DISEASE CARE (NPI# 1659795516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659795516 |
| Entity Type | Organization |
| Organization Name | SUPERIOR INFECTIOUS DISEASE CARE |
| Practice Address |
700 Cooper Ave Saginaw MI 48602-5383 |
| Mailing Address |
3037 Davenport Ave Saginaw MI 48602-3652 |
| Practice Telephone | 9895830000 |
| Mailing Telephone | 9897971400 |
| Mailing Fax Number | 9897974077 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |
| Authorized Official Name | NESSRINE H KTAICH (PHYSICIAN) |
| Authorized Official Telephone | 9897971400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
4301093679 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
700 COOPER AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-5383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202254 | Marc Alan Hoeksema | Surgery | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2005-06-01 |
| 1730790924 | Melissa Johnson | Social Worker | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-08-12 |
| 1174133292 | Thomas Fagan | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-08-04 |
| 1316557721 | Brian Michael Shear | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-08-01 |
| 1902414865 | Rocky Mountain Holdings, LLC | Ambulance | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-07-16 |
| 1194343525 | Sally Tarek Nagia | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-07-13 |
| 1306463252 | Dillon Jarbo | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-26 |
| 1992322820 | Ibrahim Brian Baida | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-26 |
| 1427675461 | Ali Ibrahim Elsaghir | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-25 |
| 1437776465 | Neily Alonso | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790731727 | Michigan Infectious Diseases | Internal Medicine | 2615 Mcleod Dr N, Saginaw, MI 48604-2816 | 2006-05-25 |
| 1699090415 | Palaniandy K Kogulan Md Pllc | Internal Medicine | 3150 Hallmark Ct, Saginaw, MI 48603-2173 | 2010-04-05 |
| 1184950701 | Valley Infectious Disease PC | Internal Medicine | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2009-11-02 |
| 1982854451 | Saginaw Valley Medical Care Plc | Internal Medicine | 912 S Washington Ave Ste B, Saginaw, MI 48601-2578 | 2008-09-22 |
| 1407951569 | Suhasini Gudipati | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2006-09-13 |
| 1255436309 | Palaniandy K Kogulan | Internal Medicine | 3150 Hallmark Ct, Saginaw, MI 48603-2173 | 2006-09-13 |
| 1770688111 | Nicholas Haddad | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2006-09-13 |
| 1275635856 | Jyoti Sahni | Internal Medicine | 1500 Weiss St, Saginaw, MI 48602-5251 | 2006-09-02 |
| 1922053339 | Delmer J Dehart | Internal Medicine | 1000 Houghton Ave., Saginaw, MI 48602-9729 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255830121 | Infectious Disease Experts, Pllc | Internal Medicine | 5757 Springbrook Dr, Troy, MI 48098-5308 | 2018-02-06 |
| 1497205546 | Capitol Infectious Disease Associates | Internal Medicine | 6401 Pine Hollow Dr, East Lansing, MI 48823-9737 | 2016-10-12 |
| 1932517604 | Nkechi Mbanefo Azie | Internal Medicine | 1660 Pond Shore Dr, Ann Arbor, MI 48108-9565 | 2014-07-25 |
| 1780096032 | Quentin Doperalski | Internal Medicine | 560 W Mitchell St Ste 170, Petoskey, MI 49770-2276 | 2014-05-21 |
| 1215361373 | Kimberly A Zielke | Internal Medicine | 720 West Wackerly, Suite 111, Midland, MI 48640 | 2013-08-26 |
| 1235572462 | Erika Olson | Internal Medicine | Harper University Hospital, 3990 John R Street, 5 Hudson, Detroit, MI 48201 | 2013-04-08 |
| 1750648945 | Daniela Christina Pellegrini | Internal Medicine | 1700 Clinton St # At, Muskegon, MI 49442-5502 | 2012-04-12 |
| 1033442546 | Guided Care Community Services Corp. | Internal Medicine | 535 Griswold St, Suite 111-267, Detroit, MI 48226-3604 | 2009-09-15 |
| 1023246329 | Ashish Bhargava | Internal Medicine | 19251 Mack Ave Ste 333, Grosse Pointe Woods, MI 48236-2898 | 2009-06-24 |
| 1104099266 | Aneela Yaqoob | Internal Medicine | 3515 Parklawn Dr, Canton, MI 48188-2315 | 2008-04-09 |
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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.