PRIMARY CHILD AND ADULT RENOWNED EXCELLENCE PC (NPI# 1902184963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902184963 |
| Entity Type | Organization |
| Organization Name | PRIMARY CHILD AND ADULT RENOWNED EXCELLENCE PC |
| Other Organization Name | PRIMARY C A R E PC |
| Practice Address |
911 E 9 Mile Rd Ferndale MI 48220-1934 |
| Mailing Address |
1315 Porters Ln Bloomfield Hills MI 48302-0943 |
| Practice Telephone | 2485423300 |
| Practice Fax Number | 2485420329 |
| Mailing Telephone | 2487097800 |
| Mailing Fax Number | 2483348585 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | DR. TED S NAMAN (PRESIDENT) |
| Authorized Official Telephone | 2487097800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | MI | Allopathic & Osteopathic Physicians | |
| Y | 207R00000X | Internal Medicine | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PRIMARY C A R E PC | Doing Business As Name - Organization |
| Street Address |
911 E 9 MILE RD |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815232 | Robert C Levine | Family Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2005-10-20 |
| 1760013247 | Sphere Health Pllc | Clinic/Center | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2020-02-03 |
| 1497392005 | Kristin Nicole Iannotti | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-12-02 |
| 1396393856 | Sphere Orthopedics and Regenerative Health Pllc | Clinic/Center | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-08-28 |
| 1821551680 | Scott Edward Garavaglia | Physical Therapist | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-09 |
| 1790248821 | Frank Zuziak | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-06 |
| 1447720669 | Marilyn Nah Ngundam | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2018-11-30 |
| 1134610207 | Deena Chabaan | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2018-05-24 |
| 1417478025 | Jennifer Balint | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-07-05 |
| 1780111575 | Amber Sarah Kalabat | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| Find all providers in zip 48220 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902329600 | Tristar Health PC | Internal Medicine | 808 Livernois Rd, Ferndale, MI 48220-2309 | 2017-07-25 |
| 1811237704 | A Plus Quality Care, LLC | Internal Medicine | 195 W 9 Mile Rd Ste 207, Ferndale, MI 48220-1750 | 2013-02-28 |
| 1346206265 | Susan J Slaughter-jones | Internal Medicine | 5616 3rd Avenue, Ferndale, WA 98248 | 2006-04-21 |
| 1265763973 | Hazel Park Medical Group PC | Internal Medicine | 3161 Hilton Rd, Ferndale, MI 48220-1038 | 2010-01-20 |
| 1760666093 | Liberty Medical Group, LLP | Internal Medicine | 111 Sullivan Ave, Ferndale, NY 12734-4315 | 2007-12-21 |
| 1033315361 | Joy Jones Darden | Internal Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2007-06-24 |
| 1265493498 | Greg S Naman | Internal Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2006-03-29 |
| 1730156050 | Ted Robert Naman | Internal Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2006-03-06 |
| 1528045416 | David Schwalb | Internal Medicine | 111 Sullivan Ave, Liberty Medical Group, Ferndale, NY 12734-4315 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910687 | Berry Johnson Health Pllc | Internal Medicine | 30123 Rock Creek Dr, Southfield, MI 48076-5358 | 2020-10-24 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1790399798 | Enhua Wang | Internal Medicine | 1215 E Michigan Ave Ste 500, Lansing, MI 48912-1811 | 2020-09-07 |
| 1093329849 | Hey Doc, P.C. | Internal Medicine | 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 | 2020-08-31 |
| 1568074375 | Mohammad Nadeemullah Pllc | Internal Medicine | 5400 Waldenhill Ct, Superior Twp, MI 48198-9654 | 2020-08-21 |
| 1356953723 | Eager Internal Medicine, Pllc | Internal Medicine | 720 N Lapeer Rd Ste 101, Lake Orion, MI 48362-4011 | 2020-08-18 |
| 1144838335 | Ranim Chamseddin | Internal Medicine | 3200 Five Points Dr Unit 110, Auburn Hills, MI 48326-2372 | 2020-07-14 |
| 1407474562 | Pravalika Rudraraju | Internal Medicine | 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 | 2020-07-06 |
| 1780200469 | Abed L Dabaja | Internal Medicine | 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 | 2020-06-18 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
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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.