CARLETA POYDRAS


Address: 6071 W Outer Dr, Joint Excel Plus Orthopedic Clinic, Detroit, MI 48235-2624
Phone: 3139661013

CARLETA POYDRAS (NPI# 1922348184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922348184
Entity Type Individual
Full Name CARLETA POYDRAS
Credential PA-C
Practice Address 6071 W Outer Dr
Joint Excel Plus Orthopedic Clinic
Detroit
MI 48235-2624
Practice Telephone 3139661013
Practice Fax Number 3139669510
Enumeration Date 2013-02-26
Last Update Date 2013-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist 		560106069 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6071 W OUTER DR
JOINT EXCEL PLUS ORTHOPEDIC CLINIC
City DETROIT
State MI
Zip Code 48235-2624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205836806 Select Specialty Hospital - Northwest Detroit Inc Long Term Care Hospital 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 2005-07-26
1356965198 Anielle Ball Registered Nurse 6071 W Outer Dr, Detroit, MI 48235-2624 2020-06-07
1427672708 Nitesh Kumar Byrappa Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-06-03
1992327969 Chandima Jinani Herath Mudiyanselage Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235 2020-05-13
1790307783 Patrick Riedy Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-05-12
1518589878 Nnadozie Okoroafor Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-05-09
1720609803 Charmayne Gail Cooley Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-04-30
1841811890 Noren Din Internal Medicine 6071 W Outer Dr, Detroit, MI 48235-2624 2020-04-30
1962023069 Haseeb Khan Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-04-29
1285255570 Edward Park Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1629690565 Faseeha Arshad Gondal Student in an Organized Health Care Education/Training Program Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 2020-05-14
1902428832 Muhanad Abou Touk Student in an Organized Health Care Education/Training Program Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 2020-05-14
1780206730 Ahmad Mismar Student in an Organized Health Care Education/Training Program Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 2020-05-13
1023630589 Joao Paulo Fontana Bragagnollo Student in an Organized Health Care Education/Training Program 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 2020-05-07
1881216216 Mohammad Awad Jaber Student in an Organized Health Care Education/Training Program 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 2020-05-07
1366064818 Syeda Busmah Owais Student in an Organized Health Care Education/Training Program 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 2020-05-07
1184245680 Sushmitha Nanja Reddy Student in an Organized Health Care Education/Training Program Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 2020-05-06
1972164796 Jack Phillip Tomen Student in an Organized Health Care Education/Training Program Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 2019-06-24
1346809464 Anusha Bapatla Student in an Organized Health Care Education/Training Program 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 2019-06-12
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700248176 Katilyn Kohl Physician Assistant 3990 John R St Ste 4905, Detroit, MI 48201-2018 2016-03-24
1881822187 Shea Mace Physician Assistant 6799 West Grand Blvd, Detroit, MI 48202 2009-06-24
1942469135 Marcus Harris Physician Assistant 13949 Artesian St, Detroit, MI 48223-2915 2008-06-03
1316135379 Clifford N Owhor Physician Assistant 4777 E Outer Dr Ste 1147, Detroit, MI 48234-3241 2007-10-04
1720513435 Olivia Luisa Rojas Physician Assistant 2799 W Grand Blvd, Clinic K, 11th Floor, Detroit, MI 48202-2608 2017-05-01
1043760754 Nicholas Joseph Michel Physician Assistant 4201 Saint Antoine St, Detroit, MI 48201-2153 2016-10-05
1013387174 Sybrena Evans Physician Assistant 3901 Beaubien St, Detroit, MI 48201-2119 2015-10-01
1639574494 Matthew Scott Mckay Physician Assistant 6071 W Outer Dr, Detroit, MI 48235-2624 2014-10-22
1801162532 Jodi Iacco Physician Assistant 22201 Moross Rd, Professional Building 1 Suite 132, Detroit, MI 48236-2169 2012-03-27
1053681221 Brenna Rae Mell Physician Assistant 3901 Beaubien St, Children's Hospital of Michigan, Neurosurgery Dept, Detroit, MI 48201-2119 2012-01-05
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Competitor

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City DETROIT
Zip Code 48235

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Dataset Information

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.

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