CHARLES LUIS NINO (NPI# 1922057199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922057199 |
| Entity Type | Individual |
| Full Name | CHARLES LUIS NINO |
| Credential | MD |
| Practice Address |
30055 Northwestern Hwy Suite 220 Farmington Hills MI 48334-3230 |
| Practice Telephone | 2488659898 |
| Practice Fax Number | 2488659423 |
| Mailing Telephone | 2488659898 |
| Mailing Fax Number | 2488659423 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2012-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301051254 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3174881 | 05 | |
| MI | 10 | 10 | 01 |
| Street Address |
30055 NORTHWESTERN HWY SUITE 220 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446247 | Thomas Dolnicek | Obstetrics & Gynecology | 30055 Northwestern Hwy, Ste 235, Farmington Hills, MI 48334-3282 | 2005-06-09 |
| 1144696634 | Meredith Lee Justice | Audiologist | 30055 Northwestern Hwy, Suite 101, Farmington Hills, MI 48334-3230 | 2015-08-19 |
| 1093106775 | Eric Lerman, Md Plc | Internal Medicine | 30055 Northwestern Hwy, Suite 160, Farmington Hills, MI 48334-3230 | 2015-02-17 |
| 1316344690 | Leon Morris Do, Pllc | Internal Medicine | 30055 Northwestern Hwy, Ste 150, Farmington Hills, MI 48334-3230 | 2014-12-02 |
| 1851798136 | Richard M Stober Md, Plc | Internal Medicine | 30055 Northwestern Hwy, Ste. 150, Farmington Hills, MI 48334-3230 | 2014-12-02 |
| 1679970958 | Sheldon Saul Stoffer Md, Plc | Internal Medicine | 30055 Northwestern Hwy, Ste. 150, Farmington Hills, MI 48334-3230 | 2014-12-02 |
| 1063819340 | Eugene K Herman Md. Plc | Internal Medicine | 30055 Northwestern Hwy, Ste. 160, Farmington Hills, MI 48334-3230 | 2014-12-02 |
| 1760889042 | Gary Yashinsky Md, Plc | Internal Medicine | 30055 Northwestern Hwy, Ste. 150, Farmington Hills, MI 48334-3230 | 2014-12-02 |
| 1225435506 | Allan Ross Md, Pllc | Internal Medicine | 30055 Northwestern Hwy, Ste.160, Farmington Hills, MI 48334-3230 | 2014-12-02 |
| 1255766499 | Nicole Elizabeth Taylor | Audiologist | 30055 Northwestern Hwy, Suite 101, Farmington Hills, MI 48334-3230 | 2013-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1669612875 | Scott Robert Searing | Internal Medicine | 28050 Grand River Ave Ste 306n, Farmington Hills, MI 48336-5919 | 2009-02-27 |
| 1538373360 | Nathan J Foster | Internal Medicine | 30055 Northwestern Hwy. Suite 220, Farmington Hills, MI 48375 | 2007-05-10 |
| 1790776946 | Demetris M Demetriou | Internal Medicine | 29645 W 14 Mile Rd, Ste 200, Farmington Hills, MI 48334-1666 | 2005-11-04 |
| 1871907303 | Botsford General Hospital | Internal Medicine | 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336-5966 | 2014-06-12 |
| 1003244625 | Community Physicians Inc | Internal Medicine | 37935 W 12 Mile Rd Ste A, Farmington Hills, MI 48331-6102 | 2013-10-16 |
| 1619310885 | George Rami Dirani | Internal Medicine | 32255 Northwestern Hwy Ste 115, Farmington Hills, MI 48334-1538 | 2013-04-08 |
| 1720280464 | Dr Stephen D Senecoff Md PC | Internal Medicine | 30500 Northwestern Hwy, Ste 316, Farmington Hills, MI 48334-3159 | 2007-06-04 |
| 1952525917 | Robert C Maynard | Internal Medicine | 30055 Northwestern Hwy, Suite 220, Farmington Hills, MI 48334-3230 | 2007-04-12 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.