DR. ANITA MONCREASE


Address: 1151 Taylor St, Detroit, MI 48202-1732
Phone: 3138764300

DR. ANITA MONCREASE (NPI# 1932444882) 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) 1932444882
Entity Type Individual
Full Name DR. ANITA MONCREASE
Practice Address 1151 Taylor St
Detroit
MI 48202-1732
Practice Telephone 3138764300
Mailing Telephone 3138764300
Enumeration Date 2012-12-04
Last Update Date 2012-12-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 4301048836 MI Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 4301048836 MI Allopathic & Osteopathic Physicians
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
4301048836 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 1151 TAYLOR ST
City DETROIT
State MI
Zip Code 48202-1732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841303765 Jerel Nathaniel Owens Family Medicine 1151 Taylor St, Detroit Health Center, Detroit, MI 48202-1732 2006-08-16
1982036828 Institute for Population Health Public Health or Welfare 1151 Taylor St, 334c, Detroit, MI 48202-1732 2013-08-02
1083966220 Donna S. Beal-lloyd Nurse Practitioner 1151 Taylor St, Detroit, MI 48202-1732 2012-10-11
1366793531 Institute for Population Health Inc. Dentist 1151 Taylor St, Detroit, MI 48202-1732 2012-09-27
1285995134 Institute for Population Health Inc. Dentist 1151 Taylor St, Detroit, MI 48202-1732 2012-06-06
1285940254 Paul K Mwicharo Pharmacist 1151 Taylor St, Detroit, MI 48202-1732 2010-08-27
1760701262 City of Detroit Dentist 1151 Taylor St, 323 C, Detroit, MI 48202-1732 2010-05-24
1871819839 Zelda Ree Williams Counselor 1151 Taylor St, Detroit, MI 48202-1732 2010-04-15
1457673048 Emmily Diane Hughes Registered Nurse 1151 Taylor St, Detroit, MI 48202-1732 2010-02-23
1174770762 Lacarra Sharper Dietitian, Registered 1151 Taylor St, Room 332-c, Detroit, MI 48202-1732 2008-08-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073010625 Vernor Pediatric PC Pediatrics 4607 W Vernor Hwy, Detroit, MI 48209-2117 2018-04-10
1104440320 How- Substance Abuse Abuse Program Pediatrics 8131 E Outer Dr, Detroit, MI 48213-1323 2020-06-03
1245660141 Jinwoo Yoo M.d. Pediatrics 12632 Dexter Ave, Detroit, MI 48238-3340 2013-11-14
1104076595 William C. Heath Md PC Pediatrics 22341 W 8 Mile Rd, Detroit, MI 48219-1217 2008-09-23
1639347586 Anne-mare Ice Md PC Pediatrics 22341 W 8 Mile Rd, Detroit, MI 48219-1217 2008-02-13
1235324799 Rose Pediatric PC Pediatrics 22341 W 8 Mile Rd, Detroit, MI 48219-1217 2007-09-07
1285667097 Kalpana A Choksi Pediatrics 22341 W 8 Mile Rd, Detroit, MI 48219-1217 2006-07-08
1902839764 Anne Mare Ice Pediatrics 22341 W 8 Mile Rd, Detroit, MI 48219-1217 2006-07-07
1922031798 Jorge F Rose Pediatrics 22341 W 8 Mile Rd, Detroit, MI 48219-1217 2006-07-07
1982634119 Gouri Ramesh Pediatrics 7900 Kercheval St, Detroit, MI 48214-2439 2006-07-04
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Competitor

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City DETROIT
Zip Code 48202

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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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