PRIMEHEALTH OF MICHIGAN LLC (NPI# 1699228072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699228072 |
| Entity Type | Organization |
| Organization Name | PRIMEHEALTH OF MICHIGAN LLC |
| Practice Address |
3200 Greenfield Rd Ste 300 Dearborn MI 48120-1800 |
| Mailing Address |
2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 |
| Practice Telephone | 8448823127 |
| Mailing Telephone | 8448823127 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | KENNETH KING (OWNER) |
| Authorized Official Telephone | 8448823127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3200 GREENFIELD RD STE 300 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48120-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295781730 | Christina Eva Repay | Social Worker | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2006-05-26 |
| 1053919233 | Myron Hendricks | Home Health Aide | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-10-11 |
| 1083234116 | Rt Johnson Homecare Inc. | Home Health | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-04-18 |
| 1265067821 | Clay Counseling and Consulting LLC | Counselor | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-03-04 |
| 1003448663 | B & B Senior Services of Mi LLC | Chore Provider | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-02-11 |
| 1750911087 | Nicole C Clay | Counselor | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-01-26 |
| 1700427242 | Destiny Johnson | Behavior Technician | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-10-07 |
| 1386299063 | Joshua D Courter | Behavior Technician | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-08-08 |
| 1154984037 | Major Counseling and Case Management Family Services LLC | Marriage & Family Therapist | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-04-17 |
| 1326502527 | Vanida Xiong | Behavioral Analyst | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1518369412 | Raed Haddad Md, Pllc | Internal Medicine | 9720 Dix Ste B, Dearborn, MI 48120 | 2014-09-23 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1023314341 | Dearborn Internist P.C. | Internal Medicine | 10066 Dix Ave, Suite 100, Dearborn, MI 48120 | 2011-02-03 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1154415776 | Metro Home Health Care Plans, Inc. | Home Health | 15350 Commerce Dr. N, Ste. 200, Dearborn, MI 48120 | 2006-10-03 |
| 1356382303 | Nashereen Tootla | Physical Therapist | 10066 Dix Rd, Deaborn, MI 48120 | 2006-06-09 |
| 1225479421 | Tiffany Ann Murray | Social Worker | 15350 N Commerce Dr, Dearborn, MI 48120 | 2013-07-16 |
| 1114268562 | Frank Quinones | Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 | 2013-03-11 |
| 1265644009 | Raffic A Mackie | Dentist | 9925 Dix, Suite 101, Dearborn, MI 48120 | 2007-05-04 |
| Find all providers in zip 48120 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063595064 | Dr Mayer Salama PC | Podiatrist | 2200 Monroe, Dearborn, MI 48124 | 2006-10-23 |
| 1790712974 | Thomas W Dickieson | Podiatrist | 1213 Mason, Dearborn, MI 48124 | 2006-06-26 |
| 1033182365 | Ali M. Safiedine | Podiatrist | 7243 Chase Rd, Dearborn, MI 48126-1301 | 2006-02-08 |
| 1174072763 | Alexander Thomas Dpm PC | Podiatrist | 7243 Chase Rd, Dearborn, MI 48126-1301 | 2016-09-24 |
| 1922464627 | Alexander Paul Thomas | Podiatrist | 7243 Chase Rd, Dearborn, MI 48126-1301 | 2016-01-11 |
| 1932579398 | Premier 1 Podiatry Pllc | Podiatrist | 24327 Ford Rd, Dearborn, MI 48128-1129 | 2015-09-29 |
| 1033449483 | Dr Ernest F Ajluni P C | Podiatrist | 4700 Greenfield Rd, Dearborn, MI 48126-4124 | 2010-01-07 |
| 1326283581 | Ali A Fadel Md, PC | Podiatrist | 13244 W Warren Ave, Suite 1, Dearborn, MI 48126-1415 | 2008-12-02 |
| 1245416445 | Midwesthealth Center PC | Podiatrist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2008-01-17 |
| 1144422916 | Michigan Foot & Ankle Specialists | Podiatrist | 7243 Chase Rd, Dearborn, MI 48126-1301 | 2007-06-04 |
| Find all providers in DEARBORN | ||||
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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.