MRS. DORIS NGEMASONG MENEKENG CHAFAC (NPI# 1881008803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881008803 |
| Entity Type | Individual |
| Full Name | MRS. DORIS NGEMASONG MENEKENG CHAFAC |
| Credential | MD |
| Practice Address |
461 W. Huron Ste 107 Pontiac MI 48348 |
| Mailing Address |
P.o Box 430150 Pontiac MI 48343 |
| Practice Telephone | 2487247413 |
| Practice Fax Number | 2487247447 |
| Mailing Telephone | 2487247413 |
| Mailing Fax Number | 2487247447 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2015-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301105853 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
461 W. HURON STE 107 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316214299 | Oakland Integrated Healthcare Network | Clinic/Center | 461 W. Huron, Suite 107, Pontiac, MI 48341-2244 | 2011-11-21 |
| 1205241213 | Tanya Mogla | Family Medicine | 461 W. Huron, Ste 107, Pontiac, MI 48341 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| Find all providers in zip 48348 | ||||
| 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 |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1366936742 | Xiao Ji Chen | Family Medicine | 461 West Huron St Suite 107 Admin, Pontiac, MI 48341 | 2018-06-19 |
| 1396248464 | Amber Kay Jones | Family Medicine | 2500 W Reynolds St Ste 207, Pontiac, IL 61764-9774 | 2018-03-14 |
| 1619423225 | Mariam Haq | Family Medicine | 461 W Huron St., Pontiac, MI 48341 | 2016-09-01 |
| 1811349079 | Divjot Minhas | Family Medicine | 145 Seminole St, Pontiac, MI 48341-1641 | 2016-07-11 |
| 1750579660 | John C Purnell | Family Medicine | 401 E Water St, Pontiac, IL 61764-2023 | 2007-10-05 |
| 1518189786 | Madison Street Clinic P.C. | Family Medicine | 520 W Madison St, Pontiac, IL 61764-1729 | 2007-05-03 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| 1881740579 | Philip S. Durocher | Family Medicine | 1201 N Telegraph Rd, Oakland County Jail, Pontiac, MI 48341-1029 | 2007-01-26 |
| 1457426363 | J C Purnell Md Sc | Family Medicine | 401 E Water Street, Pontiac, IL 61764-0470 | 2006-11-24 |
| Find all providers in PONTIAC | ||||
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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.