THERESE MASZATICS JOHNSON (NPI# 1841230893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841230893 |
Entity Type | Individual |
Full Name | THERESE MASZATICS JOHNSON |
Other Name | TERRI L.M. JOHNSON |
Credential | MD |
Practice Address |
12851 Grand River Rd Brighton MI 48116-8506 |
Practice Telephone | 8102271211 |
Practice Fax Number | 8102205509 |
Mailing Telephone | (810) 227-1211 |
Mailing Fax Number | 8102205509 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
4301054368 | MI | Allopathic & Osteopathic Physicians |
N | 208100000X | Physical Medicine & Rehabilitation | JJ054368 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 104707358 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5720 Paint Valley Dr, Rochester, Rochester, MI 483062465 | 2486726148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437706587 | Therese Marie Johnson | Case Manager/Care Coordinator | 12460 Ladd Ln, Auburn, CA 95603-9571 | 2019-08-23 |
1033273404 | Therese Ann Johnson | Counselor | 2955 80th Ave Se Ste 206, Mercer Island, WA 98040-2975 | 2006-12-20 |
1326081316 | Therese Ann Johnson | Physician Assistant | 3267 S 16th Street, Ems Office, Milwaukee, WI 53215 | 2006-06-14 |
1730441726 | Therese Johnson | Case Manager/Care Coordinator | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2012-06-14 |
1841562154 | Therese Lynn Johnson | Registered Nurse | 147 N Brent St, Ventura, CA 93003-2809 | 2012-02-01 |
1881925360 | Therese Johnson | Social Worker | 32 N High St, Bridgton, ME 04009-1125 | 2010-01-22 |
1518052042 | Therese Johnson | Family Medicine | 1711 Gold Drive South Suite 160, Fargo, ND 58103 | 2006-10-03 |
Street Address |
12851 GRAND RIVER RD |
City | BRIGHTON |
State | MI |
Zip Code | 48116-8506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669450599 | Claudette T Mcgoey | Dermatology | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2005-12-30 |
1295295129 | Joann Weinberg Drasnin | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2019-03-25 |
1689195232 | Susan Pearon | Counselor | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-07-05 |
1043749534 | Stephen Phillips | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-06-08 |
1386172930 | Shawn Casey Eaton | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-05-26 |
1962949560 | David Matouka | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-01-21 |
1922451087 | Catherine Anne Keister | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2016-07-13 |
1417341595 | Olivia Lewandowski | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2015-03-26 |
1669805941 | Eric Eason | Counselor | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2013-08-09 |
1184056491 | Vanessa Rose Vojinov | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2013-08-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
Find all providers in zip 48116 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609976448 | Margaret Shelly | Family Medicine | 1755 Commonwealth Ave, Brighton, MA 02135-4040 | 2006-09-22 |
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1063045839 | Rtsmedicalgroupllc | Family Medicine | 5210 Yorkshire Rd, Detroit, MI 48224-2139 | 2020-02-19 |
1194234120 | Prime Mobile Care Incorporated | Family Medicine | 17515 W 9 Mile Rd Ste 375, Southfield, MI 48075-4404 | 2017-09-21 |
1093233132 | Right At Home Physicians Pllc | Family Medicine | 22001 Kelly Rd Ste 2, Eastpointe, MI 48021-2726 | 2017-09-08 |
1821531831 | Ant Hill, Inc. | Family Medicine | 21 Midland St, Highland Park, MI 48203-3727 | 2016-11-22 |
1518419043 | Alma Care Visiting Services | Family Medicine | 11352 Gabriel St, Romulus, MI 48174-1431 | 2016-11-01 |
1801341821 | Bridgette Defrance | Family Medicine | 42074 Greenwood Dr, Canton, MI 48187-3615 | 2016-08-19 |
1417311762 | Adam Wolfe | Family Medicine | 1101 W University Dr # 2-south, Rochester, MI 48307-1863 | 2016-04-12 |
1801255906 | Westland Primary Care Pllc | Family Medicine | 8311 N Wayne Rd, Westland, MI 48185-1351 | 2016-02-17 |
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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.