CASSANDRA BOGGON


Address: 16203 Wyoming St, Detroit, MI 48221-3417
Phone: 3138642788

CASSANDRA BOGGON (NPI# 1770803496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770803496
Entity Type Individual
Full Name CASSANDRA BOGGON
Practice Address 16203 Wyoming St
Detroit
MI 48221-3417
Mailing Address 8457 Brace St
Detroit
MI 48228-3144
Practice Telephone 3138642788
Practice Fax Number 8662677903
Mailing Telephone 7343340208
Mailing Fax Number 8662677903
Enumeration Date 2010-06-03
Last Update Date 2010-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 2701115101 MI Other Service Providers

Office Location

Street Address 16203 WYOMING ST
City DETROIT
State MI
Zip Code 48221-3417

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689172553 Senora King Specialist 7824 Artesian St, Detroit, MI 48228-3376 2018-01-25
1134526437 Pierre E Vinson Specialist 200 Mount Elliott St Ste 111, Detroit, MI 48207-4466 2014-12-02
1316348865 Lamika Riley Specialist 18320 W Mcnichols Rd, Detroit, MI 48219-4162 2014-09-15
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1144588450 Jessica Jensine Noles Specialist 14211 Northlawn St, Detroit, MI 48238-2434 2012-04-25
1104089499 Muwaffak Mohammad Abdulhak Specialist 2799 West Grand Blvd. K-11, Henry Ford Hospital, Detroit, MI 48202 2008-07-07
1639330210 Nicole Lashawn Greene Specialist 4533 St Clair St, Detroit, MI 48214 2008-06-17
1962674028 House-call Service, Inc. Specialist 19455 Kentfield St, Detroit, MI 48219-2013 2008-03-29
1558530030 Samir R. Yahia Md,p.c Specialist 22151 Moross Rd Bldg 1, Suite 335, Detroit, MI 48236-2167 2008-02-28
1396941001 Jacob Kalo Md PC Specialist 15650 E 8 Mile Rd, Detroit, MI 48205-1444 2007-06-21
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Competitor

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City DETROIT
Zip Code 48221

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Dataset Information

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.

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