CHAMPA NAGAPPA (NPI# 1740252352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740252352 |
| Entity Type | Individual |
| Full Name | CHAMPA NAGAPPA |
| Credential | MD |
| Practice Address |
15777 Northline Rd Southgate MI 48195-2385 |
| Practice Telephone | 7342468100 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301068278 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
15777 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542035 | Farah Iftikhar | Family Medicine | 15777 Northline Rd, Southgate, MI 48195-2385 | 2005-07-15 |
| 1427559814 | Piotr Mariusz Orawiec | Physical Therapist | 15777 Northline Rd, Southgate, MI 48195-2385 | 2018-02-22 |
| 1417495524 | Diane Pearl | Nurse Practitioner | 15777 Northline Rd, Southgate, MI 48195-2385 | 2017-02-09 |
| 1689990384 | Sheila Sungurlu | Internal Medicine | 15777 Northline Rd, Southgate, MI 48195-2385 | 2010-04-20 |
| 1033432232 | Oakwood Ambulatory, LLC | Nurse Practitioner | 15777 Northline Rd, Southgate, MI 48195-2385 | 2010-03-03 |
| 1669657367 | Oakwood Healthcare Inc | Pharmacy | 15777 Northline Rd, Ste 100a, Southgate, MI 48195-2385 | 2008-01-02 |
| 1790967339 | Southgate Urgent Care PC | Clinic/Center | 15777 Northline Rd, Suite 101, Southgate, MI 48195-2385 | 2007-12-05 |
| 1659585206 | Paul Malick | Family Medicine | 15777 Northline Rd, Southgate, MI 48195-2385 | 2007-05-10 |
| 1760525125 | Jeffrey A Kline | Specialist/Technologist | 15777 Northline Rd, Sports Medicine, Southgate, MI 48195-2385 | 2007-02-15 |
| 1114075892 | Mark Jeffrey Mcdonald | Specialist/Technologist | 15777 Northline Rd, Suite 102, Southgate, MI 48195-2385 | 2007-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790839819 | James John Otrembiak | Pediatrics | 525 Alexandria Pike Ste 320, Southgate, KY 41071 | 2007-01-23 |
| 1902979495 | Jerald Purifoy | Pediatrics | 15777 Northline Rd Ste 203, Southgate, MI 48195-2354 | 2006-11-15 |
| 1568430502 | Dinesh Nayak | Pediatrics | 15555 Northline Rd, Southgate, MI 48195-1896 | 2006-03-08 |
| 1669448783 | Khalid Kamal | Pediatrics | 15350 Trenton Rd, Southgate, MI 48195-2027 | 2006-02-28 |
| 1386186930 | Brenden Bisson | Pediatrics | 15555 Northline Rd, Southgate, MI 48195-1896 | 2016-11-14 |
| 1154559177 | Jason William Bihn | Pediatrics | 15350 Trenton Rd, Southgate, MI 48195-2027 | 2009-06-29 |
| 1770779589 | Zeeshan Tarique | Pediatrics | 15555 Northline Rd, Southgate, MI 48195-1896 | 2007-09-15 |
| 1871796706 | Saba Raisa Cossor | Pediatrics | 15350 Trenton Rd, Southgate, MI 48195-2027 | 2007-06-07 |
| 1235284233 | Dr. Dinesh Nayak, Md, P.C. | Pediatrics | 15255 Northline Rd, Southgate, MI 48195-2487 | 2007-01-23 |
| 1457410912 | Shakeeb Chinoy | Pediatrics | 15255 Northline Rd, Southgate, MI 48195-2487 | 2006-12-08 |
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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.