MRS. TEDEAN KARISSA GREEN (NPI# 1699122630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699122630 |
| Entity Type | Individual |
| Full Name | MRS. TEDEAN KARISSA GREEN |
| Practice Address |
4201 St. Antoine, 5e-uhc Department of Otolaryngology-head and Neck Surgery Detroit MI 48226-4578 |
| Mailing Address |
300 Riverfront Dr Unit 17f Detroit MI 48226-4578 |
| Practice Telephone | 2699249783 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4201 ST. ANTOINE, 5E-UHC DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY |
| City | DETROIT |
| State | MI |
| Zip Code | 48226-4578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651209 | Linh Dang | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, 5e-uhc, Detroit, MI 48201 | 2019-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065314 | Henr Y Ford Health System | Pharmacy | 1777 3rd. Ave, Detroit, MI 48226 | 2019-10-21 |
| 1912413386 | Vitalizing Care Consultants LLC | Home Health Aide | 1420 Washington Blvd Ste 301, Detroit, MI 48226 | 2017-12-21 |
| 1639699945 | Runners Transportation LLC | Non-emergency Medical Transport (VAN) | 111 Cadilac, Apt 16j, Detroit, MI 48226 | 2017-06-27 |
| 1174056857 | Nariman Nassiri | Student in an Organized Health Care Education/Training Program | 200 Riverfront Dr., Apt 11g, Detroit, MI 48226 | 2017-04-10 |
| 1982143384 | Strategic Operation Solutions | Case Management | 407 E. Fort St., Suite 407, Detroit, MI 48226 | 2017-02-17 |
| 1700329315 | Jacob Chaffee | Pharmacist | 600 E. Lafayette Blvd, Mail Code 512c, Detroit, MI 48226 | 2016-11-30 |
| 1487059325 | Lions Hearing Center of Michigan | Audiologist | 1326 St. Antoine, Detroit, MI 48226 | 2014-11-04 |
| 1811320336 | Ralph T Topolewski | Orthotist | 525 E.jefferson Ave, Detroit, MI 48226 | 2013-08-20 |
| 1689006488 | The Literacy Center | Non-emergency Medical Transport (VAN) | 645 Griswold Street, Suite 1300, Detroit, MI 48226 | 2013-08-02 |
| 1972834422 | Lydia J Commissaris | Nurse Practitioner | 45 W. Grand River Ave, Detroit, MI 48226 | 2010-01-22 |
| Find all providers in zip 48226 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912516790 | Omar Choudhury | Student in an Organized Health Care Education/Training Program | Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2020-07-28 |
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1932725959 | Devonn Eli Israil | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 | 2020-06-25 |
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| Find all providers in DETROIT | ||||
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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.