MISS MARCY LEE SOUTAR (NPI# 1972715787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972715787 |
Entity Type | Individual |
Full Name | MISS MARCY LEE SOUTAR |
Credential | RN |
Practice Address |
1449 S Washington Ave Royal Oak MI 48067-3225 |
Practice Telephone | 2486357309 |
Mailing Telephone | 2486357309 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
TL6068871012 | CA | Nursing Service Providers |
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
4704249796 | MI | Nursing Service Providers |
Street Address |
1449 S WASHINGTON AVE |
City | ROYAL OAK |
State | MI |
Zip Code | 48067-3225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
Find all providers in zip 48067 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598382905 | Kevin Poole Jr. | Registered Nurse | 3044 Shabay Dr Bldg 1, Flushing, MI 48433-2459 | 2020-07-01 |
1023665981 | Kara Renee Mcintyre | Registered Nurse | 22725 S Keyes St, Taylor, MI 48180-4100 | 2019-08-23 |
1003379314 | Jaina Sabu Samuel | Registered Nurse | 49409 W Central Park, Shelby Twp, MI 48317-6355 | 2019-04-12 |
1386163830 | Dionne Lanette Wallace | Registered Nurse | 15730 Mok Ave, Eastpointe, MI 48021-2367 | 2017-09-15 |
1336490846 | Venus Yvonne Graham | Registered Nurse | 16950 Martin Rd, Roseville, MI 48066-4331 | 2012-09-24 |
1346425030 | Mary Louise Molis | Registered Nurse | 7700 92nd St Se, Caledonia, MI 49316-9593 | 2008-01-01 |
1457460222 | Uaye Juliet Abai | Registered Nurse | 6773 Stonebrige Court, West Bloomfield, MI 48322 | 2006-08-29 |
1184635617 | Patricia E Dombrowski | Registered Nurse | 26402 W 11 Mile Rd, Southfield, MI 48034-2248 | 2006-08-10 |
1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
1679180483 | John L Freds | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-25 |
Find all providers with the same taxonomy |
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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.