TARA M BRESLIN (NPI# 1922062538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922062538 |
| Entity Type | Individual |
| Full Name | TARA M BRESLIN |
| Credential | MD |
| Practice Address |
5320 Elliott Dr Suite 203 Ypsilanti MI 48197-1032 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7344754177 |
| Practice Fax Number | 7347121744 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2016-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301089319 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 42352 | WI | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
036.131860 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
4301089319 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33341100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710093869 | Tara Breslin | Physician Assistant | 490 Blue Hills Avenue, Mt.sinai Rehabilitation Hospital/ Physician Suite, Hartford, CT 06112-3088 | 2006-08-22 |
| Street Address |
5320 ELLIOTT DR SUITE 203 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659701332 | Colleen Sweetland | Nurse Practitioner | 5320 Elliott Dr, Suite 203, Ypsilanti, MI 48197-1032 | 2013-11-18 |
| 1497038343 | St Joseph Mercy Hospital | Surgery | 5320 Elliott Dr, Suite 203, Ypsilanti, MI 48197-1032 | 2011-09-27 |
| 1609995364 | St Joseph Mercy Hospital | Dietitian, Registered | 5320 Elliott Dr, Suite 201, Ypsilanti, MI 48197-1051 | 2007-03-27 |
| 1104976042 | Jennie Marie Hahn | Dietitian, Registered | 5320 Elliott Dr, Suite 203, Ypsilanti, MI 48197-1032 | 2007-01-11 |
| 1972653467 | Arlene M Erickson | Dietitian, Registered | 5320 Elliott Dr, Suite 203, Ypsilanti, MI 48197-1032 | 2007-01-10 |
| 1073625026 | Dennis Gordon | Dietitian, Registered | 5320 Elliott Dr, Ypsilanti, MI 48197-1032 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295970598 | Susan Marguerite Sharpe | Surgery | 2122 Health Dr Sw Ste 160a, Wyoming, MI 49519-9698 | 2008-12-16 |
| 1295871184 | Dr Sukamal Saha Md PC | Surgery | 3500 Calkins Rd, Suite A, Flint, MI 48532-3506 | 2007-01-29 |
| 1831105550 | John Maclin Barnwell Sr. | Surgery | 18709 Meyers Rd., Detroit, MI 48235 | 2006-08-01 |
| 1336154772 | John M Barnwell Md Pllc | Surgery | 18709 Meyers Rd, Detroit, MI 48235-1310 | 2006-07-31 |
| 1558307926 | E Michael Lodish Do PC | Surgery | 3272 E 12 Mile Rd, Ste 102, Warren, MI 48092-5622 | 2006-06-22 |
| 1427056175 | Sukamal Saha | Surgery | 3500 Calkins Road, Suite A, Flint, MI 48532-3685 | 2005-07-07 |
| 1417510116 | Yasser All Haji | Surgery | 11800 E 12 Mile Rd, Warren, MI 48093 | 2019-04-17 |
| 1811434772 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1992007660 | Spectrum Health Hospitals | Surgery | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2010-12-01 |
| 1679705339 | Rupen Ashok Kumar Shah | Surgery | 2799 W Grand Blvd, General Surgery K-8, Detroit, MI 48202-2608 | 2009-08-13 |
| Find all providers with the same taxonomy | ||||
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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.