CLARKSTON HEALTH CENTER (NPI# 1750327771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750327771 |
| Entity Type | Organization |
| Organization Name | CLARKSTON HEALTH CENTER |
| Practice Address |
5625 Water Tower Pl Suite G-33 Clarkston MI 48346-2671 |
| Practice Telephone | 2486204222 |
| Practice Fax Number | 2486204234 |
| Mailing Telephone | 2486204222 |
| Mailing Fax Number | 2486204234 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KELLI K THOMAS (MANAGER) |
| Authorized Official Telephone | 2486204227 |
| Authorized Official Credential | R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
775305 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CIGNA | 7065650 | 01 |
| MI | PREFERRED CHOICES | 137850 | 01 |
| MI | BLUE CARE NETWORK | OF30168 | 01 |
| MI | BLUE CROSS BLUE SHIELD OF | OF30168 | 01 |
| MI | CAPE MEDICAL | 000000009522 | 01 |
| MI | HEALTH PLUS OF MI | 0996948 | 01 |
| MI | CARE CHOICES | 137850 | 01 |
| MI | HAP | ON75750 | 01 |
| MI | M-CARE | 16442 | 01 |
| Street Address |
5625 WATER TOWER PL SUITE G-33 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326093964 | Regional Cardiology Associates, P.l.c. | Internal Medicine | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-05-23 |
| 1255833992 | Nicole Hosler | Nurse Practitioner | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2018-03-07 |
| 1548438724 | Pine Knob Pharmacy #2 | Durable Medical Equipment & Medical Supplies | 5625 Water Tower Pl, Suite 101, Clarkston, MI 48346-2671 | 2008-02-11 |
| 1811039191 | Women's Integrated Health Care, P.C. | Obstetrics & Gynecology | 5625 Water Tower Pl, Ste 200, Clarkston, MI 48346-2671 | 2007-02-13 |
| 1326133174 | Kenneth Gerald Keener | Pharmacist | 5625 Water Tower Pl, Suite 101, Clarkston, MI 48346-2671 | 2006-10-04 |
| 1063510089 | James A Harrill | Physician Assistant | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-09-21 |
| 1609984608 | Pain Management Centers PC | Clinic/Center | 5625 Water Tower Pl, Suite 220, Clarkston, MI 48346-2671 | 2006-08-29 |
| 1881702892 | Ashraf I Khan | Pain Medicine | 5625 Water Tower Pl, Suite 220, Clarkston, MI 48346-2671 | 2006-08-29 |
| 1275641631 | Pine Knob Pharmacy 2 Inc | Pharmacy | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| 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 |
|---|---|---|---|---|
| 1396167599 | Roger Linwood Gonda Sr. | Radiology | 291 N Baldwin Rd, Clarkston, MI 48348-2305 | 2014-01-08 |
| 1689733503 | Associated Radiologists of Clarkston Plc | Radiology | 7210 Ortonville Rd. Ste 211, Clarkston, MI 48346 | 2006-12-06 |
| 1043260169 | Twin Cities Radiology, Inc | Radiology | 1254 Highland Ave, Clarkston, WA 99403-2841 | 2006-05-11 |
| 1013930460 | United Eagle Imaging, LLC | Radiology | 6770 Dixie Hwy, Ste 107, Clarkston, MI 48346 | 2006-07-26 |
| 1629094073 | Cat Scan Center of Clarkston PC | Radiology | 6770 Dixie Hwy, Ste 100, Clarkston, MI 48346 | 2006-07-15 |
| 1942251376 | John W Mannschreck | Radiology | 1254 Highland Ave, Clarkston, WA 99403-2841 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
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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.