GENERAL MEDICINE OF IL NURSE PRACTITIONERS, P.C. (NPI# 1720253065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720253065 |
| Entity Type | Organization |
| Organization Name | GENERAL MEDICINE OF IL NURSE PRACTITIONERS, P.C. |
| Practice Address |
21333 Haggerty Rd Suite 150 Novi MI 48375-5510 |
| Practice Telephone | 2486620250 |
| Practice Fax Number | 2486629844 |
| Mailing Telephone | 2486620250 |
| Mailing Fax Number | 2486629844 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | THOMAS PROSE (PRESIDENT) |
| Authorized Official Telephone | 2486620250 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21333 HAGGERTY RD SUITE 150 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811945199 | General Medicine, P.C. | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2006-05-05 |
| 1780128314 | General Medicine of North Carolina PC | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-12-16 |
| 1427410018 | Metro Medical Haggerty Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-23 |
| 1437511201 | Westco Haggerty Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-22 |
| 1154782183 | New Castle Haggerty Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-18 |
| 1477914596 | Vicinity Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| 1598126559 | National Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| 1699136655 | Sigma Haggerty Medical Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| 1922469055 | Borough Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
| 1285095315 | City Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649524588 | Catherine Marie Evangelista Haugen | Nurse Practitioner | 29450 W 12 Mile Road, Novi, MI 48377 | 2012-10-30 |
| 1295039964 | Emmitt T Spradlin | Nurse Practitioner | 45297 Dunbarton Dr, Novi, MI 48375-3811 | 2011-01-10 |
| 1487978896 | Natalie Carwan | Nurse Practitioner | 22467 Paddington Ct, Novi, MI 48374-3860 | 2010-03-15 |
| 1477673200 | Kristin Marie Bakos | Nurse Practitioner | 39450 12 Mile Rd, Novi, MI 48377 | 2007-03-29 |
| 1811945199 | General Medicine, P.C. | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2006-05-05 |
| 1912484775 | Jess M Scaria | Nurse Practitioner | 28455 Haggerty Rd Ste 200, Novi, MI 48377-2982 | 2018-07-24 |
| 1992228043 | Brandy Jeanne Holmes | Nurse Practitioner | 47601 Grand River Ave, Novi, MI 48374-1233 | 2017-07-20 |
| 1780128314 | General Medicine of North Carolina PC | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-12-16 |
| 1427410018 | Metro Medical Haggerty Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-23 |
| 1437511201 | Westco Haggerty Medical Partners Pa | Nurse Practitioner | 21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510 | 2016-03-22 |
| Find all providers in NOVI | ||||
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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.