DR. COLLEEN NOBLE (NPI# 1962543660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962543660 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN NOBLE |
| Credential | M.D. |
| Practice Address |
461 W Huron St Nomc Developmental Pediatrics Pontiac MI 48341-1601 |
| Practice Telephone | 2488577082 |
| Mailing Telephone | 2488577082 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
4301053699 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
461 W HURON ST NOMC DEVELOPMENTAL PEDIATRICS |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326019126 | Greyard R Lamm | Physician Assistant | 461 W Huron St, Pontiac, MI 48341-1601 | 2006-01-30 |
| 1578164091 | Mohmeduzber Molvi | Pharmacist | 461 W Huron St, Pontiac, MI 48341-1601 | 2020-11-02 |
| 1326655630 | Parth Anantbhai Patel | Family Medicine | 461 W Huron St, Pontiac, MI 48341-1601 | 2020-09-30 |
| 1295345445 | Krista Michele Hughes | Social Worker | 461 W Huron St, Pontiac, MI 48341-1601 | 2020-08-03 |
| 1437774841 | Ivy A Billones | Student in an Organized Health Care Education/Training Program | 461 W Huron St, Pontiac, MI 48341-1601 | 2020-06-11 |
| 1659995280 | Christopher Khachik Khoshoryan | Psychiatry & Neurology | 461 W Huron St, Pontiac, MI 48341-1601 | 2020-05-29 |
| 1992328686 | Marwa Alithawi | Student in an Organized Health Care Education/Training Program | 461 W Huron St, Pontiac, MI 48341-1601 | 2020-05-28 |
| 1225651821 | Honey Susan Paul | Student in an Organized Health Care Education/Training Program | 461 W Huron St, Pontiac, MI 48341 | 2020-05-19 |
| 1124640628 | Sandeep Kaur | Psychiatry & Neurology | 461 W Huron St, Pontiac, MI 48341-1601 | 2020-05-07 |
| 1679119838 | Raminder S Chhatwal | Psychiatry & Neurology | 461 W Huron St, Pontiac, MI 48341-1601 | 2019-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
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| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982904587 | Spectrum Health Primary Care Partners | Pediatrics | 550 W Grand Ave, Muskegon, MI 49441-2336 | 2010-10-28 |
| 1730354994 | Kheir Al Zouhayli Md PC | Pediatrics | 1639 E Big Beaver, 104, Troy, MI 48083 | 2008-04-28 |
| 1528048501 | Yasser Awaad | Pediatrics | 1331 Monroe St, Dearborn, MI 48124-2888 | 2006-01-18 |
| 1922582196 | Spectrum Health Primary Care Partners | Pediatrics | 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677 | 2018-09-24 |
| 1669779005 | Spectrum Health Primary Care Partners | Pediatrics | 100 Pine St, Suite 225, Zeeland, MI 49464-2600 | 2011-02-22 |
| 1578860912 | Spectrum Health Primary Care Partners | Pediatrics | 700 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2011-02-22 |
| 1710104187 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1538205539 | Vivek Baluja | Pediatrics | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2007-01-29 |
| 1164571824 | Oakwood Young Programs, LLC | Pediatrics | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2007-01-10 |
| 1740375914 | Douglas G Postels | Pediatrics | 804 Service Rd, A217, East Lansing, MI 48824-7015 | 2006-10-04 |
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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.