DR. LAYTH MAOLOOD (NPI# 1790788701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790788701 |
| Entity Type | Individual |
| Full Name | DR. LAYTH MAOLOOD |
| Credential | MD, FAAP |
| Practice Address |
3160 Lewis Ave Ida MI 48140-9703 |
| Practice Telephone | 8884323621 |
| Practice Fax Number | 8663909167 |
| Mailing Telephone | 8884323621 |
| Mailing Fax Number | 8663909167 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35078595 | OH | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 4301068044 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301068044 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35078595 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104592616 | 05 | |
| OH | 2230713 | 05 |
| Street Address |
3160 LEWIS AVE |
| City | IDA |
| State | MI |
| Zip Code | 48140-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831892 | Community Physicians Pllc | Physical Medicine & Rehabilitation | 3160 Lewis Ave, Ida, MI 48140-9703 | 2020-08-14 |
| 1831113414 | Alo Med Pllc | Clinic/Center | 3160 Lewis Ave, Ida, MI 48140-9703 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598113847 | Angela Hines | Licensed Practical Nurse | 14007 Lulu Rd, Ida, MI 48140-9529 | 2016-05-26 |
| 1588071419 | Mary Ringel | Technician, Other | 2000 Morocco Rd, Ida, MI 48140-9531 | 2014-07-11 |
| 1225579048 | Analese Marie Ringel | Behavior Technician | 2000 Morocco Rd, Ida, MI 48140-9531 | 2017-03-13 |
| 1992895254 | Riga W Krueger | Dentist | 2906 Lewis Ave, Ida, MI 48140-9598 | 2006-10-14 |
| 1790299147 | Ida Public Schools | Case Management | 3145 Prairie St, Ida, MI 48140-9600 | 2017-11-21 |
| 1396807228 | James E Kramer | Pharmacist | 3164 Lewis Ave, Ida, MI 48140-9703 | 2006-12-15 |
| 1457319147 | Hometown Pharmacy Inc | Pharmacy | 3164 Lewis Ave, Ida, MI 48140-9703 | 2006-05-02 |
| 1194029991 | Adam Lee Anastasoff | Counselor | 13316 Ida Center Rd, Ida, MI 48140-9722 | 2011-01-07 |
| 1356526792 | Nicole M Lewis | Occupational Therapist | 5053 Jackman Rd, Ida, MI 48140-9742 | 2008-01-04 |
| 1922412121 | Stephanie Batdorf | Physical Therapy Assistant | 7584 Ida East Rd, Ida, MI 48140-9760 | 2014-06-16 |
| Find all providers in zip 48140 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910687 | Berry Johnson Health Pllc | Internal Medicine | 30123 Rock Creek Dr, Southfield, MI 48076-5358 | 2020-10-24 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1790399798 | Enhua Wang | Internal Medicine | 1215 E Michigan Ave Ste 500, Lansing, MI 48912-1811 | 2020-09-07 |
| 1093329849 | Hey Doc, P.C. | Internal Medicine | 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 | 2020-08-31 |
| 1568074375 | Mohammad Nadeemullah Pllc | Internal Medicine | 5400 Waldenhill Ct, Superior Twp, MI 48198-9654 | 2020-08-21 |
| 1356953723 | Eager Internal Medicine, Pllc | Internal Medicine | 720 N Lapeer Rd Ste 101, Lake Orion, MI 48362-4011 | 2020-08-18 |
| 1144838335 | Ranim Chamseddin | Internal Medicine | 3200 Five Points Dr Unit 110, Auburn Hills, MI 48326-2372 | 2020-07-14 |
| 1407474562 | Pravalika Rudraraju | Internal Medicine | 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 | 2020-07-06 |
| 1780200469 | Abed L Dabaja | Internal Medicine | 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 | 2020-06-18 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 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.