MR. JUSTIN DAVID (NPI# 1922450428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922450428 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN DAVID |
| Credential | PA-C |
| Practice Address |
13850 E 12 Mile Rd Warren MI 48088-3730 |
| Practice Telephone | 5865524499 |
| Mailing Telephone | 5865524499 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007803 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230460 | Justin Thomas David | Physical Therapist | 433 Castle Shannon Blvd, Pittsburgh, PA 15234-1431 | 2020-06-22 |
| Street Address |
13850 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48088-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730195231 | Daniel Martin Ryan | Physical Medicine & Rehabilitation | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2006-08-01 |
| 1427456284 | Ann C Walker | Physician Assistant | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2014-12-10 |
| 1174939946 | Team Rehabilitation W2, LLC | Physical Therapist | 13850 E 12 Mile Rd, Ste 2a, Warren, MI 48088-3730 | 2014-07-01 |
| 1629406434 | Lauren Elizabeth Brush | Physician Assistant | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2013-10-15 |
| 1336412923 | Nadine Marie Monteleone | Physical Therapy Assistant | 13850 E 12 Mile Rd, Suite 2a, Warren, MI 48088-3730 | 2012-02-14 |
| 1750608477 | Pros-tech, Inc. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Suite 2b, Warren, MI 48088-3730 | 2010-04-21 |
| 1962651372 | Lakeesha Crouch | Physical Therapist | 13850 E 12 Mile Rd, # 2a, Warren, MI 48088-3730 | 2008-09-10 |
| 1790950459 | Center for Physical Medicine and Rehabilitiation | Durable Medical Equipment & Medical Supplies | 13850 E 12 Mile Rd, 2-b, Warren, MI 48088-3730 | 2008-04-24 |
| 1053595199 | Center for Physical Medicine and Rehabilitation PC | Durable Medical Equipment & Medical Supplies | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-12-26 |
| 1982883625 | Medical Resource Group | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
| Find all providers in zip 48088 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421373 | Monique Mana | Physician Assistant | 28345 Marcia Ave, Warren, MI 48093-7209 | 2020-06-11 |
| 1790151264 | Mika Wexler Sachs | Physician Assistant | 11900 East 12 Mile Road, Suite 201, Warren, MI 48093 | 2015-08-19 |
| 1962832733 | Autumn Rancourt | Physician Assistant | 552 N Park Ave, Warren, OH 44481-1117 | 2013-11-15 |
| 1699012229 | Lynne Strachan | Physician Assistant | 28800 Ryan Rd Ste 320, Warren, MI 48092-4269 | 2013-01-16 |
| 1447508437 | Bradley L Grincewicz | Physician Assistant | 31700 Van Dyke Ave Ste 100, Warren, MI 48093-7951 | 2012-08-22 |
| 1821319633 | Lilana Lucaj | Physician Assistant | 26000 Hoover Rd Ste 102, Warren, MI 48089-1167 | 2010-06-15 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1275768392 | Meghan Alice Haley | Physician Assistant | 3990 E. 12 Mile Rd., Warren, MI 48092 | 2009-05-19 |
| 1659555621 | Sakina Hakim | Physician Assistant | 28800 Ryan Road, Warren, MI 48092 | 2007-12-26 |
| 1699976464 | Kathleen O'reilly | Physician Assistant | 283 King George Rd, Warren, NJ 07059-5134 | 2007-05-30 |
| Find all providers in WARREN | ||||
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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.