MICHAEL G EDWARDS (NPI# 1750309100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750309100 |
| Entity Type | Individual |
| Full Name | MICHAEL G EDWARDS |
| Credential | MD |
| Practice Address |
11800 E Twelve Mile Road Warren MI 48093 |
| Practice Telephone | 5865735060 |
| Practice Fax Number | 5865735197 |
| Mailing Telephone | 5865735060 |
| Mailing Fax Number | 5865735197 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
049974 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4595091 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619493921 | Michael Edwards | Psychologist | 875 Waimanu St Suite 612, Honolulu, HI 96813-5248 | 2017-08-17 |
| 1427380658 | Michael Kevin Edwards | Specialist/Technologist, Other | 1882 Mustang Trl, Suffolk, VA 23432-1832 | 2010-02-15 |
| 1295964088 | Michael J Edwards Sr. | Counselor | 2102 Tradewind Dr, Suite 172, Mesquite, TX 75150-3309 | 2009-07-14 |
| 1215172069 | Michael Edwards | Dentist | 384 Montauk Highway, Suite 3, Wainscott, NY 11975-0387 | 2008-12-09 |
| 1376664359 | Michael Edwards | Counselor | 2004 Hospital Way, Whitefish, MT 59937-7858 | 2007-04-03 |
| 1164555918 | Michael D Edwards | Dentist | 449 Main St North, Wedowee, AL 36278 | 2007-03-13 |
| 1043391410 | Michael C Edwards | Plastic Surgery | 8530 W. Sunset Road, Suite 130, Las Vegas, NV 89113 | 2006-10-18 |
| 1386651073 | Michael A Edwards | Family Medicine | 40-42 Asbury St, South Hamilton, MA 01982 | 2006-08-02 |
| 1891774147 | Michael Edwards | Surgery | 1440 E 1st St, Suite 100, Santa Ana, CA 92701-6384 | 2006-01-14 |
| 1477058170 | Michael Hollis Edwards | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2018-03-26 |
| Street Address |
11800 E TWELVE MILE ROAD |
| City | WARREN |
| State | MI |
| Zip Code | 48093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477578144 | Diagnostic Radiology Consultants PC | Radiology | 11800 E Twelve Mile Road, St John Macomb Hospital, Warren, MI 48093 | 2006-07-13 |
| 1366450256 | Thomas R Borland | Emergency Medicine | 11800 E Twelve Mile Road, Emergency Department, Warren, MI 48093 | 2006-08-04 |
| 1992723332 | David G Fry | Radiology | 11800 E Twelve Mile Road, Warren, MI 48093 | 2006-07-17 |
| 1801814249 | Philip A Adler | Radiology | 11800 E Twelve Mile Road, Warren, MI 48093 | 2006-07-17 |
| 1710905153 | Daniel H Macek | Radiology | 11800 E Twelve Mile Road, Warren, MI 48093 | 2006-07-17 |
| 1780602136 | Sanford E Wagenberg | Radiology | 11800 E Twelve Mile Road, Warren, MI 48093 | 2006-07-17 |
| 1053337402 | H Jay Zeskind | Radiology | 11800 E Twelve Mile Road, Warren, MI 48093 | 2006-07-15 |
| 1831115294 | Zenon M Zarewych | Radiology | 11800 E Twelve Mile Road, Warren, MI 48093 | 2006-07-15 |
| 1730105933 | Adam J Frank | Radiology | 11800 E Twelve Mile Road, St John Macomb Hospital, Warren, MI 48093 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497959183 | Bi-county Physicians Practices | Radiology | 13355 East 10 Mile Road, Warren, MI 48089-2048 | 2007-06-14 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| 1598786451 | Walter H Kuhnen | Radiology | 2 12 Crescent Park, Warren, PA 16365 | 2006-07-23 |
| 1457370330 | Neha Kothari | Radiology | 9 Cotswold Ln, Warren, NJ 07059-6900 | 2006-07-19 |
| 1871518449 | Radiology Specialties PC | Radiology | 13355 East Ten Mile Rd, Warren, MI 48089-1240 | 2006-07-13 |
| 1477578144 | Diagnostic Radiology Consultants PC | Radiology | 11800 E Twelve Mile Road, St John Macomb Hospital, Warren, MI 48093 | 2006-07-13 |
| 1144263153 | Franklin D Wald | Radiology | 9 Nottingham Way, Warren, NJ 07059-6754 | 2006-06-14 |
| 1881651909 | Robert Palmer Stecher | Radiology | 2900 Sandpiper Trl Se, Warren, OH 44484-5706 | 2006-05-01 |
| 1972586717 | Great Lakes Mri of Michigan LLC | Radiology | 27301 Schoenherr Rd, Suite 100, Warren, MI 48088-6649 | 2005-11-25 |
| 1154319259 | Medical Imaging Network Inc | Radiology | 5500 E Market St, Warren, OH 44484-2214 | 2005-10-12 |
| Find all providers in WARREN | ||||
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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.