DR. KEVIN ALLEN JUTZY (NPI# 1902014517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902014517 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ALLEN JUTZY |
| Credential | MD |
| Practice Address |
15855 Nineteen Mile Road Emergency Medicine Department Clinton Twp MI 48038-3504 |
| Mailing Address |
38935 Ann Arbor Road Credentialing/payer Contracting Services Livonia MI 48150-3397 |
| Practice Telephone | 5862632601 |
| Practice Fax Number | 5862632589 |
| Mailing Telephone | 7346320175 |
| Mailing Fax Number | 7346320182 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301086095 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11879585 | 01 |
| Street Address |
15855 NINETEEN MILE ROAD EMERGENCY MEDICINE DEPARTMENT |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48038-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720066319 | Robilyn Ann Collins | Nurse Practitioner | 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-01-04 |
| 1396788774 | Jerry Michael Greib | Emergency Medicine | 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-06-14 |
| 1477523520 | Anthony James Colucci | Emergency Medicine | 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-01-23 |
| 1629056866 | Ralph David Scolari | Emergency Medicine | 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-01-06 |
| 1639157209 | Amit Chopra | Emergency Medicine | 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720208069 | Daniel Scheer Do PC | Emergency Medicine | 42536 Hayes Road, Ste 100, Clinton Twp, MI 48038 | 2007-04-27 |
| 1730167800 | Jeffrey Alan Sendi | Emergency Medicine | 42669 Garfield Rd, Emergency Medicine Department, Clinton Twp, MI 48038-5036 | 2006-01-09 |
| 1063490621 | Kevin Alexander Brody | Emergency Medicine | 15855 19 Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-01-04 |
| 1639631294 | Cory Ley | Emergency Medicine | 36500 S Gratiot Ave, Clinton Twp, MI 48035-1772 | 2019-04-03 |
| 1437680121 | Michael James Kostiuk | Emergency Medicine | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2017-03-23 |
| 1841617446 | Matthew Cinal Bombard | Emergency Medicine | 15855 19 Mile Rd, Osteopathic Medicine Education Suite 4919, Clinton Twp, MI 48038-3504 | 2014-03-21 |
| 1891959458 | Heather Ann Cronovich Steffan | Emergency Medicine | 15855 19 Mile Rd, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2008-07-14 |
| 1396788774 | Jerry Michael Greib | Emergency Medicine | 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-06-14 |
| 1841230919 | Daniel W Scheer | Emergency Medicine | 42536 Hayes Rd, Suite 100, Clinton Twp, MI 48038 | 2006-06-07 |
| 1477523520 | Anthony James Colucci | Emergency Medicine | 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-01-23 |
| Find all providers in CLINTON TWP | ||||
| City | CLINTON TWP |
| Zip Code | 48038 |
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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.