LTACH SPECIALIST PC (NPI# 1821212606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821212606 |
| Entity Type | Organization |
| Organization Name | LTACH SPECIALIST PC |
| Practice Address |
6071 W Outer Dr Detroit MI 48235-2624 |
| Mailing Address |
29407 Weathervane Ave Farmington Hills MI 48331-2813 |
| Practice Telephone | 3139664797 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MUHAMMAD Y KARIM (OWNER) |
| Authorized Official Telephone | 3137450203 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
4301059699 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4693010 | 05 |
| Street Address |
6071 W OUTER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836806 | Select Specialty Hospital - Northwest Detroit Inc | Long Term Care Hospital | 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 | 2005-07-26 |
| 1356965198 | Anielle Ball | Registered Nurse | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-06-07 |
| 1427672708 | Nitesh Kumar Byrappa | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-06-03 |
| 1992327969 | Chandima Jinani Herath Mudiyanselage | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235 | 2020-05-13 |
| 1790307783 | Patrick Riedy | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-05-12 |
| 1518589878 | Nnadozie Okoroafor | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-05-09 |
| 1720609803 | Charmayne Gail Cooley | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-30 |
| 1841811890 | Noren Din | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-30 |
| 1962023069 | Haseeb Khan | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-29 |
| 1285255570 | Edward Park | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-28 |
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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 | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790171304 | Marc Vander Vliet | Internal Medicine | 2799 W. Grand Blvd, Clara Ford Pavilion--4th Floor, Detroit, MI 48202 | 2015-04-09 |
| 1386060226 | Barbara Ann Karmanos Cancer Institute | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2014-03-17 |
| 1841533031 | Elisheva Newman | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2013-04-05 |
| 1275743700 | Gilbert Dagher Abou Dagher | Internal Medicine | 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 | 2007-05-23 |
| 1538228879 | Leslie J. Bricker | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912592 | Hospice Advantage, LLC | Internal Medicine | 801 S Waverly Rd Ste 200, Lansing, MI 48917-4200 | 2020-11-02 |
| 1518573054 | Thi of Michigan At Detroit, LLC | Internal Medicine | 30665 Northwestern Hwy Ste 150, Farmington Hills, MI 48334-3146 | 2020-09-21 |
| 1639496466 | Palliative Care Medical Associates | Internal Medicine | 430 Union Ave Ne Apt 209, Grand Rapids, MI 49503-5747 | 2010-05-04 |
| 1578771770 | Helen Scoblic | Internal Medicine | 1426 Straits Dr, Bay City, MI 48706-8705 | 2007-05-19 |
| 1255439915 | Saeed I Bajwa | Internal Medicine | 5301 Mcauley Dr Ste 2119, Ypsilanti, MI 48197-1051 | 2006-09-20 |
| 1831186311 | Hospice At Home, Inc. | Internal Medicine | 4025 Health Park Lane, Saint Joseph, MI 49085 | 2005-09-30 |
| 1144878745 | Ascension St. Mary's Hospital | Internal Medicine | 4599 Towne Centre Rd, Saginaw, MI 48604-2804 | 2019-08-28 |
| 1033638077 | Northstar Palliative Care Inc | Internal Medicine | 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 | 2017-09-11 |
| 1457890618 | Tamber Townsend | Internal Medicine | 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 | 2017-02-20 |
| 1568900512 | Iha Health Services Corporation | Internal Medicine | 5301 Mcauley Dr, Suite 2199, Ypsilanti, MI 48197-1051 | 2017-02-09 |
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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.