HERALD ALLEN HABENICHT (NPI# 1861834095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861834095 |
| Entity Type | Individual |
| Full Name | HERALD ALLEN HABENICHT |
| Credential | M.D. |
| Practice Address |
10516 Range Line Rd Berrien Springs MI 49103-9203 |
| Practice Telephone | 2694713940 |
| Mailing Telephone | 2694713940 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 4301029633 | MI | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 4301029633 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DEA | AH2323741 | 01 |
| MI | PHYSICIAN LICENSE | 4301029633 | 01 |
| MI | CONTROLLED SUBSTANCE LICENSE | 5315002279 | 01 |
| Street Address |
10516 RANGE LINE RD |
| City | BERRIEN SPRINGS |
| State | MI |
| Zip Code | 49103-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270249 | Lakeland Medical Practices | Family Medicine | 9045 Old Us 31, Suite A, Berrien Springs, MI 49103 | 2019-11-25 |
| 1972163491 | Claudia Davisson | Speech-Language Pathologist | 10408 South Moccasin Trail, Berrien Springs, MI 49103 | 2019-06-17 |
| 1194291179 | Dalton Enrico Latham | Nurse Practitioner | 8521 Kephart Lane, Berrien Springs, MI 49103 | 2018-10-17 |
| 1396104303 | Healing and Restoring Pllc | Preventive Medicine | 8704 N. Bluffview Drive, Berrien Springs, MI 49103 | 2016-02-18 |
| 1508266941 | Lynn M. Schafer | Audiologist | One Sylvester Ave., Berrien Springs, MI 49103 | 2014-09-03 |
| 1427479351 | Meadowview Garden Afc | Foster Care Agency | 8817 Meadowview Court, Berrien Springs, MI 49103 | 2013-12-19 |
| 1881024511 | Loving Care Foster Homes | Assisted Living Facility | 3611 E. Snow Rd., Berrien Springs, MI 49103 | 2013-11-15 |
| 1689923054 | Raquel Dejesus | Nurse Practitioner | 4421 International Ct, Apt 13, Berrien Springs, MI 49103 | 2012-08-31 |
| 1184988685 | Paul Daniel Judge | Otolaryngology | 9045 Us Highway 31 Ste 3, Berrien Springs, MI 49103 | 2012-06-28 |
| 1285767095 | Lorie Ann Hamel | Psychologist | 9045 Us 31, Berrien Springs, MI 49103 | 2007-03-13 |
| Find all providers in zip 49103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
| City | BERRIEN SPRINGS |
| Zip Code | 49103 |
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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.