MICHIGAN VEIN AND WELLNESS CENTER PLLC (NPI# 1841831450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841831450 |
| Entity Type | Organization |
| Organization Name | MICHIGAN VEIN AND WELLNESS CENTER PLLC |
| Practice Address |
32429 Liparoto Dr Rockwood MI 48173-8609 |
| Practice Telephone | 7343790016 |
| Mailing Telephone | 7343790016 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | ALEXANDER BATCHEV (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7343790016 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI LICENSE | 5101012210 | 01 |
| Street Address |
32429 LIPAROTO DR |
| City | ROCKWOOD |
| State | MI |
| Zip Code | 48173-8609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1568770493 | Janis Lee Gilliam | Massage Therapist | 32121 Old Fort, Rockwood, MI 48173 | 2010-09-14 |
| 1982807913 | Lisa G Heidemann | Registered Nurse | 1450 S Lapeer, Oxford, MI 48173 | 2007-06-07 |
| 1215066279 | Craig Arlen Birch | Dentist | 21969 Huron River Drive, Rockwood, MI 48173 | 2007-03-05 |
| 1992850226 | Chad Jason Eschliman | Radiologic Technologist | 33285 Spoonbill Ave, Brownstown, MI 48173 | 2007-01-25 |
| 1871983072 | Karen Cupp | Psychologist | 21825 Woodruff Rd, Apt G3, Rockwood, MI 48173-1062 | 2015-01-27 |
| 1093016438 | Susans Total Care Drug Store LLC | Durable Medical Equipment & Medical Supplies | 22432 Huron River Dr, Rockwood, MI 48173-1100 | 2010-11-16 |
| 1407895865 | City of Rockwood | Ambulance | 32409 Fort Rd, Rockwood, MI 48173-1111 | 2006-06-04 |
| 1083934988 | Robin Elizabeth Burnstein | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2010-06-03 |
| 1659394211 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 32905 Fort Street, Rockwood, MI 48173-1112 | 2006-07-25 |
| Find all providers in zip 48173 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356559496 | Christina Marie Lucas-vougiouklakis | Family Medicine | 21969 Huron River Dr, Rockwood, MI 48173-1237 | 2007-05-21 |
| 1295989564 | Wyandotte Physician Practices | Family Medicine | 21969 Huron River Dr, Rockwood, MI 48173-1237 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| 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.