FRG MICHIGAN PC (NPI# 1942438122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942438122 |
| Entity Type | Organization |
| Organization Name | FRG MICHIGAN PC |
| Practice Address |
4777 E Outer Dr Detroit MI 48234-3241 |
| Mailing Address |
Po Box 60 Pittsburgh PA 15230-0060 |
| Practice Telephone | 3133695800 |
| Mailing Telephone | 4129375726 |
| Mailing Fax Number | 4129375705 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |
| Authorized Official Name | MR. TIM PISULA (COO) |
| Authorized Official Telephone | 4125510011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4777 E OUTER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841230745 | Carla M Smith | Social Worker | 4777 E Outer Dr, Ste 183, Detroit, MI 48234-3241 | 2006-06-08 |
| 1962018457 | A Baby's Life, LLC | Case Management | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2020-09-20 |
| 1154933265 | Healing House, LLC | Community/Behavioral Health | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2020-08-19 |
| 1063063295 | Allison Jay | Dietitian, Registered | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-09-29 |
| 1063069359 | Faster Care Connor Creek, Pllc | Internal Medicine | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-08-21 |
| 1699335562 | Sidney Sharee-celestine Sparks | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-06-13 |
| 1417420514 | Alyssia Chantel Hence | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-01-10 |
| 1164917639 | Conner Creek Life Solutions LLC | Substance Abuse Rehabilitation Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2018-06-27 |
| 1790292928 | Golden Point Community LLC | Assisted Living Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2018-01-09 |
| 1154850543 | Stephanie Graves | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2017-06-08 |
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| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194017970 | Zhen Wu | Radiology | 4646 John R St., Radiology Department, Detroit, MI 48201 | 2011-05-11 |
| 1548492028 | Joseph Ugorji | Radiology | 5766 Trumbull St Apt 112, Detroit, MI 48208-1776 | 2009-08-17 |
| 1194954867 | Nithin Thummala | Radiology | 4201 Saint Antoine St Rm 3l-8, Detroit, MI 48201-2153 | 2009-07-02 |
| 1659509305 | Sanjay N Soni | Radiology | 4201 St Antoine 9c Uhc, Detroit Medical Center, Detroit, MI 48201 | 2009-07-01 |
| 1700010311 | Pratima Karia | Radiology | 4201 Saint Antoine St # 3l8, Department of Radiology, Detroit, MI 48201-2153 | 2009-05-11 |
| 1386816288 | Roland E Gazaille IIi | Radiology | 2799 West Grand Blvd A-4 Diagnostic Radiology, Henry Ford Health System, Detroit, MI 48202-3450 | 2008-03-31 |
| 1144430422 | Khalid Kurbanali Javeri | Radiology | 2799 W Grand Blvd Ste 109, Detroit, MI 48202-2608 | 2007-05-23 |
| 1588871826 | Khurshaid Alam | Radiology | 4648 John R St, John Dingell Va Medical Center, Detroit, MI 48201-1916 | 2007-05-17 |
| 1659449395 | Matthew C. Rheinboldt | Radiology | 2799 W. Grand Blvd, Henry Ford Dept of Radiology, Detroit, MI 48202-2689 | 2006-12-01 |
| 1528077567 | Sampath Ramachandran | Radiology | 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-08-07 |
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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.