LIFESTYLE ROCHESTER PC (NPI# 1659841989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659841989 |
| Entity Type | Organization |
| Organization Name | LIFESTYLE ROCHESTER PC |
| Practice Address |
1055 South Blvd E Ste 210 Rochester Hills MI 48307 |
| Mailing Address |
10555 South Blvd E Ste 100 Rochester Hills MI 48307 |
| Practice Telephone | 2488442936 |
| Practice Fax Number | 2488442965 |
| Mailing Telephone | 2488442936 |
| Mailing Fax Number | 2488442965 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | DR. CHRISTIAN MOORE (PRACTICE MANAGER) |
| Authorized Official Telephone | 2488442936 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Street Address |
1055 SOUTH BLVD E STE 210 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861482846 | Thomas Joseph William Bering | Internal Medicine | 1055 South Blvd E, Suite 220, Rochester Hills, MI 48307-5465 | 2005-10-21 |
| 1497006092 | Laura Ray | Social Worker | 1055 South Blvd E, #210, Rochester Hills, MI 48307-5465 | 2012-09-24 |
| 1891952420 | Arthur Rosner Md Pllc | Otolaryngology | 1055 South Blvd E, Suite 100, Rochester Hills, MI 48307-5465 | 2008-05-21 |
| 1700989704 | Tracy Renee Mccomb | Internal Medicine | 1055 South Blvd E, Suite 220, Rochester Hills, MI 48307-5465 | 2006-09-06 |
| 1558342378 | Bradley D Rockafellow | Psychologist | 1055 South Blvd E, Suite 210, Rochester Hills, MI 48307-5465 | 2005-11-09 |
| 1689665739 | Richard C Weiermiller Jr. | Internal Medicine | 1055 South Blvd E, Ste 220, Rochester Hills, MI 48307-5465 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487829479 | Amy Hopkins | Audiologist | 3625 Hollenshade Dr, Rochester Hills, MI 48306-3725 | 2008-04-29 |
| 1386797439 | Dawn Elaine Yanok | Audiologist | 2909 Crooks Rd, Rochester Hills, MI 48309-3663 | 2007-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1770192510 | Haas Hearing Pllc | Audiologist | 423 Ludington Street, Escanaba, MI 49829 | 2020-07-28 |
| 1770100992 | Inman Audiology & Consulting LLC | Audiologist | 1651 W Big Beaver Rd, Troy, MI 48084-3501 | 2020-07-03 |
| 1154941748 | Ashley Bookmyer | Audiologist | 1445 Sheldon Rd Ste 303, Grand Haven, MI 49417-2479 | 2020-04-23 |
| 1073143210 | Megan Justine Gustavson | Audiologist | 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 | 2020-01-15 |
| 1679121628 | Kati Lynn Stilwell | Audiologist | 901 W Sharon Ave Ste 9, Houghton, MI 49931-1964 | 2019-09-03 |
| 1063068500 | Marla Chaffee | Audiologist | 26850 Providence Pkwy Ste 165, Novi, MI 48374-1255 | 2019-08-12 |
| 1952962201 | Hannah Barclay Reeg | Audiologist | 511 Renaissance Dr Ste 100, Saint Joseph, MI 49085-2180 | 2019-06-27 |
| 1356906051 | Viet Han Huu Nguyen | Audiologist | 4175 N Euclid Ave Ste 10, Bay City, MI 48706-2483 | 2019-05-08 |
| 1922570381 | Superior Audiology, LLC | Audiologist | 333 Magazine St Ste 103, Sault Sainte Marie, MI 49783-1867 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
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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.