LESLIE ISABEL PEREZ (NPI# 1780004184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780004184 |
| Entity Type | Individual |
| Full Name | LESLIE ISABEL PEREZ |
| Credential | M.D. |
| Practice Address |
15400 W Mcnichols Rd Thea Bowman-advantage Health Center Detroit MI 48235 |
| Practice Telephone | 3134166250 |
| Mailing Telephone | 3134166250 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301106164 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104476589 | Leslie N Perez | Clinical Neuropsychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-09-17 |
| 1730747957 | Leslie Esmeralda Perez | Behavior Technician | 800 Howe Ave Ste 140, Sacramento, CA 95825-3965 | 2019-06-03 |
| 1083186241 | Leslie Perez | Behavior Technician | 1620 N Main St Ste 1, Walnut Creek, CA 94596-4653 | 2018-12-27 |
| 1144767799 | Leslie Perez | Behavior Technician | 7226 Sepulveda Blvd, Van Nuys, CA 91405-2003 | 2017-01-20 |
| 1790155026 | Leslie Stephanie Perez | Case Manager/Care Coordinator | 1501 Hughes Way, Long Beach, CA 90810-1876 | 2015-09-29 |
| 1710289285 | Leslie America Perez | Rehabilitation Practitioner | 920 E Broadway, Glendale, CA 91205-1204 | 2010-12-03 |
| Street Address |
15400 W MCNICHOLS RD THEA BOWMAN-ADVANTAGE HEALTH CENTER |
| City | DETROIT |
| State | MI |
| Zip Code | 48235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710924816 | Maryjean Schenk | Family Medicine | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2006-05-31 |
| 1740826056 | Kendra Shaneth Lowe | Dental Hygienist | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2019-11-21 |
| 1770147084 | Resha Shrestha | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2019-04-23 |
| 1508429960 | Ameen A Masoodi | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2019-04-20 |
| 1528621182 | Julie Cadet | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2019-04-19 |
| 1659878239 | Zena Abd-alahad | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2018-04-10 |
| 1003325440 | Detroit Health Care for The Homeless | Clinic/Center | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2017-09-28 |
| 1548789506 | Bhavyata Patel | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2017-09-11 |
| 1639692320 | Marcie Ann Giammanco | Dental Hygienist | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2017-07-25 |
| 1740676683 | Patrick Long | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2015-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354811 | Lorie Ann Turner | Family Medicine | 1728 Sheridan St, Detroit, MI 48214-2410 | 2020-04-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1508326687 | Randi Nguyen | Family Medicine | 22151 Moross Rd Ste 212, Detroit, MI 48236-2177 | 2019-03-23 |
| 1982194338 | Green Cross Medical Center PC | Family Medicine | 18041 Greenfield Rd, Detroit, MI 48235-3120 | 2018-05-11 |
| 1205339306 | Conant Family Care Pllc | Family Medicine | 3611 Carpenter St Ste 5, Detroit, MI 48212-2784 | 2018-03-14 |
| 1801303086 | St Mary Mercy Physician Practices | Family Medicine | 5555 Conner St Ste 2691, Detroit, MI 48213-3812 | 2018-01-09 |
| 1427408376 | Raquel Orlich | Family Medicine | 1620 Michigan Ave Ste 125, Detroit, MI 48216-1493 | 2016-06-21 |
| 1295181543 | Ammar Charestan | Family Medicine | 6071 Outer Dr W, Detroit, MI 48235 | 2016-05-05 |
| 1629423652 | Rajni Parmar | Family Medicine | 6001 W Outer Dr Ste 430, Detroit, MI 48235-2626 | 2016-04-27 |
| 1265886733 | Benjamin Abraham | Family Medicine | One Ford Place 2e, Henry Ford Hospital, Department of Family Medicine, Detroit, MI 48202 | 2016-04-20 |
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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.