DEAN CLINIC, P.C. (NPI# 1942357959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942357959 |
Entity Type | Organization |
Organization Name | DEAN CLINIC, P.C. |
Practice Address |
4140 E 8 Mile Rd Detroit MI 48234-1014 |
Practice Telephone | 3133669502 |
Practice Fax Number | 3133669503 |
Mailing Telephone | 3133669502 |
Mailing Fax Number | 3133669503 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ROGER STANLEY HARRIS (PRESIDENT) |
Authorized Official Telephone | 3133669502 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1371362 | 05 |
Street Address |
4140 E 8 MILE RD |
City | DETROIT |
State | MI |
Zip Code | 48234-1014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
Find all providers in zip 48234 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750787784 | Halo Primary Care Pllc | Clinic/Center | 1535 E State Fair, Detroit, MI 48203-1257 | 2014-11-19 |
1770871154 | Hilal D Elia M.d., P.c | Clinic/Center | 950 E State Fair, Detroit, MI 48203-1273 | 2011-07-19 |
1417257510 | Medical Missionary Management PC | Clinic/Center | 1002 Seminole St, Detroit, MI 48214-2707 | 2010-10-25 |
1023349578 | Health Care Medical Center PC | Clinic/Center | 17141 Hayes St, Detroit, MI 48205-3559 | 2010-01-22 |
1558538132 | David O Washington Mdpc | Clinic/Center | 19251 Bretton Dr, Detroit, MI 48223-1363 | 2008-05-13 |
1356510085 | Detroit Medical Center | Clinic/Center | 4201 Saint Antoine St Ste 2e, Detroit, MI 48201-2153 | 2008-02-27 |
1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
1124226428 | The Dr. Albert B. Cleage, Sr. Memorial Health Center | Clinic/Center | 700 Seward St, Detroit, MI 48202-2427 | 2007-07-07 |
1437710563 | Kancc Medical P.l.c. | Clinic/Center | 17331 Mack Ave, Detroit, MI 48224-2250 | 2019-06-28 |
1437711595 | Michigan Wellness 1 LLC | Clinic/Center | 18455 James Couzens Fwy, Detroit, MI 48235-2506 | 2019-06-28 |
Find all providers in DETROIT |
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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.