MR. BRIAN PAUL CZUBAK (NPI# 1801298005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801298005 |
| Entity Type | Individual |
| Full Name | MR. BRIAN PAUL CZUBAK |
| Practice Address |
1884 Birchwood Dr Okemos MI 48864-2764 |
| Practice Telephone | 5175993858 |
| Practice Fax Number | 5172530998 |
| Mailing Telephone | 5175993858 |
| Mailing Fax Number | 5172530998 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1884 BIRCHWOOD DR |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851794598 | Lakeside Medical Suppliers, LLC | Durable Medical Equipment & Medical Supplies | 1884 Birchwood Dr, Okemos, MI 48864-2764 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588932354 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2131 W Grand River Ave, Okemos, MI 48864-1601 | 2011-12-08 |
| 1639315112 | Miotech Orthopedic Sales, LLC | Durable Medical Equipment & Medical Supplies | 4125 Okemos Rd, Suite 22, Okemos, MI 48864-2819 | 2009-01-05 |
| 1740329614 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 2055 W Grand River Ave, Okemos, MI 48864-1706 | 2007-02-06 |
| 1790830750 | In Home Safety Services LLC | Durable Medical Equipment & Medical Supplies | 2380 Kewanee Way, Okemos, MI 48864-2517 | 2007-01-23 |
| 1871640383 | Ez Sleep Supplies LLC | Durable Medical Equipment & Medical Supplies | 2395 Jolly Rd Ste 160, Okemos, MI 48864-5977 | 2007-01-05 |
| 1841309382 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 1664 West Grand River Avenue, Okemos, MI 48864-1892 | 2006-08-29 |
| 1891717567 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 4890 Marsh Rd, Okemos, MI 48864-1123 | 2006-07-24 |
| 1629095849 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5110 Times Square Pl, Okemos, MI 48864-1161 | 2006-07-16 |
| 1194759951 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 4884 Marsh Rd, Okemos, MI 48864-1123 | 2006-07-10 |
| 1356836506 | Medex Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2390 Woodlake Dr Ste 380, Okemos, MI 48864-6018 | 2018-06-28 |
| Find all providers in OKEMOS | ||||
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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.