DEON D MIDDLEBROOK M D PC (NPI# 1689885535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689885535 |
| Entity Type | Organization |
| Organization Name | DEON D MIDDLEBROOK M D PC |
| Practice Address |
20176 Livernois Ave Detroit MI 48221-1346 |
| Practice Telephone | 3138643000 |
| Practice Fax Number | 3138645423 |
| Mailing Telephone | 3138643000 |
| Mailing Fax Number | 3138645423 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-12-23 |
| Authorized Official Name | DR. DEON DAVID MIDDLEBROOK (OWNER) |
| Authorized Official Telephone | 3138643000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | DM053010 | MI | Other Service Providers |
| Street Address |
20176 LIVERNOIS AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952340804 | Pamela Reaves | Obstetrics & Gynecology | 20176 Livernois Ave, Suite 101, Detroit, MI 48221-1346 | 2006-06-06 |
| 1649889684 | Neha Bhardwaj | Nurse Practitioner | 20176 Livernois Ave, Detroit, MI 48221-1346 | 2020-07-27 |
| 1730699299 | Leo H Antrassian | Physician Assistant | 20176 Livernois Ave, Detroit, MI 48221-1346 | 2017-10-10 |
| 1659670461 | Neal J Kruman | Podiatrist | 20176 Livernois Ave, Detroit, MI 48221-1346 | 2011-03-18 |
| 1518133891 | Pamela L Reaves Md PC | Obstetrics & Gynecology | 20176 Livernois Ave, Suite 101, Detroit, MI 48221-1346 | 2008-05-06 |
| 1568494185 | Lisa Renee Reeves | Specialist | 20176 Livernois Ave, Detroit, MI 48221-1346 | 2006-07-06 |
| 1508898123 | Deon David Middlebrook | Specialist | 20176 Livernois Ave, Detroit, MI 48221-1346 | 2006-07-06 |
| 1386688406 | Jeffrey T Klein | Podiatrist | 20176 Livernois Ave, Detroit, MI 48221-1346 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518279058 | Susan Michalowski | Medical Genetics, Ph.D. Medical Genetics | 440 Burroughs St Ste 446, Detroit, MI 48202-3429 | 2010-07-13 |
| 1205148616 | Renaissance Medical Center Pllc | Medical Genetics, Ph.D. Medical Genetics | 430 Mack Ave, Detroit, MI 48201-2136 | 2010-07-14 |
| 1871672964 | Sandra L Nehlsen-cannarella | Medical Genetics, Ph.D. Medical Genetics | 3990 John R St, G518, Detroit, MI 48201-2018 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912412792 | Kirit Pindolia | Medical Genetics, Ph.D. Medical Genetics | 48142 Royal Pointe Dr, Canton, MI 48187-5466 | 2017-12-03 |
| 1134377450 | Nemer Ebeid Hanna | Medical Genetics, Ph.D. Medical Genetics | 7214 Danbrooke, West Bloomfield, MI 48322-2927 | 2008-08-28 |
| 1750304796 | Mark William Thomas | Medical Genetics, Ph.D. Medical Genetics | 7210 N Main St Ste 205, Clarkston, MI 48346-1575 | 2006-07-25 |
| 1760487540 | Helga Valdmanis Toriello | Medical Genetics, Ph.D. Medical Genetics | 21 Michigan St Ne, Ste 465, Grand Rapids, MI 49503-2530 | 2005-06-17 |
| 1225406820 | Enas Eraqi | Medical Genetics, Ph.D. Medical Genetics | 33155 Annapolis St, Wayne, MI 48184-2405 | 2015-09-13 |
| 1376728857 | Oak Neurovascular P.C. | Medical Genetics, Ph.D. Medical Genetics | 24361 Greenfield Rd, Suite 202, Southfield, MI 48075-3139 | 2008-01-03 |
| 1922288703 | Pramod Raval M.d P.C. | Medical Genetics, Ph.D. Medical Genetics | 3120 Carpenter St, Suite 313, Hamtramck, MI 48212-9802 | 2007-11-08 |
| 1760699979 | Rita D Rogers | Medical Genetics, Ph.D. Medical Genetics | 1009 Drexel St, Dearborn, MI 48128-1639 | 2007-05-17 |
| 1023223476 | Ronald Rice | Medical Genetics, Ph.D. Medical Genetics | 32910 W 13 Mile Rd, D-402, Farmington Hills, MI 48334-1980 | 2007-05-11 |
| 1801914510 | Ramaswamy Krishna Iyer | Medical Genetics, Ph.D. Medical Genetics | 1150 W Medical Center Dr, 3725a Medical Sciences Building II, Box 0629, Ann Arbor, MI 48109-0799 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
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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.