MILA BLAIVAS (NPI# 1982785424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982785424 |
| Entity Type | Individual |
| Full Name | MILA BLAIVAS |
| Credential | MD, PHD |
| Practice Address |
1500 East Medical Center Dr 2nd Floor University Hospital Recp Pathology Ann Arbor MI 48109-0054 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 8008627284 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZN0500X |
Pathology Specialization: Neuropathology |
4301046459 | MI | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301046459 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1687681 | 05 |
| Street Address |
1500 EAST MEDICAL CENTER DR 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-0054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417731 | Daniel William Berland | Internal Medicine | 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109-5352 | 2005-06-17 |
| 1770105405 | Emily Ager | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Dr, B1-380 Taubman Center, Ann Arbor, MI 48109-5305 | 2020-05-15 |
| 1922668987 | Matthew James Wolf | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-20 |
| 1235799644 | Helen Elizabeth Mulcahy | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-18 |
| 1679133490 | Alexander Charles Waselewski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1043870868 | Danielle Rose Vanbeckum | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1881254621 | Megan Kathryn Zakerski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1104484625 | Alicia Isabelle Rolin | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1417515933 | Kristen Elizabeth Unsicker | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1760040273 | Katie Christine Ramos | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497953004 | Sriram Venneti | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2007-07-05 |
| 1528273844 | Sandra Ines Camelo-piragua | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2007-05-11 |
| 1669554614 | Andrew Paul Lieberman | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-19 |
| 1497837454 | Paul E Mckeever | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2006-10-19 |
| 1750338190 | Kathryn Alicia Mcfadden | Pathology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558455451 | Howard T. Chang | Pathology | 1200 E. Michigan Ave., Lower Level, Lansing, MI 48912 | 2006-10-03 |
| 1518965912 | Peter William Pick | Pathology | 1500 Weiss Street, Medical Service-neurology 111, Vamc, Saginaw, MI 48602 | 2005-07-09 |
| 1831247543 | Jorge A. Gutierrez | Pathology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-08 |
| 1902984438 | Joseph Fullmer | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2006-11-01 |
| 1437196425 | William Joseph Kupsky | Pathology | 3990 John R St, Harper Hospital Pathology, Detroit, MI 48201-2018 | 2006-05-31 |
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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.