DR. CASEY DARRAH (NPI# 1669730008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669730008 |
| Entity Type | Individual |
| Full Name | DR. CASEY DARRAH |
| Credential | M.D |
| Practice Address |
24371 W 10 Mile Rd Southfield MI 48033-2929 |
| Mailing Address |
34740 W 8 Mile Rd Apt 1 Farmington Hills MI 48335-5111 |
| Practice Telephone | 2488096088 |
| Mailing Telephone | 4193463043 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301101902 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 127592 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34740 W 8 Mile Rd Apt 1, Farmington Hills, MI 483355111 | 4193463043 |
| Street Address |
24371 W 10 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043200132 | Edward Y Mishal | Internal Medicine | 24371 W 10 Mile Rd, Southfield, MI 48034-2929 | 2005-10-28 |
| 1912442104 | Innovative Health Group | Specialist | 24371 W 10 Mile Rd, Southfield, MI 48033-2929 | 2016-12-27 |
| 1477976686 | Vital Community Care P C | Clinic/Center | 24371 W 10 Mile Rd, Southfield, MI 48033-2929 | 2014-01-23 |
| 1497843643 | Todd Michael Corden | Physician Assistant | 24371 W 10 Mile Rd, Southfield, MI 48034-2929 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1174993174 | Elizer Garcia | General Practice | 23999 Northwestern Hwy Ste 114, Southfield, MI 48075 | 2015-10-02 |
| 1487998332 | Continental Wellness Inc | General Practice | 29610 Southfield Rd Ste 250, Southfield, MI 48076-2000 | 2012-11-15 |
| 1699025874 | Visiting Md, LLC | General Practice | 15700 Providence Dr, Suite 400, Southfield, MI 48075-3144 | 2012-09-14 |
| 1922304088 | First Care Center Inc | General Practice | 18610 W 8 Mile Rd, Southfield, MI 48075-4126 | 2011-02-07 |
| 1457681074 | Gwendolyn Washington M.d. Professional Corporation | General Practice | 29255 Northwestern Hwy Ste 105, Southfield, MI 48034-5740 | 2010-01-04 |
| 1497856470 | Jose Castroramirez | General Practice | 29350 Southfield Ste 101, Southfield, MI 48076 | 2006-09-25 |
| 1346347523 | Home Physician Services PC | General Practice | 17520 W 12 Mile Rd Ste 109, Southfield, MI 48076-1907 | 2006-09-20 |
| 1396721510 | Allan Birk | General Practice | 27774 Franklin Rd, Southfield, MI 48034-2352 | 2005-12-20 |
| 1598234809 | Mms Care Pllc | General Practice | 24293 Telegraph Rd Ste 212, Southfield, MI 48033-7903 | 2018-11-15 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on DR. CASEY DARRAH.
| 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.