CHOCTAW MANAGEMENT SERVICES ENTERPRISE (NPI# 1679775308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679775308 |
| Entity Type | Organization |
| Organization Name | CHOCTAW MANAGEMENT SERVICES ENTERPRISE |
| Practice Address |
1172 Kirts Blvd U.S. Meps Troy MI 48084-4846 |
| Mailing Address |
2773 Mayfair Dr Troy MI 48084-2601 |
| Practice Telephone | 2482449131 |
| Mailing Telephone | 2486491042 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. AMY HUMPHREY (PROGRAM COORDINATOR) |
| Authorized Official Telephone | 8772673728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 4301037778 | MI | Other Service Providers |
| Street Address |
1172 KIRTS BLVD U.S. MEPS |
| City | TROY |
| State | MI |
| Zip Code | 48084-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629277579 | Stephen R Miller | Family Medicine | 1172 Kirts Blvd, Troy, MI 48084-4846 | 2007-07-12 |
| 1427250042 | Klaus Schmidt | Internal Medicine | 1172 Kirts Blvd, Troy, MI 48084-4846 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962903948 | Rachel Elaine Quist | Military Health Care Provider | 7540 Crooked Creek Dr Sw, Byron Center, MI 49315-8123 | 2018-02-23 |
| 1578869095 | Allen Ray Burkett | Military Health Care Provider | 2274 Shady Grove Ln, Temperance, MI 48182-1365 | 2011-01-31 |
| 1649508433 | Janice K Smith | Military Health Care Provider | 10496 Hitchingham Rd, Milan, MI 48160-9731 | 2009-12-07 |
| 1205249430 | Gregory Alvin Wilson Sr. | Military Health Care Provider | 5500 Armstrong Road, Battle Creek, MI 49037 | 2014-06-05 |
| 1558452938 | Charles Hubbard Williams IIi | Military Health Care Provider | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-09-28 |
| 1770511925 | Bonnie Jean Nowaczyk | Military Health Care Provider | 1500 Weiss St, Saginaw, MI 48602-5251 | 2006-06-28 |
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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.