HALO PRIMARY CARE PLLC (NPI# 1750787784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750787784 |
| Entity Type | Organization |
| Organization Name | HALO PRIMARY CARE PLLC |
| Practice Address |
1535 E State Fair Detroit MI 48203-1257 |
| Mailing Address |
4160 John R St Suite 510 Detroit MI 48201-2020 |
| Practice Telephone | 3138912740 |
| Practice Fax Number | 3137310213 |
| Mailing Telephone | 3139937777 |
| Mailing Fax Number | 3139932563 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | DR. MAHIR ELDER (PRESIDENT) |
| Authorized Official Telephone | 3139937777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | HEART & VASCULAR INSTITUTE PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1535 E STATE FAIR |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101293 | Halo Primary Care | Family Medicine | 1535 E State Fair, Detroit, MI 48203-1257 | 2019-02-27 |
| 1720596307 | Danielle N Griffith | Nurse Practitioner | 1535 E State Fair, Detroit, MI 48203-1257 | 2018-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770871154 | Hilal D Elia M.d., P.c | Clinic/Center | 950 E State Fair, Detroit, MI 48203-1273 | 2011-07-19 |
| 1417257510 | Medical Missionary Management PC | Clinic/Center | 1002 Seminole St, Detroit, MI 48214-2707 | 2010-10-25 |
| 1023349578 | Health Care Medical Center PC | Clinic/Center | 17141 Hayes St, Detroit, MI 48205-3559 | 2010-01-22 |
| 1558538132 | David O Washington Mdpc | Clinic/Center | 19251 Bretton Dr, Detroit, MI 48223-1363 | 2008-05-13 |
| 1356510085 | Detroit Medical Center | Clinic/Center | 4201 Saint Antoine St Ste 2e, Detroit, MI 48201-2153 | 2008-02-27 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1124226428 | The Dr. Albert B. Cleage, Sr. Memorial Health Center | Clinic/Center | 700 Seward St, Detroit, MI 48202-2427 | 2007-07-07 |
| 1942357959 | Dean Clinic, P.C. | Clinic/Center | 4140 E 8 Mile Rd, Detroit, MI 48234-1014 | 2007-01-04 |
| 1437710563 | Kancc Medical P.l.c. | Clinic/Center | 17331 Mack Ave, Detroit, MI 48224-2250 | 2019-06-28 |
| 1437711595 | Michigan Wellness 1 LLC | Clinic/Center | 18455 James Couzens Fwy, Detroit, MI 48235-2506 | 2019-06-28 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on HALO PRIMARY CARE PLLC.
| 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.