ANTHONY SOUTHALL (NPI# 1780639179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780639179 |
| Entity Type | Individual |
| Full Name | ANTHONY SOUTHALL |
| Credential | MD |
| Practice Address |
18161 W 13 Mile Rd Suite A-2 Southfield MI 48076-1113 |
| Practice Telephone | 2486429893 |
| Mailing Telephone | 2486429893 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301034628 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
18161 W 13 MILE RD SUITE A-2 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321287 | Lawrence C Sweet | Allergy & Immunology | 18161 W 13 Mile Rd, Suite C, Southfield, MI 48076-1113 | 2005-10-21 |
| 1023662236 | Amy Michelle Bakalar | Nurse Practitioner | 18161 W 13 Mile Rd, Southfield, MI 48076-1113 | 2019-07-25 |
| 1033588082 | Total Recovery Physical Therapy LLC | Specialist | 18161 W 13 Mile Rd, Suite E 3, Southfield, MI 48076-1113 | 2015-09-21 |
| 1164829479 | Ocie Drake Jr. | Dentist | 18161 W 13 Mile Rd, Suite D-1, Southfield, MI 48076-1113 | 2014-12-02 |
| 1639573389 | Biochem Diagnostics Laboratory, Inc | Clinical Medical Laboratory | 18161 W 13 Mile Rd, Suite D3, Southfield, MI 48076-1113 | 2014-10-09 |
| 1215276092 | Dathatreya Kandagari | Physical Therapist | 18161 W 13 Mile Rd, Suite E-3, Southfield, MI 48076-1113 | 2013-02-13 |
| 1295088870 | Total Recovery Physical Therapy | Physical Therapy Assistant | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | 2012-10-19 |
| 1386935955 | Kathy Lynn Bashawaty | Nurse Practitioner | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 | 2011-04-29 |
| 1144536954 | Bronco Injury & Chiropractic Center, Inc. | Chiropractor | 18161 W 13 Mile Rd, Ste E3, Southfield, MI 48076-1113 | 2010-08-31 |
| 1508195835 | Michigan Diagnostic, LLC | Specialist/Technologist, Other | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | 2009-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902061211 | Daniel Ridelman Monzon | Emergency Medicine | 16500 N Park Dr Apt 1505, Southfield, MI 48075-4754 | 2008-07-25 |
| 1295782951 | Rebecca Kathleene Motley | Emergency Medicine | 17256 Sherfield Pl, Southfield, MI 48075-1969 | 2006-05-28 |
| 1104209659 | Christine Mlynarek | Emergency Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075 | 2015-07-01 |
| 1740696400 | Richard Paul | Emergency Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2014-07-02 |
| 1730529223 | Veronica Jean Miles | Emergency Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2013-06-27 |
| 1013357607 | Lindsay Anne Richmond-pruneau | Emergency Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2013-06-27 |
| 1740544915 | Daniel Thomas Wilson Lalonde | Emergency Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2012-07-02 |
| 1306128202 | Ryan Saab | Emergency Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2011-09-15 |
| 1407088123 | Abdulrazak Fisal Alchakaki | Emergency Medicine | 28411 Northwestern Hwy, Suite 1050, Southfield, MI 48034-5544 | 2009-08-13 |
| 1659505378 | Brian Joseph Scallen | Emergency Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2009-05-09 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.