MICHIGAN DEPARTMENT OF CORRECTIONS (NPI# 1912379751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912379751 |
| Entity Type | Organization |
| Organization Name | MICHIGAN DEPARTMENT OF CORRECTIONS |
| Practice Address |
17600 Ryan Rd Detroit MI 48212-1155 |
| Practice Telephone | 3133683200 |
| Practice Fax Number | 3133686015 |
| Mailing Telephone | 3133683200 |
| Mailing Fax Number | 3133686015 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |
| Authorized Official Name | DR. JONG CHOI (REGIONAL DENTAL DIRECTOR) |
| Authorized Official Telephone | 5177805760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 2901014477 | MI | Agencies |
| Y | 251K00000X | Public Health or Welfare | 2901014477 | MI | Agencies |
| Street Address |
17600 RYAN RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48212-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811202310 | Ronda Lyn Bryant | Nurse Practitioner | 17600 Ryan Rd, Detroit, MI 48212-1155 | 2010-08-10 |
| 1336646934 | Pamela Lynne Kuzera | Nurse Practitioner | 17600 Ryan Rd, Detroit, MI 48212-1155 | 2018-04-10 |
| 1962875047 | Gail Eileen Wang | Dentist | 17600 Ryan Rd, Detroit, MI 48212-1155 | 2015-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
| 1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
| 1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
| 1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
| 1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
| Find all providers in zip 48212 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659823102 | Trinity Mihp | Public Health or Welfare | 16821 Mark Twain St, Detroit, MI 48235-4066 | 2016-11-01 |
| 1497105225 | Anemanuheir, LLC. | Public Health or Welfare | 445 King St, Detroit, MI 48202-2130 | 2016-06-13 |
| 1225485329 | Creating Opportunities for Infants Children and Expectant Mothers | Public Health or Welfare | 12150 Schaefer Hwy, Apt 108, Detroit, MI 48227-3491 | 2016-05-18 |
| 1225450760 | Living Well Home Services LLC | Public Health or Welfare | 9000 E Jefferson Ave Apt 15-8, Detroit, MI 48214-4198 | 2014-01-17 |
| 1558676791 | Its Just for Me Center | Public Health or Welfare | 18681 Cherrylawn St, Detroit, MI 48221-2045 | 2010-08-12 |
| 1477671170 | National Council On Alcoholism Drug Dependence | Public Health or Welfare | 16647 Wyoming St, Detroit, MI 48221-2848 | 2007-03-27 |
| 1861523375 | Philip Gaeth Cramer | Public Health or Welfare | 1151 Taylor St Rm 240a, Detroit Health Dept. - Herman Kiefer Health Complex, Detroit, MI 48202-1732 | 2007-03-08 |
| 1598825440 | City of Detroit | Public Health or Welfare | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2006-12-11 |
| 1235584301 | Dynamic Teaching | Public Health or Welfare | 19453 Oakfield St, Detroit, MI 48235-2215 | 2016-04-26 |
| 1588020705 | Metro Community Resources Center of Mi | Public Health or Welfare | 901 W Grand Blvd, Suite 103, Detroit, MI 48208-2353 | 2016-01-04 |
| Find all providers in DETROIT | ||||
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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.